Gastric band tubing-related complication during pregnancy

Ongso, Yuni F; Beh, Han Nien

doi:10.1093/jscr/rjx241

Cited by 3 publications

(1 citation statement)

References 10 publications

(9 reference statements)

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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%

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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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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MiniMizer Gastric Ring displacement at 31 weeks of gestation as a life-threatening complication

Szymczak,

Grzybowska,

Grzeczka

et al. 2024

OBES SURG

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This case report describes a pregnant woman who underwent a laparoscopic MiniMizer Gastric Ring procedure for clinically severe obesity only one month before conception. At 31 weeks of gestation, the patient as admitted to the hospital with postprandial vomiting and persistent left-sided colicky abdominal pain. Maternal abdominal MRI revealed an intestinal obstruction and elective surgery was recommended. Due to the considerable risk to the fetus, antenatal corticosteroids were immediately administered to promote lung maturation and magnesium sulfate was started for fetal neuroprotection. During an exploratory laparoscopy, significantly enlarged and ischemic intestinal loops were found, leading to the decision to perform an atraumatic “en caul” cesarean delivery. After a successful “en caul” delivery, the MiniMizer ring, which had dislodged downwards and led to mesenteric ischemia, was visualized. Intraoperative esophagogastroduodenoscopy revealed a 1cm defect in the stomach wall related to gastric ring, covered with purulent exudate. Further exploration, showed a herniation of the distal alimentary loop through the Petersen foramen. Successful management included ring removal and intestinal loop reduction from the Petersen’s space, without evidence of strangulation, as confirmed with indocyanine green (ICG) angiography. The postoperative course was uneventful. Women with obesity who have undergone bariatric surgery should to be informed of the increased likelihood of becoming pregnant after treatment. It is advised to notify the patient of the importance of maintaining a sufficient interval between bariatric surgery and conception. Additionally reports from the literature on various complications during pregnancy after bariatric surgery are presented.

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Management of surgical complications of previous bariatric surgery in pregnant women. A systematic review from the BARIA-MAT Study Group

Petrucciani¹,

Ciangura²,

Debs³

et al. 2020

Surgery for Obesity and Related Diseases

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Gastric band tubing-related complication during pregnancy

Cited by 3 publications

References 10 publications

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

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

MiniMizer Gastric Ring displacement at 31 weeks of gestation as a life-threatening complication

Management of surgical complications of previous bariatric surgery in pregnant women. A systematic review from the BARIA-MAT Study Group

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