A case report of an adjustable gastric band erosion and migration into the jejunum resulting in biliary obstruction

Nasser, Hassan; Ivanics, Tommy; Leonard-Murali, Shravan; Genaw, Jeffrey A.

doi:10.1016/j.ijscr.2019.10.025

Cited by 7 publications

(6 citation statements)

References 12 publications

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“…Twelve papers did not meet the selection criteria. Forty-three [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ] case reports were eventually included in our review ( Figure 1 ). The first report was published in 2000, while other articles were written last year.…”

Section: Resultsmentioning

confidence: 99%

Reports of Gastric Banding and Bowel Obstruction: A Narrative Review of the Literature

Vitiello,

Matarese,

Sansone

et al. 2024

JCM

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The utilization rates of laparoscopic gastric banding (LAGB) declined worldwide from 42.3% in 2008 to 1.8% in 2018. Rates of complications requiring removal may reach 40–50% in the medium to long term. Bowel obstruction is a rare but severe complication that occurs after LAGB. A comprehensive literature search in PubMed was carried out to identify all available case reports of intestinal obstruction after gastric banding. The search terms were as follows: “intestinal obstruction”, “small bowel obstruction”, “gastric band”, “gastric banding”, “gastric band complications”, and “laparoscopic gastric band obstruction”. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) flowchart was used. Forty-three case reports were included in our review. Laparotomy was necessary in 18/43 (41%) of patients. Vomit was not always reported, while abdominal pain was constantly present. A CT scan was the preferred diagnostic tool. The main causes of occlusion were found to be the erosion of the gastrointestinal tract or internal hernia due to a loose tube loop. Forty-six percent of cases occurred within 5 years from insertion. Even if rare, small bowel obstruction after LAGB requires surgical intervention often with an open approach. The absence of vomit masks symptoms, but an obstruction must be always suspected in the case of severe colicky abdominal pain. A CT scan is recommended for making diagnoses.

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Section: Resultsmentioning

confidence: 99%

Reports of Gastric Banding and Bowel Obstruction: A Narrative Review of the Literature

Vitiello,

Matarese,

Sansone

et al. 2024

JCM

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“…Erosion and migration of the band within the digestive lumen is one of the less frequent late complications occurring after LAGB, [9] . Moreover, migration is generally limited to the stomach and cases with distal dislocation of the band have been only a matter of case reports [10] , [11] , [12] , [13] , [14] or description of cases within case series [15] , [16] . Life threatening presentations of such distal migration of the band causing gastro-intestinal injuries are very rare [15] , [16] , [17] .…”

Section: Discussionmentioning

confidence: 99%

“…In the case reported by Shah et al [10] , a migrated and dislocated band occluded the jejunum with associated duodenum wall thickening and signs of pancreatitis. Nasser et al [14] has reported a case of biliary dilation with a narrowing of the lower bile duct likely secondary to compression from the tubing of a migrated band into the jejunum. The same mechanism on the papilla may be advocated in the present case in which however a rod like effect of the tube of the gastric band was extended to the pancreas as was revealed by the exploration of the lesser sac.…”

Section: Discussionmentioning

confidence: 99%

“…As reported in the present case, distal dislocation into the gastro-intestinal tract may complicate the erosion of the band within the stomach. Dislocation without major gastro-intestinal injuries has been reported in 3 case reports [10] , [13] , [14] , all of which had the band removed trough an enterotomy, while only 2 reported performing a gastrostomy following the enterotomy [10] , [14] . In the case reported by Widmer et al [13] , the jejunal segment was resected due to a conglomerate formation, no procedure was done on the stomach.…”

Section: Discussionmentioning

confidence: 99%

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Unexpected Gastrointestinal Tract injury years following Laparoscopic Adjustable Gastric Banding

Mansour

Borzellino

Kluger

2020

International Journal of Surgery Case Reports

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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.

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“…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.…”

Section: Die Magenbandperforationunclassified

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

2022

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ZusammenfassungKomplikationen nach bariatrischer Chirurgie sind selten. Die meisten Komplikationen lassen sich endoskopisch oder mithilfe der Endoskopie therapieren. Das Seltene stellt jedoch im klinischen Alltag eine Herausforderung dar. Damit die Komplikationen bestmöglich versorgt werden und der Schaden für den einzelnen Patienten möglichst gering ist, bedarf es eines Komplikationsmanagements. Der Artikel gibt eine Übersicht über wesentliche Komplikationen und gängige endoskopische Therapieoptionen, mit dem Fokus auf aktuelle publizierte Therapiestrategien der letzten 5 Jahre. Der Artikel soll als Basis dienen für die Etablierung eines eigenen Komplikationsmanagements in den jeweiligen Kliniken.

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A case report of an adjustable gastric band erosion and migration into the jejunum resulting in biliary obstruction

Abstract: HighlightsLAGB can rarely erode into the stomach and migrate into the small bowel.Migration of the LAGB can result in bowel and biliary obstruction.Band erosion should be managed by removal of the LAGB.

Cited by 7 publications

References 12 publications

Reports of Gastric Banding and Bowel Obstruction: A Narrative Review of the Literature

Reports of Gastric Banding and Bowel Obstruction: A Narrative Review of the Literature

Unexpected Gastrointestinal Tract injury years following Laparoscopic Adjustable Gastric Banding

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

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