Eroded Gastric Band: Where to Next? An Analysis of the Largest Contemporary Series

Barreto, Savio George; Chisholm, Jacob; Mehdorn, Anne Sophie; Collins, Jane; Schloithe, Ann; Kow, Lilian

doi:10.1007/s11695-020-04610-4

Cited by 13 publications

(6 citation statements)

References 30 publications

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“…Patients who desire further weight loss or who regain weight can consider other bariatric surgeries such as Roux-en-Y gastric bypass. 14 The etiology of LAGB erosion is likely multifactorial and includes variables such as trauma during placement, chronic ischemia from band compression, and surgeon experience. 15,16 NSAIDs are known to induce gastric mucosal ischemia through inhibition of prostaglandin formation.…”

Section: Discussionmentioning

confidence: 99%

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Late-Onset Gastric Band Erosion Following Heavy Nonsteroidal Anti-inflammatory Drug Use

Makovich,

Patel

2024

ACG Case Rep J

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Laparoscopic adjustable gastric band (LAGB) surgery is now an uncommon bariatric procedure; however, complications may still be encountered. A 64-year-old man with a history of LAGB placement 13 years prior presented with 2 months of epigastric pain. He endorsed chronic heavy nonsteroidal anti-inflammatory drug use. Computed tomography showed inflammation around the LAGB tubing with near-complete, circumferential erosion of the LAGB into the fundus. Upper endoscopy confirmed erosion of the LAGB along with port tubing into the gastroesophageal junction and fundus. The patient was referred to a foregut surgeon who performed robotic band removal.

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Section: Discussionmentioning

confidence: 99%

“…Patients who desire further weight loss or who regain weight can consider other bariatric surgeries such as Roux-en-Y gastric bypass. 14…”

Section: Discussionmentioning

confidence: 99%

Late-Onset Gastric Band Erosion Following Heavy Nonsteroidal Anti-inflammatory Drug Use

Makovich,

Patel

2024

ACG Case Rep J

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“…Band erosion can present with various symptoms, though the loss of appetite restriction and epigastric pain were two of the most common complaints reported in 42% and 29% of patients, respectively [13]. Other symptoms included recurrent port infections, regurgitation/reflux, fever, nausea/vomiting, anemia, back pain, and splenic abscess.…”

Section: Discussionmentioning

confidence: 99%

“…Other symptoms included recurrent port infections, regurgitation/reflux, fever, nausea/vomiting, anemia, back pain, and splenic abscess. However, 19% of patients with gastric band erosion were asymptomatic [10,13,14]. While symptoms of band erosion can be problematic, eroded bands can be safely removed endoscopically under circumstances where the buckle of the band can be visualized [13,15].…”

Section: Discussionmentioning

confidence: 99%

Management of Laparoscopic Adjustable Gastric Band Erosion: A Case Report

Faust,

Schnittka,

Steadman

et al. 2023

Cureus

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Gastric banding was one of the first operations to gain popularity within the field of bariatric surgery. This case details one patient's presentation and subsequent management of gastric band erosion with the hope of guiding other physicians and supporting the decreased use of gastric banding.The patient, a 61-year-old Caucasian female, presented to the bariatric clinic complaining of a multiyear history of epigastric pain and acid reflux, which was refractory to treatment with proton pump inhibitors. She had a history of laparoscopic adjustable gastric band (LAGB) placement in 2007. She was initially successful in achieving weight loss and maintained regular band adjustments but was lost to follow-up and regained a body mass index (BMI) of 41.59 kg/m 2 . Evaluation with upper gastrointestinal (GI) endoscopy was recommended and performed. This revealed a LAGB in its entirety with tubing within the gastric fundus. Removal with dual endoscopy and abdominal laparoscopy was recommended and scheduled. During attempts to remove the band using an endoscopic snare, significant difficulty was encountered. Ultimately, an endoscopic rat-tooth grasper was used to lyse the band and tubing into four sections for complete removal. The subcutaneous port of the band was successfully removed laparoscopically, and the patient was discharged from the operating room. She reported limited pain in the postoperative suite but was lost to follow-up regarding long-term symptom relief. This report describes the presentation and management of one patient's experience with a known complication of LAGB-band erosion. This complication necessitated two additional procedures with anesthesia and placed the patient at increased risk for esophageal perforation, complications related to sedation, and the development of abdominal adhesions. Her case aims to support the decreasing prevalence of LAGBs within bariatric surgery and hopes to guide other physicians challenged with the management of similar cases.

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“…The multidisciplinary team at the Adelaide Bariatric Center, which she leads, has reached out to people living with obesity and have helped them not only to lose weight and regain their confidence, but restore their health, longevity, and quality of life. All this work started in 1996 when, together with her colleagues in Adelaide, she pioneered laparoscopic gastric band surgery [1, 2] and, later, other forms of bariatric, including revisional, surgery [3, 4], in Australia. Recognition of these contributions led to her appointments as the first female President of obesity surgery societies, both, nationally (Australian and New Zealand Metabolic and Obesity Surgery Society/ANZMOSS) and regionally (Asia–Pacific Chapter of the International Federation for the Surgery of Obesity and Metabolic Disorders/IFSO).…”

mentioning

confidence: 99%

Inspirational Women in Surgery: Associate Professor Lilian Kow, OAM (Obesity and Metabolic Surgeon, Australia)

Barreto

2022

World j. surg.

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Associate Professor Lilian Kow was born, and spent her early childhood years, in Malacca, Malaysia, the youngest of five children. Her father worked as superintendent at a Shell Refinery in Malacca and later in his career owned a rubber plantation, while her mother was a stay-at-home mum. After completing her early education at the Malacca Girls School, Associate Professor Kow's family migrated to Adelaide, South Australia, where she attended the Daws Road High School (Pasadena). The unwavering support of her parents to ensure a good education for their children saw Associate Professor Kow complete her medical degree & Savio George Barreto

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Eroded Gastric Band: Where to Next? An Analysis of the Largest Contemporary Series

Cited by 13 publications

References 30 publications

Late-Onset Gastric Band Erosion Following Heavy Nonsteroidal Anti-inflammatory Drug Use

Late-Onset Gastric Band Erosion Following Heavy Nonsteroidal Anti-inflammatory Drug Use

Management of Laparoscopic Adjustable Gastric Band Erosion: A Case Report

Inspirational Women in Surgery: Associate Professor Lilian Kow, OAM (Obesity and Metabolic Surgeon, Australia)

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