Laparoscopic adjustable gastric band erosion with intragastric band migration: A rare but serious complication

Hota, Partha; Caroline, Dina F.; Gupta, Sonia; Agosto, Omar

doi:10.1016/j.radcr.2017.11.012

Cited by 14 publications

(20 citation statements)

References 20 publications

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“…6 It can occur early or late, but is most common after two years. 7 Pathogenesis is multifactorial and in the early stage may be the result iatrogenic gastric wall damage, microperforation following postoperative infection and adhesion formation. 7 Late-stage pathogenesis may be secondary to foreign body rejection reaction or a pressure induced response.…”

Section: Discussionmentioning

confidence: 99%

“…7 Pathogenesis is multifactorial and in the early stage may be the result iatrogenic gastric wall damage, microperforation following postoperative infection and adhesion formation. 7 Late-stage pathogenesis may be secondary to foreign body rejection reaction or a pressure induced response. 7 The standard treatment approach is laparoscopic removal of band and repair of stomach.…”

Section: Discussionmentioning

confidence: 99%

“…7 Late-stage pathogenesis may be secondary to foreign body rejection reaction or a pressure induced response. 7 The standard treatment approach is laparoscopic removal of band and repair of stomach. 6 The endoscopic removal of eroded gastric bands has been reported in one case series of 78 patients.…”

Section: Discussionmentioning

confidence: 99%

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An unusual case of a completely eroded gastric band and port tubing removed via endoscopy alone

Kourounis

Pearson

McArthur

et al. 2019

annals

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Bariatric surgery is an established intervention providing significant health benefits to patients with obesity. As a result, the National Institute for Health and Care Excellence now recommends bariatric surgery for those that fulfil the eligibility criteria, while emphasising the need for multidisciplinary care before and after surgery. The UK National Bariatric Surgery Registry shows gastric band procedures to be the second most common bariatric procedure performed in the UK. Gastric band erosion is a known potential complication treated primarily by laparoscopic removal of band and repair of stomach. To our knowledge, we present the first case of a partially eroded gastric band with separate gastric fistulation of the port tubing. The band was removed via endoscopy without the need for a cutaneous exploration as the port had previously been removed at incisional hernia surgery. Owing to the fact that the tubing and band were both evident within the lumen of the stomach, complete band erosion was inferred and therefore endoscopic removal thought to be indicated. In actual fact, there was separate erosion of the band and tubing; more specifically, the gastric band clasp had not eroded fully and while endoscopic removal was still possible, it was challenging and required the band to be divided. This case highlights the importance of careful patient selection, involvement of multidisciplinary care prior and after surgery and close follow-up to facilitate timely identification and management of complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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An unusual case of a completely eroded gastric band and port tubing removed via endoscopy alone

Kourounis

Pearson

McArthur

et al. 2019

annals

View full text Add to dashboard Cite

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“…The World Health Organization estimates that in 2018, 39% of adults worldwide were overweight and 13% were obese [1] . There is a strong correlation between obesity and an increased risk of gestational diabetes, macrosomia, gestational hypertension, preeclampsia, spontaneous miscarriage, higher rate of caesarean section and even fetal (neurological and cardiovascular) malformations [1] , [2] , [3] . Additionally, later in life their children are more likely to develop diabetes, hypertension or cardiovascular disease due to epigenetic changes [1] , [3] .…”

Section: Introductionmentioning

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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“…Although a popular surgical technique at the time of its introduction in 1993, LAGB nowadays reports for not more than 5.5% of all bariatric procedures [ 2 ]. The estimated overall long term complication rates of LAGB are ranging from 0.1% to 28% [ 3 , 4 ]. The work has been reported in line with the SCARE criteria [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Eroded adjustable gastric band migration causing gastric obstruction and perforation in a pregnant lady

Alawad

Abukhater

Almohaimeed

2020

International Journal of Surgery Case Reports

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Highlights Laparoscopic adjustable gastric banding (LAGB) was considered as one of the most effective management for morbid obesity, with outstanding long-term results on weight loss, comorbidities, and quality of life. Reported complications of LAGB include erosion, infection, migration, obstruction, and rarely ischemia. We report a case of pregnant woman who underwent LAGB 12 years ago diagnosed as gastric obstruction and perforation that was managed by central gastrectomy with gastro-gastrostomy. We encourage the bariatric surgeons to be attentive LAGB complications among women planning for pregnancy.

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Laparoscopic adjustable gastric band erosion with intragastric band migration: A rare but serious complication

Cited by 14 publications

References 20 publications

An unusual case of a completely eroded gastric band and port tubing removed via endoscopy alone

An unusual case of a completely eroded gastric band and port tubing removed via endoscopy alone

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

Eroded adjustable gastric band migration causing gastric obstruction and perforation in a pregnant lady

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