Eroded adjustable gastric band migration causing gastric obstruction and perforation in a pregnant lady

Alawad, Maram; Abukhater, Muhammad; Almohaimeed, Khalid

doi:10.1016/j.ijscr.2020.04.087

Cited by 7 publications

(5 citation statements)

References 20 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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“…In case of a “favorably” located perforation — as in the presented video — resection of the perforation area using an endo-stapler can be considered. For more inconveniently located perforations, surgeons should also have additional options in their armamentarium such as suturing, omental patch, fundoplication, Foley catheterization [ 8 ] or resection and gastro-gastrostomy [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Gastric Band Migration with Acute Gastric Perforation — a Video Vignette

et al. 2022

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“…Gastric-band-related complications during pregnancy are rare with only a limited number of published reports available, such as gastric band slippage, migration and erosion, gastric torsion [2] , [14] , [15] . Only a few recent publications report gastric band penetration through the gastric wall during pregnancy [15] , [16] , [17] . In both cases at least a part of a gastric band had been removed and some additional surgical procedures on the stomach had been performed [15] , [17] .…”

Section: Discussionmentioning

confidence: 99%

“…Only a few recent publications report gastric band penetration through the gastric wall during pregnancy [15] , [16] , [17] . In both cases at least a part of a gastric band had been removed and some additional surgical procedures on the stomach had been performed [15] , [17] . Moreover, in one of these cases the pregnancy ended in fetal demise [17] .…”

Section: Discussionmentioning

confidence: 99%

Penetration of the gastric band through the gastric wall during pregnancy: A rare case report

Didziokaite

Poškus

Malakauskienė

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Obesity is a major health problem. Obese women have an increased risk of pregnancy-related complications. Weight loss before conception is associated with improved fertility rates and pregnancy outcomes. Bariatric surgery (BS), such as laparoscopic adjustable gastric banding (LAGB), was a popular option for obese women planning pregnancy. However, long-term follow-up studies indicate high rate of failure and reoperations. The work has been reported in line with the SCARE 2020 criteria. Case presentation We present a case of a 41-years-old multigravida who was diagnosed with intragastric penetration of the gastric band on the 27th week. Diagnostic laparoscopy and intraoperative esophagogastroduodenoscopy were performed. Gastric band was not removed and no other surgical interventions were performed. The patient underwent a caesarean section on the 37th week, due to the remaining risk of repeated gastric-band-related complications. Clinical discussion The management of pregnancy following LAGB has not been well defined yet. Gastric band erosion with intragastric band migration is considered to be one of the most worrisome of all LAGB-related complications. Conclusion International treatment consensus for pregnancy after BS is still missing. This case illustrates a need for practitioner to maintain a high index of suspicion of gastric-band-related complications during pregnancy. Gastric-band-related complications during pregnancy are rare with only limited number of published reports. To our knowledge, this is the first reported intragastric penetration of the gastric band in a pregnant woman, which was managed without gastric band removal during pregnancy and which had a good outcome for both, the patient and her baby.

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Eroded adjustable gastric band migration causing gastric obstruction and perforation in a pregnant lady

Cited by 7 publications

References 20 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

Laparoscopic Management of Gastric Band Migration with Acute Gastric Perforation — a Video Vignette

Penetration of the gastric band through the gastric wall during pregnancy: A rare case report

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