Surgery for Obesity and Related Diseases
Volume 4, Issue 6 , Pages 770-772, November 2008

Treatment of chronic obstruction as late complication of adjustable gastric band

Department of Surgery, University of California, Irvine, Medical Center, Orange, California

Received 24 May 2008; accepted 4 August 2008. published online 14 August 2008.

Abstract 

Laparoscopic adjustable gastric banding is growing in popularity in the United States. A rare late complication is obstruction at the level of the band, with concentric gastric pouch dilation. In our patient, endoscopy showed gastric pouch dilation with food impaction and a restricted outlet. We describe the combined endoscopic and laparoscopic approach for alleviation of chronic obstruction as a late complication of an adjustable gastric band. This combined approach included laparoscopic band removal and scar excision with intraoperative endoscopic dilation.

Keywords: Chronic obstruction, Impaction, Late complication, Gastric band, Lap-Band

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PII: S1550-7289(08)00621-7

doi:10.1016/j.soard.2008.08.001

Surgery for Obesity and Related Diseases
Volume 4, Issue 6 , Pages 770-772, November 2008