Laparoscopic Adjustable Gastric Banding Connecting Tube Causing Small Bowel Obstruction and Perforation

Hashemzadeh, Mojtaba; KaramiRad, Mahmoud; Zahedi-Shoolami, Leila

doi:10.1155/2013/296037

Cited by 3 publications

(5 citation statements)

References 15 publications

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“…Twelve papers did not meet the selection criteria. Forty-three [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ] case reports were eventually included in our review ( Figure 1 ). The first report was published in 2000, while other articles were written last year.…”

Section: Resultsmentioning

confidence: 99%

Reports of Gastric Banding and Bowel Obstruction: A Narrative Review of the Literature

Vitiello,

Matarese,

Sansone

et al. 2024

JCM

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The utilization rates of laparoscopic gastric banding (LAGB) declined worldwide from 42.3% in 2008 to 1.8% in 2018. Rates of complications requiring removal may reach 40–50% in the medium to long term. Bowel obstruction is a rare but severe complication that occurs after LAGB. A comprehensive literature search in PubMed was carried out to identify all available case reports of intestinal obstruction after gastric banding. The search terms were as follows: “intestinal obstruction”, “small bowel obstruction”, “gastric band”, “gastric banding”, “gastric band complications”, and “laparoscopic gastric band obstruction”. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) flowchart was used. Forty-three case reports were included in our review. Laparotomy was necessary in 18/43 (41%) of patients. Vomit was not always reported, while abdominal pain was constantly present. A CT scan was the preferred diagnostic tool. The main causes of occlusion were found to be the erosion of the gastrointestinal tract or internal hernia due to a loose tube loop. Forty-six percent of cases occurred within 5 years from insertion. Even if rare, small bowel obstruction after LAGB requires surgical intervention often with an open approach. The absence of vomit masks symptoms, but an obstruction must be always suspected in the case of severe colicky abdominal pain. A CT scan is recommended for making diagnoses.

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Section: Resultsmentioning

confidence: 99%

Reports of Gastric Banding and Bowel Obstruction: A Narrative Review of the Literature

Vitiello,

Matarese,

Sansone

et al. 2024

JCM

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“…The case described a closed-loop jejunal obstruction as a result of adhesions to the connecting tube. Another study detailed the case of a 42-year-old woman with SBO who also had adhesions complicated further by bowel perforation 19 months after LAGB placement due to the connecting tube looping around the mesentery [ 14 ]. In the majority of the cases, the development of SBO post-LAGB placement results from either adhesions or the free movement of the connecting tube itself within the abdominal cavity [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Small Bowel Obstruction Secondary to Laparoscopic Adjustable Gastric Band Connecting Tube Intertwinement Within the Mesentery: A Case Report

Sharma,

Arfan,

Thota

et al. 2023

Cureus

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Laparoscopic adjustable gastric banding (LAGB) is a technique used for the surgical management of morbid obesity. This report illustrates the case of a 46-year-old African American woman who presented with a rare case of small bowel obstruction (SBO) two years post-LAGB placement. SBO, in this case, was a result of LAGB connecting tube intertwinement within the mesentery, accompanied by adhesions. The patient was diagnosed clinically and radiologically by computed tomography (CT) scan, which showed high-grade SBO. Initially, an exploratory laparoscopy was conducted, which soon transformed into an exploratory laparotomy when the cause of obstruction was seen to be the intertwinement of the connecting tube of the gastric band with the mesentery. With the rise of bariatric procedures to combat the epidemic of obesity in American society, this rare complication secondary to one of the most widely performed procedures beckons the attention of bariatric surgeons, emergency personnel, and device manufacturers.

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“…These complications arose from 1.5 to 9 years after placement of the LAGB. [8][9][10][11][12][13][14] Additionally, patients frequently report significant discomfort in the postoperative period and complain of reflux like symptoms and dysphagia. Fifty percent of patients questioned by Gustavsson with a standardized protocol two years post-LAGB admitted to heartburn and acid regurgitation.…”

Section: Discussionmentioning

confidence: 99%

“…[16] We feel that our decision to leave the cecum intact and forego cecopexy was justified considering that the causative agent was addressed when the gastric band tubing was shortened and the causative adhesions were lysed. Hashemzadeh, et al [8] Small Bowel Obstruction with Perforations Due to Connection Tubing 1.5 Years Omental Patch on Perforations; Removal of Gastric Band…”

Section: Discussionmentioning

confidence: 99%

“…Other reports detailed complications specific to the band itself such as band slippage and erosion of the band into the stomach. [7] Other studies have reported novel late complications such as recurrent small bowel obstruction caused by the connecting tube of a LAGB [8][9][10][11] and cecal volvulus caused by the band tube. [12][13][14] We report a case of cecal volvulus caused by adhesion of the cecum to the gastric band tubing.…”

Section: Introductionmentioning

confidence: 99%

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Bowel obstruction and cecal volvulus as a complication of laparoscopic adjustable gastric banding: A case report

Levy

Smith

2017

CSS

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Obesity is a common condition in westernized countries and it is increasing in prevalence in both pediatric and adult populations. Morbidity associated with severe obesity can be life threatening. Surgical intervention has demonstrated efficacy at reduction of morbidity and mortality resulting from obesity. The laparoscopic adjustable gastric banding (LAGB) is a well-known bariatric procedure which has been popular for its minimally invasive approach. Several early and late complications from this procedure have been reported in the literature. The most common complications involve slippage of the band and local inflammatory processes related to the subcutaneous port site. This case report describes a 59-year-old female who developed a bowel obstruction secondary to a cecal volvulus caused by adhesions to her gastric band connecting tube. This is another example of one of the many growing, yet unusual complications associated with the LABG.

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Laparoscopic Adjustable Gastric Banding Connecting Tube Causing Small Bowel Obstruction and Perforation

Cited by 3 publications

References 15 publications

Reports of Gastric Banding and Bowel Obstruction: A Narrative Review of the Literature

Reports of Gastric Banding and Bowel Obstruction: A Narrative Review of the Literature

Small Bowel Obstruction Secondary to Laparoscopic Adjustable Gastric Band Connecting Tube Intertwinement Within the Mesentery: A Case Report

Bowel obstruction and cecal volvulus as a complication of laparoscopic adjustable gastric banding: A case report

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