Skip to main content
Log in

Case Report of Successful Medical Management of Progressive Gastric Band Penetration-to-Perforation After Band Insertion at Bariatric Surgery: Documentation by 12 Serial EGDs During 50 months of Observation

  • Case Report
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11

Notes

  1. Dacron ring was originally manufactured as a vascular prosthetic graft, and was sized by wrapping it around a 36 French Ewald tube before suturing its ends.

References

  1. Snyder B, Wilson T, Mehta S, et al. Past, present, and future: critical analysis of use of gastric bands in obese patients. Diabetes Metab Syndr Obes Targets Ther. 2010;3:55–65.

    Article  Google Scholar 

  2. U.S Department of Health and Human Services. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report–NHLBI, NIH. Available at https://www.nhlbi.nih.gov/health-pro/guidelines/archive/clinical-guidelines-obesity-adults-evidence-report. Published September 1998. Accessed April 6, 2017.

  3. Cappell MS, Mogrovejo E, Desai T. Case report of patient presenting in shock from band penetration into stomach after LAGB surgery: diagnosis by emergency EGD after misdiagnosis by abdominal CT. Dig Dis Sci. 2016;61:3366–3368. doi:10.1007/s10620-016-4287-y.

    Article  PubMed  Google Scholar 

  4. Ovrebø KK, Hatlebakk JG, Viste A, Bassøe HH, Svanes K. Gastroesophageal reflux in morbidly obese patients treated with gastric banding or vertical banded gastroplasty. Ann Surg. 1998;228:51–58.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Eid I, Birch DW, Sharma AM, Sherman V, Karmali S. Complications associated with adjustable gastric banding for morbid obesity: a surgeon’s guide. Can J Surg. 2011;54:61–66. doi:10.1503/cjs.015709.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Gagner M, Milone L, Yung E, Broseus A, Gumbs AA. Causes of early mortality after laparoscopic adjustable gastric banding. J Am Coll Surg. 2008;206:664–669. doi:10.1016/j.jamcollsurg.2007.11.014.

    Article  PubMed  Google Scholar 

  7. Taskin M, Zengin K, Unal E. Intraluminal duodenal obstruction by a gastric band following erosion. Obes Surg. 2001;11:90–92. doi:10.1381/096089201321454178.

    Article  CAS  PubMed  Google Scholar 

  8. Bueter M, Thalheimer A, Meyer D, Fein M. Band erosion and passage, causing small bowel obstruction. Obes Surg. 2006;16:1679–1682. doi:10.1381/096089206779319446.

    Article  PubMed  Google Scholar 

  9. Kasalicky M, Fried M, Peskova M. Some complications after laparoscopic nonadjustable gastric banding. Obes Surg. 1999;9:443–445. doi:10.1381/096089299765552710.

    Article  CAS  PubMed  Google Scholar 

  10. Quadri P, Gonzalez-Heredia R, Masrur M, Sanchez-Johnsen L, Elli EF. Management of laparoscopic adjustable gastric band erosion. Surg Endosc. 2017;31:1505–1512. doi:10.1007/s00464-016-5183-4.

    Article  PubMed  Google Scholar 

  11. Silecchia G, Restuccia A, Elmore U, et al. Laparoscopic adjustable silicone gastric banding: prospective evaluation of intragastric migration of the lap-band. Surg Laparosc Endosc Percutan Tech. 2001;11:229–234.

    Article  CAS  PubMed  Google Scholar 

  12. Abu-Abeid S, Szold A. Laparoscopic management of Lap-Band erosion. Obes Surg. 2001;11:87–89.

    Article  CAS  PubMed  Google Scholar 

  13. Cherian PT, Goussous G, Ashori F, Sigurdsson A. Band erosion after laparoscopic gastric banding: a retrospective analysis of 865 patients over 5 years. Surg Endosc. 2010;24:2031–2038. doi:10.1007/s00464-010-0899-z.

    Article  CAS  PubMed  Google Scholar 

  14. Di Lorenzo N, Lorenzo M, Furbetta F, et al. Intragastric gastric band migration: erosion: an analysis of multicenter experience on 177 patients. Surg Endosc. 2013;27:1151–1157. doi:10.1007/s00464-012-2566-z.

    Article  PubMed  Google Scholar 

  15. Balogh J, Vizhul A, Dunkin BJ, Tariq N, Sherman V. Clinical management of patients presenting with non-adjustable gastric band (NAGB) complications. Yale J Biol Med. 2014;87:159–166.

    PubMed  PubMed Central  Google Scholar 

  16. Aarts EO, van Wageningen B, Berends F, Janssen I, Wahab P, Groenen M. Intragastric band erosion: experiences with gastrointestinal endoscopic removal. World J Gastroenterol. 2015;21:1567–1572. doi:10.3748/wjg.v21.i5.1567.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Shehab H, Gawdat K. Endoscopic management of eroded bands following banded-gastric bypass (with video). Obes Surg. 2017;27:1804–1808. doi:10.1007/s11695-017-2548-2.

    Article  PubMed  Google Scholar 

  18. Klimczak T, Szewczyk T, Janczak P, Jurałowicz P. Laparoscopic adjustable gastric band (LAGB) migration–endoscopic treatment modalities. Pol Przegl Chir. 2016;88:299–304. doi:10.1515/pjs-2016-0068.

    PubMed  Google Scholar 

  19. Chisholm J, Kitan N, Toouli J, Kow L. Gastric band erosion in 63 cases: endoscopic removal and rebanding evaluated. Obes Surg. 2011;21:1676–1681. doi:10.1007/s11695-011-0468-0.

    Article  PubMed  Google Scholar 

  20. Bassam A. Unusual gastric band migration outcome: distal small bowel obstruction and coming out per-rectum. Pan Afr Med J. 2012;13:59.

    PubMed  PubMed Central  Google Scholar 

  21. Angrisani L, Alkilani M, Basso N, et al. Laparoscopic Italian experience with the Lap-Band. Obes Surg. 2001;11:307–310.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mitchell S. Cappell.

Ethics declarations

Conflict of interest

There is no conflict of interest. In particular, Dr. Cappell, as a consultant of the United States Food and Drug Administration (FDA) Advisory Committee for Gastroenterology Drugs, affirms that this paper does not discuss any proprietary confidential pharmaceutical data submitted to the FDA. Dr. Cappell is also a member of the speaker’s bureau for AstraZeneca and Daiichi Sankyo, co-marketers of Movantik. This work does not discuss any drug manufactured or marketed by AstraZeneca or Daiichi Sankyo.

Additional information

Dr. A. Aneese and Dr. M. Cappell are equal primary authors.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Aneese, A.M., Yang, S.K. & Cappell, M.S. Case Report of Successful Medical Management of Progressive Gastric Band Penetration-to-Perforation After Band Insertion at Bariatric Surgery: Documentation by 12 Serial EGDs During 50 months of Observation. Dig Dis Sci 63, 257–263 (2018). https://doi.org/10.1007/s10620-017-4783-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10620-017-4783-8

Keywords

Navigation