One of the most significant complications of the gastric banding procedure is gastric prolapse. However, pouch necrosis after gastric prolapse is an extremely rare complication. We present the case of a morbidly obese 41-year-old woman who had had a laparoscopic adjustable gastric banding procedure 3 years before. She developed a pouch necrosis after a late gastric prolapse. After failure of conservative treatment, a diagnostic laparoscopy was performed. This resulted in removal of the band and the diagnosis of pouch necrosis. A laparotomy was indicated and a sleeve gastrectomy was performed. A delay in the diagnosis of gastric prolapse can lead to major complications. Initial referral to a specialized center is necessary for proper care of this complication. Failure of conservative treatment mandates early operative intervention.
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Lunca, S., Vix, M., Rikkers, A. et al. Late Gastric Prolapse with Pouch Necrosis after Laparoscopic Adjustable Gastric Banding. OBES SURG 15, 571–575 (2005). https://doi.org/10.1381/0960892053723420
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DOI: https://doi.org/10.1381/0960892053723420