Laparoscopic revision of common channel length for chronic diarrhea and malnutrition complicating distal gastric bypassA 60-year-old woman who had undergone distal Roux-en-Y gastric bypass at our institution 9 years earlier presented after an 8-year absence with chronic diarrhea that had been disturbing her quality of life for the year before presentation. Her prebypass body mass index had been 65 kg/m2. She had received a 150-cm common channel constructed at the bypass. Her present weight was about 81 kg. She was having 3–4 watery bowel movements daily. She had used antidiarrheal agents, tried avoiding lactose, had undergone repeated colonoscopies, and had been treated with antibiotics by her primary care physician; all to no avail.
Laparoscopic Removal of Eroded Laparoscopic Adjustable Gastric BandA 38-year-old woman had undergone laparoscopic adjustable gastric banding at an outside facility in July 2007. Her preoperative weight was 135 kg; her current weight was 108 kg. Her last fill was 13 months before presentation. She presented with a 3-day history of abdominal pain and fever, and diarrhea for 1 day. An abdominal computed tomography scan revealed intense inflammation of the omentum around the band tubing. Esophagogastroscopy confirmed the diagnosis of band erosion. She was treated with antibiotics and had her band removed 1 month later.