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Laparoscopic Treatment of a Large Gastric Pouch Following Gastric Band Slippage

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Abstract

Introduction

Gastric band slippage with formation of a gastric pouch is a frequent complication after gastric banding. There is no consensus on the treatment of this condition, which differs within and between centers. Here, we describe our treatment of a large gastric pouch after gastric band slippage. Despite removal of the band, the pouch caused oral feeding intolerance.

Methods

The video shows our treatment of large gastric pouch following gastric banding and surgical revision. A 45-year-old woman with history of gastric banding was referred to our center for persistent oral feeding intolerance following gastric band removal.

Results

We found that a large gastric pouch was responsible for extrinsic compression and thus required revisional surgery after optimization of the patient’s nutritional status. Video endoscopy revealed a large gastric pouch, which was responsible for oral feeding intolerance. Intra-operative exploration then revealed major adhesions, which had probably caused the pouch to form. During surgery that was somewhat analogous to sleeve gastrectomy, we removed the adhesions and resected the gastric pouch. The operating time was 70 min. An uneventful postoperative course enabled rapid discharge (on postoperative day 2).

Conclusion

The formation of a large gastric pouch is a rare complication of chronic gastric band slippage. Following nutritional optimization, surgery is required.

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Abbreviations

GB:

Gastric banding

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Author information

Authors and Affiliations

  1. Department of Digestive Surgery, Amiens University Hospital, Avenue René Laennec, 80054, Amiens cedex 01, France

    Baptiste Brac, Lionel Rebibo & Jean-Marc Regimbeau

  2. Department of Gastroenterology, Amiens University Hospital, Avenue René Laennec, 80054, Amiens cedex 01, France

    Jean-Philippe Lemouel

  3. EA4294, Jules Verne University of Picardie, 80054, Amiens, France

    Jean-Marc Regimbeau

  4. Clinical Research Center, Amiens University Hospital, Avenue René Laennec, 80054, Amiens cedex 01, France

    Jean-Marc Regimbeau

Authors
  1. Baptiste Brac
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  2. Lionel Rebibo
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  3. Jean-Philippe Lemouel
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  4. Jean-Marc Regimbeau
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Corresponding author

Correspondence to Jean-Marc Regimbeau.

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Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained by all individual participants included in the study.

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Brac, B., Rebibo, L., Lemouel, JP. et al. Laparoscopic Treatment of a Large Gastric Pouch Following Gastric Band Slippage. OBES SURG 26, 3084–3085 (2016). https://doi.org/10.1007/s11695-016-2388-5

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  • DOI: https://doi.org/10.1007/s11695-016-2388-5

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