Intra-abdominal Abscess in the Course of Intragastric Migration of an Adjustable Gastric Band: a Potentially Life-threatening Complication

Wyleżoł, Mariusz; Sitkiewicz, Tomasz; Glück, Marek; Zubik, Radoslaw; Pardela, M

doi:10.1381/096089206775222041

Cited by 17 publications

(6 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is generally recommended to remove the band as soon as intragastric migration is diagnosed [9]. Presenting symptoms of intragastric migration are usually aspecific: weight regain or port-site infection [6]; in our patient, the weight was steady; a Gastrografin® swallow and a check of the connecting tube 3 months before revealed good position of the band and no evidence of leakage.…”

Section: Discussionmentioning

confidence: 61%

Concurrent Band and Tube Migration Following Acute Pancreatitis

et al. 2008

View full text Add to dashboard Cite

A 52-year-old woman developed an acute pancreatitis 7 years after gastric banding for morbid obesity. The patient presented a stable weight loss. Three months before, a radiological band calibration showed a normal position of the band. Investigations revealed that the pancreatitis was related to the presence of gallstones, complicated by a stone in the choledocic tract. The band migrated completely into the gastric lumen and passed far down the jejunum. The band was still connected to the port but the connecting tube did not follow the normal course of duodenum, entering the stomach in the middle of the greater curvature and getting out on the same side 5 cm more distad. The patient underwent first an endoscopic retrograde cholangiopancreatogram with sphinterectomy, then a laparoscopy that allowed us to remove the band, via jejunotomy, and the tube, which was outside the stomach. The postoperative course was uneventful.

show abstract

Section: Discussionmentioning

confidence: 61%

Concurrent Band and Tube Migration Following Acute Pancreatitis

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Gastric band erosion is a relatively common, long-term complication (> 6 months) of LAGB surgery associated with weight regain, chronic port-cutaneous fistulas, protracted port site infections, insidious peritonitis, subphrenic abcesses and GI bleeding, but the exact etiology of band erosion is unclear [8,9]. Chronic ischemia due to pressure on gastric wall by the device, chronic inflammation of tissue adjacent to the band or weakening of gastric wall due to intraoperative gastric wall trauma may all contribute the gastric band migration leading to erosion [9,10].…”

Section: Discussionmentioning

confidence: 99%

“…In patients presenting with other symptoms such as abdominal pain and port site infections, CT scans and upper GI series provided the means of diagnosis. CT has the added benefit of having the ability to evaluate the erosion of tubing into other structures within the peritoneum and to assess for pneumoperitoneum or asymptomatic intraabdominal abcess [5,8]. Screening patients with CT and upper GI series after lap band surgery has the potential to prevent the development of full-fledged erosion, as chronic band migration and abscesses may be asymptomatic [8,11].…”

Section: Discussionmentioning

confidence: 99%

Hematemesis From a Left Gastric Artery Pseudoaneurysm Secondary to an Adjustable Laparoscopic Gastric Band

Downes

2014

J Curr Surg

View full text Add to dashboard Cite

Gastric band erosion into the lumen of the stomach or the esophagus is a fairly common but often underreported complication of laparoscopic adjustable gastric banding surgery. It occurs in as many as 3-11% of patients who undergo the procedure. We present here the case of a 56-year-old morbidly obese female who developed the sudden onset of hematemesis and dysphagia more than 3 years after laparoscopic gastric band placement. Endoscopy was performed at presentation and revealed erosion into the proximal gastric lumen. The patient was stabilized with medical management of her anemia and abdominal pain. Both the band and subcutaneous reservoir were subsequently removed laparoscopically. A perforation of the gastric wall was identified and treated with a falciform ligament patch and naso-gastric decompression. Five days after surgical band removal, the patient had an episode of hematemesis productive of over 750 cc of blood, accompanied by tachycardia and hypotension. Mesenteric (celiac artery) angiography revealed an actively bleeding pseudoaneurysm of the left gastric artery that was successfully thrombosed with coils. The patient was kept nil per os (NPO) on total parenteral nutrition (TPN) for 1 week postoperatively and remained stable. A follow-up gastrograffin upper gastrointestinal (GI) study showed no leak from the perforation site. To our knowledge, this is the first reported case in which an erosion from an adjustable laparoscopic gastric band was associated with massive upper GI bleeding from a left gastric artery pseudoaneurysm. The case demonstrates the importance of monitoring a patient with hematemesis post lap band surgery, as life-threatening bleeding may persist after removal of the gastric band.

