Abstract
The increasing prevalence of morbid obesity is of public health concern throughout the world, and surgical intervention seems to offer the only long-term solution to the problem. Gastric banding is one of the available options in the bariatric armamentarium. As more Lap-Bands are being inserted, intragastric erosion is increasingly being encountered as a major complication. The case of a 40-year-old man with intra-gastric band erosion is presented with the band never having been inflated, suggesting that additional factors may play a role in the development of erosions. The presentation, diagnostic modalities, and pathognomomic findings are discussed.
This is a preview of subscription content, log in via an institution to check access.
References
Deitel M. Overweight and obesity now estimated to involve 1.7 billion people. Obes Surg. 2003;13(3):329–30.
McTigue KM, Harris R, Hemphill B et al. Screening and interventions for obesity in adults: summary of the evidence for the US Preventive Services Task Force. Ann Intern Med. 2003;139(11):933–49.
Provost DA. Laparoscopic adjustable gastric banding: an attractive option. Surg Clin North Am. 2005;85:791–805.
Tolonen P, Victorzon M, Mäkelä J. 11-year experience with laparoscopic adjustable gastric banding for morbid obesity—what happened to the first 123 patients. Obes Surg. 2008;18(3):251–5.
Ponce J, Dixon JB. Laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2005;1:310–16.
Angrisani L, Alkilani M, Basso N et al. Laparoscopic Italian experience with the Lap-Band. Obes Surg. 2001;11(3):307–10.
Chevalier JM, Zinzindohoue F, Douard R. Complications after laparoscopic adjustable gastric banding for morbid obesity: experience with 1000 patients over 7 years. Obes Surg. 2004;14(3):407–14.
Silecchia G, Restuccia A, Elmore U et al. Laparoscopic adjustable silicone gastric banding: prospective evaluation of intragastric migration of the lapband. Surg Laparosc Endosc Perc Tech. 2001;11:229–34.
Campos J, Ramos A, Neto GM et al. Hypovolemic shock due to intragastric migration of an adjustable gastric. Obes Surg. 2007;7(4):562–4.
Bueter M, Thalheimer A, Meyer D et al. Band erosion and passage causing small bowel obstruction. Obes Surg. 2006;16(12):1679–82.
Zappa MA, Lattuada E, Mozzi E, et al. An unusual complication of gastric banding: recurrent small bowel obstruction caused by the connecting tube. Obes Surg. 2006;16(7):939–41.
Forsell P. Experience with the Swedish adjustable gastric band. In: Deitel M, editor. Update: Surgery for the Morbidly Obese Patient. Toronto: FD-Communications; 2000. pp. 359–78.
Niville E, Dams A, Vlasselaers J et al. Lap-Band erosion: incidence and treatment. Obes Surg. 2001;11(6):744–7.
Dolbi SB, Micheletto G, Lattuada E, et al. Adjustable gastric banding: 5-year experience. Obes Surg. 2000;10(2):171–3.
O’Brien PE, Dixon JB. Weight loss and early and late complications—the international experience. Am J Surg. 2002;184(6B):S42–5.
Lattuada E, Zappa AM, Mozzi E, et al. Histologic study of tissue reaction to the gastric band: does it contribute to the problem of band erosion? Obes Surg. 2006;16(9):1155–59.
Wylezol M, Sitkiewicz T, Gluck M, et al. Intra-abdominal abscess in course of intragastric migration of an adjustable gastric band: a potentially life-threatening complication. Obes Surg. 2006;1(3):102–4.
Lattuada E, Zappa AM, Mozzi E, et al. Band erosion following gastric banding: how to treat it. Obes Surg. 2007;17(3):329–33.
Regusci L, Groebli Y, Meyer JL, et al. Gastroscopic removal of an Adjustable gastric band after partial intra-gastric migration. Obes Surg. 2003;13(2):281–4.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Angus, L.D.G., Rizvon, K., Zhou, D. et al. Intra-Gastric Band Erosion from an Un-inflated Lap-Band: A Case Report. OBES SURG 18, 1636–1639 (2008). https://doi.org/10.1007/s11695-008-9618-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-008-9618-4