Obesity Surgery

, Volume 17, Issue 6, pp 832–835

Is Esophageal Dysmotility after Laparoscopic Adjustable Gastric Banding Reversible?

  • Enrico Facchiano
  • Stefano Scaringi
  • Jean-Marc Sabate
  • Mohamed Merrouche
  • Pauline Jouet
  • Benoit Coffin
  • Simon Msika
Case Report

DOI: 10.1007/s11695-007-9127-x

Cite this article as:
Facchiano, E., Scaringi, S., Sabate, JM. et al. OBES SURG (2007) 17: 832. doi:10.1007/s11695-007-9127-x

Laparoscopic adjustable gastric banding (LAGB) has become an increasingly popular option to treat morbid obesity. Esophageal dysmotility secondary to LAGB has been described, but is usually reversible after removal of the band. Long-term esophageal dysmotility persisting after removal of the band is an unusual and not yet described complication. We report the case of a 58-year-old obese patient who developed severe dysphagia and vomiting associated with atypical esophageal dysmotility 22 months after gastric band placement. Radiological exploration revealed no acute band slippage but only a pseudoachalasia. Device deflation and then band removal were required in an attempt to treat her symptoms. Esophageal dysmotility persisted for several months after band removal and was still present after a Rouxen-Y gastric bypass performed as revisional operation. Possible mechanisms generating this complication and clinical implications are discussed.

Key words

Laparoscopic adjustable gastric banding esophageal dysmotility morbid obesity obesity surgery 

Copyright information

© Springer Science + Business Media B.V. 2007

Authors and Affiliations

  • Enrico Facchiano
    • 1
  • Stefano Scaringi
    • 1
  • Jean-Marc Sabate
    • 2
  • Mohamed Merrouche
    • 2
  • Pauline Jouet
    • 2
  • Benoit Coffin
    • 2
  • Simon Msika
    • 1
    • 3
  1. 1.Department of Surgery, Louis Mourier Hospital, Assistance Publique – Hopitaux de ParisUniversity Paris VIIColombesFrance
  2. 2.Department of Hepato-Gastro-Enterology, Louis Mourier Hospital, Assistance Publique – Hopitaux de ParisUniversity Paris VIIColombesFrance
  3. 3.Department of SurgeryLouis Mourier HospitalColombes CedexFrance

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