Laparoscopic Trans-anastomotic Removal of Eroded MiniMizer Gastric Ring Causing Full-thickness Erosion and Bleeding: A Rare but Morbid Complication

Abstract

Background: Devices such as silicone rings and silastic bands are recent advances in bariatric surgery as adjuncts to laparoscopic gastric sleeve and Roux-en-Y bypass in order to assist weight loss and reduce rates of dumping syndrome. Case Report: We describe a rare complication of full thickness erosion and bleeding in a 43-year-old patient, three years post MiniMizer band insertion who required laparoscopic and endoscopic assisted removal of this band. Conclusion: The band was not visualised laparoscopically and we did not have specialist equipment for endoscopic removal and hence present a novel method for endoscopic guided gastrotomy and removal.