Department of Surgery, McGovern Medical School at UT Health, Houston, Texas, USA (all authors).
Michael E. Debakey Institute for Comparative Cardiovascular Science and Biomedical Devices, Texas A&M University, College Station, Texas, USA (Dr. Shah).

ABSTRACT

Introduction: Long-term outcomes of laparoscopic adjustable gastric band (LAGB) placement have shown suboptimal excess weight loss and higher than expected device-related complications.

Case Description: We report a 45-year-old woman in whom the adjustable gastric band tubing eroded into the stomach, causing a port-site infection.

Conclusion: Because of the number of LAGB procedures performed previously and the incidence of band-related complications, surgeons must be able to recognize and manage these complications. Erosion of the gastric band or the connection tubing or both should be included in the differential diagnosis for patients presenting with a port-site infection.

Key Words: Complications, Erosion, Gastric band.

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Department of Surgery, Faculty of Medicine, King Khalid, University, Abha, Saudi Arabia.

ABSTRACT

Laparoscopic adjustable gastric band (LAGB) is a well-established bariatric surgical procedure. LAGB surgery is associated long term with a significant chance for reoperation within 10 years of band placement; 2 causes of reoperation are band migration and erosion. LAGB migration is a common late complication of gastric band, with a reported incidence of as much as 11%. Herein we present a patient with LAGB erosion presenting as small bowel obstruction. In our patient, the LAGB had completely eroded into the stomach and migrated through the pylorus to the upper jejunum, resulting in a small bowel obstruction. We describe our laparoscopic approach and management of this complication, which requires a high index of suspicion.

Key Words: Obesity, Laparoscopic adjustable gastric band (LAGB), Erosion, Complication, Small bowel obstruction.

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