Gastric Wall Necrosis from Organo-axial Volvulus as a Late Complication of Laparoscopic Gastric Banding

Bortul, Marina; Scaramucci, M; Tonello, C.; Spivach, A; Liguori, G

doi:10.1381/096089204322857726

Cited by 25 publications

(13 citation statements)

References 13 publications

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“…He had guarding and rebound tenderness. The leukocyte count was higher than 14,000/mm 3 . The plain abdominal X-ray in the lateral decubitus view showed presence of free air within the abdomen (Figure 1).…”

Section: Case Presentationmentioning

confidence: 77%

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Gastric necrosis and perforation caused by acute gastric dilatation

Gündeş

Küçükkartallar

Tekın

et al. 2014

UCD

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Acute gastric dilatation was first defined by Duplay in 1833. We herein present the case of a 55-year-old male patient diagnosed with gastric necrosis and perforation caused by acute gastric dilatation. Since the stomach has a rich blood circulation, necrosis and perforation are rarely seen. Clinically, more than 90% of cases have complaints of vomiting. The most useful method in revealing the diagnosis and aetiology is computerized tomography. Medical treatment is appropriate for cases where no necrosis and peritonitis findings are detected through endoscopy. Delays in surgical treatment increase the risk of mortality.

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Section: Case Presentationmentioning

confidence: 77%

“…Failure to diagnose the condition or presentation of the patient to the hospital during the late period may cause necrosis and rupture that may lead to death (2). The pathogenesis is still controversial (3). The most frequent complaints are abdominal pain and vomiting, and are usually accompanied by abdominal bloating (4).…”

Section: Introductionmentioning

confidence: 99%

Gastric necrosis and perforation caused by acute gastric dilatation

Gündeş

Küçükkartallar

Tekın

et al. 2014

UCD

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“…Erenbourg was described a ligament called 'gastro-pancreatic', and they suggested that the presence of this anatomic element can suggest new interpretations of the embryological development of the pancreas [3]. Several gastric volvulus cases have been reported after laparoscopic gastric banding, usually occurring after placement of the band [4][5][6]. They recommended not to dissect the posterior wall of the stomach during band replacement.…”

Section: Discussionmentioning

confidence: 99%

The appearance of a lurking ligament in Laparoscopic Sleeve Gastrectomy; Posterior Gastric Ligament

Ünver¹,

Öztürk²,

Karabuğa³

et al. 2017

Dicle Tıp Dergisi

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Objective: The aim of this study was to demonstrate a lurking ligament and its various formation types and to mention the importance of this ligament in Laparoscopic sleeve gastrectomy Methods: One hundred and twelve patients had laparoscopic sleeve gastrectomy (LSG) procedure in our clinic between March 2011 and September 2013. All procedures were performed with a standard operative technique. Only difference for the last 50 patients was to avoid the excessive dissection of posterior gastric wall. The existence of posterior gastric ligament was recorded and different types of posterior gastric ligament was demonstrated. Results: Posterior gastric ligament was observed in all of the cases in different formation types. Three types of ligament; complete, partial and skippy, was demonstrated. 53(47.3%) of the patients had skippy, while 41 (36.6%) had partial and 18 (16.1%) had complete type of posterior gastric ligament. Conclusion: A ligament named as 'posterior gastric ligament' and its various forms were defined in the third dimensional plane of stomach. Posterior gastric ligament remains as the only structure in LSG for preventing the mobility and ability of the stomach to rotate. The excessive dissection of the posterior gastric ligament should be avoided to prevent complications such as kinking and volvulus

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“…In a series of 1,000 LAGB patients, ten patients experienced band slippage, but only one patient required intervention for gastric necrosis [2,4]. Four other cases of gastric necrosis as a result of late slippage have been reported in the literature, three of which required partial or total gastrectomy [5][6][7][8]. All patients reported in the literature had acute symptoms of obstruction at the time of their presentation.…”

Section: Discussionmentioning

confidence: 99%

Gastric Migration and Strangulation After Adjustable Gastric Banding

et al. 2008

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We present a case of gastric strangulation 6 months after laparoscopic adjustable gastric banding (LAGB). The 45-year-old woman presented to our emergency department with acute left upper quadrant abdominal pain. Initial upper gastrointestinal studies after emergency department presentation showed no flow through the gastric band and an unusual air/fluid level just above the band, not communicating with the proximal pouch. The patient underwent emergency diagnostic laparoscopy, during which strangulation of a portion of the gastric fundus was identified. During this laparoscopic procedure, the band was removed, and the strangulated portion of stomach was resected using a laparoscopic stapling device. The patient had an uneventful postoperative course and was discharged 6 days after surgery. We present this case as an example of a rare late acute complication resulting from LAGB, which should be recognized and treated surgically on an emergent basis.

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Gastric Wall Necrosis from Organo-axial Volvulus as a Late Complication of Laparoscopic Gastric Banding

Cited by 25 publications

References 13 publications

Gastric necrosis and perforation caused by acute gastric dilatation

Gastric necrosis and perforation caused by acute gastric dilatation

The appearance of a lurking ligament in Laparoscopic Sleeve Gastrectomy; Posterior Gastric Ligament

Gastric Migration and Strangulation After Adjustable Gastric Banding

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