Complications of laparoscopic adjustable gastric banding (LAGB) include band slippage, material infection, and band erosion. Band erosion can lead to chronic infection, obstruction, delayed perforation, and ineffectiveness; therefore, removal is indicated. A myriad of approaches exist for band removal and many authors have described novel techniques. A minimally invasive approach, including laparoscopic or endoscopic assistance, is favored given the reduction of postoperative complications compared with laparotomy. We present a novel approach to band retrieval following partial erosion involving a complete endoscopic/transgastric technique. Perioperative management and a review of the literature also are described.
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S. Brethauer has served as a consultant and received honoraria from Apollo EndoSurgery, Bard, Covidien, and Ethicon. B. Chand has served as a consultant and received honoraria from Bard, Covidien, Ethicon, and Sanofi-Aventis. K. El-Hayek and P. Timratana have no conflict of interest or financial ties to disclose.
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El-Hayek, K., Timratana, P., Brethauer, S.A. et al. Complete endoscopic/transgastric retrieval of eroded gastric band: description of a novel technique and review of the literature. Surg Endosc 27, 2974–2979 (2013). https://doi.org/10.1007/s00464-013-2856-0
- Laparoscopic adjustable gastric band complications
- Band erosion
- Endoscopic transgastric surgery