Treatment of band erosion: feasibility and safety of endoscopic band removal

Mozzi, Enrico; Lattuada, Ezio; Zappa, Marco Antonio; Granelli, P.; Ruberto, F. De; Armocida, Anna; Roviaro, Giancarlo

doi:10.1007/s00464-011-1820-0

Cited by 35 publications

(20 citation statements)

References 19 publications

(21 reference statements)

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“…In our patient, we did not repair the stomach after band removal in the reported case, and gastric fistula did not occur. Our opinion is supported by Mozzi et al, 14 who suggested that gastric leak should be anticipated after surgical anterior gastrostomy and not after band removal. Band migration was reported in many previous studies.…”

Section: Discussionsupporting

confidence: 74%

Acute Presentation of Laparoscopic Gastric Band Erosion

Bawahab

2015

CRSLS

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Laparoscopic adjustable gastric band (LAGB) is a well-established bariatric surgical procedure. LAGB surgery is associated long term with a significant chance for reoperation within 10 years of band placement; 2 causes of reoperation are band migration and erosion. LAGB migration is a common late complication of gastric band, with a reported incidence of as much as 11%. Herein we present a patient with LAGB erosion presenting as small bowel obstruction. In our patient, the LAGB had completely eroded into the stomach and migrated through the pylorus to the upper jejunum, resulting in a small bowel obstruction. We describe our laparoscopic approach and management of this complication, which requires a high index of suspicion.

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Section: Discussionsupporting

confidence: 74%

Acute Presentation of Laparoscopic Gastric Band Erosion

Bawahab

2015

CRSLS

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“…The gold standard investigative modality is endoscopy [5]. CT is another option, although such tool is more useful in detection of associated complications such as extend, site and type of perforation and/or contaminations.…”

Section: Discussionmentioning

confidence: 99%

“…The authors believe, such procedure is safe and feasible in circumstances when standard laparoscopic retrieval is not possible. Placement of a new gastric band is usually delayed for a period of 3 months in such cases [3, 5]. In the reported case, patient made an uneventful recovery and was discharged 3 days following the procedure.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic transgastric removal of eroding gastric band: a different approach

et al. 2016

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Gastric banding is a popular method for the treatment of morbid obesity. Amongst complications, gastric erosion remains uncommon but could prove fatal. Multiple techniques, from open surgery to endoscopic and standard laparoscopic technique for their removal, have been previously detailed in the literature. However, only a few reports have mentioned their total laparoscopic transgastric removal in the literature. Herein, we report a successful removal of an eroding gastric band with its technical suggestion in a 43-year-old female patient 22 months following its application.

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“…Intragastric erosion may be partial or complete. Its causes include small gastric wall injuries incurred during band placement, overdistention of the band with resultant gastric wall ischemia, band site infection, and inflammatory reaction (35)(36)(37). Adhesions from widespread dissection during band placement and the use of nonsteroidal anti-inflammatory drugs also may contribute to erosion (35)(36)(37).…”

Section: Intragastric Erosionmentioning

confidence: 97%

Laparoscopic Adjustable Gastric Banding: What Radiologists Need to Know

Sonavane¹,

Menias²,

Kantawala³

et al. 2012

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Laparoscopic adjustable gastric banding (LAGB) is performed with increasing frequency for the management of morbid obesity. Although LAGB is less invasive than other bariatric surgical procedures, it is associated with various complications that may lead to nonspecific abdominal symptoms several months or years after the procedure. Because complications of LAGB may be encountered incidentally at imaging for other indications, all radiologists should be familiar with the appearances of correctly positioned and malpositioned gastric bands, normal and abnormal appearances of the postprocedural pouch and stomach, and imaging features suggestive or indicative of early or delayed complications of LAGB. Familiarity with the techniques and systems currently approved by the Food and Drug Administration for use in this procedure may help radiologists detect postoperative complications and guide their management. Both commercially available systems include a silicone gastric band with an inflatable inner surface, a reservoir port, and a tube that connects the port to the gastric band. All these components of LAGB systems should be visible at radiologic imaging; however, older models of gastric bands may not be radiopaque and therefore may not be depicted on images. The most common complications of LAGB are gastric band slippage and associated pouch dilatation, intragastric erosion of the band, gastric perforation, and abscess formation. Complications that occur with less frequency include tube migration, tube disconnection, port-site infection, and small bowel obstruction.

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Treatment of band erosion: feasibility and safety of endoscopic band removal

Cited by 35 publications

References 19 publications

Acute Presentation of Laparoscopic Gastric Band Erosion

Acute Presentation of Laparoscopic Gastric Band Erosion

Laparoscopic transgastric removal of eroding gastric band: a different approach

Laparoscopic Adjustable Gastric Banding: What Radiologists Need to Know

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