show abstract

“…World literature reports recommend both endoscopic and surgical methods (laparoscopy, classic laparotomy) [12]. It is believed that an attempt of endoscopic removal can be carried out if the band migration is not accompanied by other complications [4].…”

Section: Discussionmentioning

confidence: 99%

Band migration in a patient after vertical banded gastroplasty

Naprawa¹,

Białkowska²

2013

View full text Add to dashboard Cite

K Ke ey y w wo or rd ds s: : migration of gastric band, vertical banded gastroplasty, bariatric surgery. S Sł ło ow wa a k kl lu uc cz zo ow we e: : migracja opaski, pionowa plastyka żołądka, chirurgia bariatryczna.A Ad dd dr re es ss s f fo or r c co or rr re es sp po on nd de en nc ce e: : Grzegorz Naprawa MD, Department AbstractObesity is an epidemic of the 21 st century. Complex conservative treatment is appropriate management of it. Lack of a permanent outcome and the yo-yo phenomenon make bariatric surgery the only chance for morbid obesity patients. At present, surgeons have a large range of procedures for obesity treatment. The decision which type of bariatric surgery to choose depends on the patient's condition, feeding habits, body mass and the surgeon's experience. Vertical banded gastroplasty is one of the most often used minimally invasive approaches. But no invasive treatment is free from complications. Intragastric band migration is a late mechanical complication of gastric banding. The paper describes a case of a 30-year-old woman with intragastric band migration, 4 years after vertical banded gastroplasty. Diagnosis was made with gastroscopy. To diagnose complications the endoscopist should be familiar with surgical procedures for obesity treatment. StreszczenieOtyłość to epidemia XXI wieku. Podstawą jej terapii jest kompleksowe leczenie zachowawcze. Brak zadowalających wyników oraz efekt jo-jo powodują, że jedynym wyjściem dla chorobliwie otyłych pacjentów okazuje się postępowanie inwazyjne. Obecnie w chirurgii stosuje się wiele metod leczenia otyłości. Wybór rodzaju zabiegu zależy od doświadczenia chirurga, stanu ogólnego pacjenta, jego nawyków żywienio-wych oraz największej masy ciała. Pionowa plastyka żołądka jest obecnie jednym z częściej wykonywanych zabiegów bariatrycznych i stosunkowo mało inwazyjnym. Każde postę-powanie chirurgiczne obciążone jest ryzykiem wystąpienia powikłań. Jednym z późnych powikłań operacyjnego leczenia otyłości z zastosowaniem opaski jest jej przemieszczenie. W niniejszej pracy przedstawiono przypadek wewnątrzżołąd-kowej migracji opaski u 30-letniej kobiety 4 lata po pionowej plastyce żołądka. Rozpoznanie ustalono na podstawie panendoskopii. Jedynie znajomość technik operacyjnych i potencjalnych powikłań chirurgii bariatrycznej umożliwia endoskopiście postawienie właściwej diagnozy.

show abstract

Intra-abdominal Abscess in the Course of Intragastric Migration of an Adjustable Gastric Band: a Potentially Life-threatening Complication

Cited by 17 publications

References 13 publications

Concurrent Band and Tube Migration Following Acute Pancreatitis

Concurrent Band and Tube Migration Following Acute Pancreatitis

Hematemesis From a Left Gastric Artery Pseudoaneurysm Secondary to an Adjustable Laparoscopic Gastric Band

Band migration in a patient after vertical banded gastroplasty

Contact Info

Product

Resources

About