Laparoscopic Adjustable Gastric Band: Case Report of Erosion with Intragastric Migration Requiring an Extreme Surgical Approach

Unexpected Gastrointestinal Tract injury years following Laparoscopic Adjustable Gastric Banding

“…In a more recent systematic review [9] follow up were reported for up to 18 years but no timing relation with erosion occurrence was reported. A more recent case report described erosion 18 years after LAGB [23] . Another 2 case reports described the complications late after LAGB at 13 years [13] and at 15 years [10] as in the current case.…”

“…Moreover, due to disappointing long term results, LAGB is nowadays the less performed bariatric procedure [2] . However, considering the different reported timings of migration diagnosis (up to 18 years following surgery) [23] and the number of published series [9] , [22] , with large more recent series including more than 2000 patients [18] , [19] , [20] , [21] , [25] , [26] , additional similar cases could be expected in the future.…”

Extracción endoscópica de banda gástrica migrada

“…La más aceptada es por la isquemia de la pared gástrica secundaria a la banda apretada; también, las suturas gastrogástricas sobre la hebilla pueden causar úlceras por presión y necrosis del fondo que lo cubre y por consiguiente migración de la banda. Por otro lado, las erosiones tempranas, principalmente los casos que ocurren poco después de la operación, probablemente se deban a una lesión y perforación del estómago durante la inserción del dispositivo (7) .…”