Abstract
Laparoscopic adjustable gastric band (LAGB) has weight loss and associated obesity-related disease benefits. Well-recognised LABG complications lead to a higher re-operation rate when compared to other obesity surgeries and therefore potential for retained foreign body. By way of a case series, we have evaluated retained foreign body after the intended complete removal of a gastric band. Analysis focused on circumstances and similarities leading to retained foreign body. From the series, the most commonly retained band component is band tubing. Difficult surgery or surgery associated with intra-operative complications may lead to increased chances of retained gastric band. Strategies to prevent this complication should be implemented. Specifically, removal technique, equipment familiarisation and post removal inspection all play a role.
References
O’Brien P, MacDonald L, Anderson M, et al. Long-term outcomes after bariatric surgery: fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg. 2013 Jan;257(1):87–94.
Chang SH, Stoll CR, Song J, et al. The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003–2012. JAMA Surgery. 2014 Mar;149(3):275–87.
Medicare item reports: item number 31584 [internet]. Australian Government c 2016 [cited 2015 Jul 18] Available from: http://medicarestatistics.humanservices.gov.au/statistics/mbs_item.jsp
Hariharan D, Lobo DN. Retained surgical sponges, needles and instruments. Ann R Coll Surg Engl. 2013 Mar;95(2):87–92.
Wan W, Le T, Riskin L, et al. Improving safety in the operating room:a systematic literature review of retained surgical sponges. Curr Opin Anaesthesiol. 2009 Apr;22(2):207–14.
Gawande A, Studdert D, Orav E, et al. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003 Jan;348(3):299–35.
Cottam D et al. Medicolegal analysis of 100 malpractice claims against bariatric surgeons. Surg Obes Relat Dis. 2007;3(1):60–6. discussion 66–7
Starnes C, Mehta SS, Walker PA, Bajwa KS, Wilson EB, Shah SK. Words of caution regarding adjustable gastric band tubing. CRSLS 2015.00017. DOI: https://doi.org/10.4293/CRSLS.2015.00017.
Felder S, Liou D, Gangi A. Gastric adjustable band as a retained foreign object: a case report. Bariatr Surg Pract Patient Care. 2013 Dec;8(4):166–8.
Department Of Health v George S. Webb, M.D. 2011 State of Florida, Board of Medicine; DOH Case no 2010.15341.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest Statement
The authors declare that they have no conflict of interest.
Ethical Approval Statement
For this type of study formal consent is not required.
Informed Consent Statement
Does not apply
Rights and permissions
About this article
Cite this article
Cattanach, D., Teague, B. Retained Foreign Body After Adjustable Gastric Band Removal: a Case Series. OBES SURG 27, 3337–3340 (2017). https://doi.org/10.1007/s11695-017-2937-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-017-2937-6