Complete endoscopic/transgastric retrieval of eroded gastric band: description of a novel technique and review of the literature

Surg Endosc. 2013 Aug;27(8):2974-9. doi: 10.1007/s00464-013-2856-0. Epub 2013 Mar 7.

Abstract

Complications of laparoscopic adjustable gastric banding (LAGB) include band slippage, material infection, and band erosion. Band erosion can lead to chronic infection, obstruction, delayed perforation, and ineffectiveness; therefore, removal is indicated. A myriad of approaches exist for band removal and many authors have described novel techniques. A minimally invasive approach, including laparoscopic or endoscopic assistance, is favored given the reduction of postoperative complications compared with laparotomy. We present a novel approach to band retrieval following partial erosion involving a complete endoscopic/transgastric technique. Perioperative management and a review of the literature also are described.

Publication types

  • Case Reports
  • Review
  • Video-Audio Media

MeSH terms

  • Device Removal / methods*
  • Female
  • Gastroplasty / adverse effects*
  • Humans
  • Laparoscopy / methods*
  • Middle Aged
  • Obesity, Morbid / surgery*
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery*