Unexpected Gastrointestinal Tract injury years following Laparoscopic Adjustable Gastric Banding

Abstract

Highlights Although most complications following LAGB are confined to the stomach and port site, some may envolve the entire bowel causing extensive damage. One must be wary of the presentation of long term complications, as it may initially present as an unrelated pathology, such as acute pancreatitis. Long term complications may be asymptomatic for years despite extensice damage, including multiple contained perforations. The surgical procedure performed to treat long term complications should be planned and performed by physicians experienced in foregut surgery.

Do All Bariatric Surgery Methods Have the Same Effects on the Gut Microbiota?

“…LAGB is the simplest form of minimally invasive or surgical method performed for obesity, but it is less commonly used due to the high rate of secondary revision to complications and late weight gain. Weight loss was promising in the initial results but in the long-term, the result is less encouraging [28]. LAGB has some minor complications, such as port slippage, port tube separation, and port infection, and major complications, such as band intolerance, band erosion, band migration, pouch enlargement, band slippage, and band opening [27].…”

“…Late complications after LAGB are more than the initial complications and include band slippage, device-related complications, band erosion, and pouch dilation. Major life-threatening complications, manifesting as severe gastrointestinal hemorrhage, perforation, or obstruction are rare and require immediate surgical intervention [28].…”

Endoskopisches Komplikationsmanagment nach bariatrischen Operationen mit dem Fokus auf die aktuellen endoskopischen Therapien

“…Die häufigste Lokalisation der Perforation ist der proximale Magen, wie in ▶ Abb. 1 a gezeigt, es sind aber auch Perforationen in den Ösophagus oder die Dislokation bis in das Jejunum beschrieben [7,8,9,10]. Die Indikation zur Entfernung des Magenbandes besteht somit auch bei einer oligosymptomatischen Erosion.…”

Microbiota dynamics preceding bariatric surgery as obesity treatment: a comprehensive review

“…Although LAGB was previously popular due to its reversible and minimally invasive nature, its utilization has declined in recent years due to lower rates of sustained weight reduction and increased risk of long-term complications such as band slippage and stomach erosion ( 14 , 15 ).…”