Novel Endoscopic Management of Eroding Laparoscopic Adjustable Gastric Band: A Case Series

Overview

Journal Case Rep Gastrointest Med

Publisher Wiley

Specialty Gastroenterology

Date 2019 Jan 30

PMID 30693117

Citations 3

Authors

Dionysios Dellaportas

Constantinos Nastos

Theodosios Theodosopoulos

George Fragulidis

Andreas Polydorou

Antonios Vezakis

Affiliations

Soon will be listed here.

Abstract

Complications of laparoscopic adjustable gastric bands include migration and slippage of the band, dilation of the proximal gastric pouch, troublesome gastroesophageal reflux symptoms, and erosion of the stomach. The latter occurs in 0.6-12.7% of cases and necessitates removal of the band. Several open and laparoscopic surgical techniques have been described for band extraction, while fully endoscopic techniques have emerged and proven safe. Three cases of eroding gastric bands treated in a single center with fully endoscopic removal of the band are analyzed in this study. Novel use of the duodenoscope and endoscopic retrograde cholangiopancreatography instruments and accessories is described, in order to perform endoscopic division of the plastic band and retraction through the mouth. All three cases were successfully treated utilizing this novel technique. Gastric wall erosion from the band has nonspecific symptoms and various predisposing factors. Removal of the foreign material is required. Endoscopic procedures are effective in 77-92% of cases, avoiding general anaesthesia with low surgical morbidity. As a result patients are discharged early resolving quicker to a normal diet.

Citing Articles

New Endoscopic Devices and Techniques for the Management of Post-Sleeve Gastrectomy Fistula and Gastric Band Migration.

Jung C, Binda C, Tuccillo L, Secco M, Gibiino G, Liverani E J Clin Med. 2024; 13(16).

PMID: 39201020 PMC: 11355382. DOI: 10.3390/jcm13164877.

Status of bariatric endoscopy-what does the surgeon need to know? A review.

Hourneaux de Moura D, Dantas A, Ribeiro I, McCarty T, Takeda F, Santo M World J Gastrointest Surg. 2022; 14(2):185-199.

PMID: 35317547 PMC: 8908340. DOI: 10.4240/wjgs.v14.i2.185.

Sengstaken-Blakemore Tube as a Rescue Treatment for Hemorrhagic Shock Secondary to Laparoscopic Adjustable Gastric Banding Erosion.

Evans G, Eagon J, Kushnir V ACG Case Rep J. 2020; 6(12):e00296.

PMID: 32042846 PMC: 6946207. DOI: 10.14309/crj.0000000000000296.

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