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Laparoscopic Removal of Gastric Band After Early Gastric Erosion: Case Report and Review of the Literature

Chousleb, Elias MD; Szomstein, Samuel MD; Lomenzo, Emanuele MD; Higa, Guillermo MD; Podkameni, David MD; Soto, Flavia MD; Zundel, Natan MD, FACS; Rosenthal, Raul MD, FACS

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: February 2005 - Volume 15 - Issue 1 - p 24-27
doi: 10.1097/01.sle.0000148471.59299.26
Case Report
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Laparoscopic gastric banding is a popular method for treating morbid obesity. One of the most serious complications is band erosion into the gastric lumen. We present the case of a patient who underwent gastric banding and presented with symptoms of gastrointestinal reflux and mild-to-moderate hypertension, fever, and pain. UGI revealed stomach wall erosion and partial migration of the band into the gastric lumen. The band was laparoscopically removed without any further complications. Migration after laparoscopic gastric banding must be immediately addressed to prevent infection. Close monitoring of the band location during adjustments as well as a high index of suspicion is necessary.

From the Department of Minimally Invasive Surgery and The Bariatric Institute, Cleveland Clinic Florida, Weston, Florida.

Received for publication October 14, 2003; accepted September 25, 2004.

Reprints: Raul Rosenthal, MD, FACS, Director, the Bariatric Institute, Department of Minimally Invasive Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL 33331 (e-mail: rosentr@ccf.org).

© 2005 Lippincott Williams & Wilkins, Inc.