Hybrid Technique for Removal of Eroded Adjustable Gastric Band

作者：Rodarte Shade Mario^*; Torres Barrera Gustavo; Arredondo Jose H Flores; Rumbaut Diaz Roberto

来源：Journal of Society of Laparoendoscopic Surgeons, 2013, 17(2): 338-341.

DOI：10.4293/108680813X13654754534279

• Gastric band
• Gastric band erosion
• Intragastric migration
• complications
• Gastric band cutter

Background: Intragastric migration is a late and rare postsurgical complication in patients with gastric band placement. Gastric band erosion rate has previously been described to be 1.46%. In this report, we present the case of a 43-y-old male with gastric band erosion undergoing a laparoendoscopic retrieval of the gastric band, due to intragastric migration.
Method: A hybrid procedure was performed to retrieve the gastric band. A laparoscopic approach was initially used to extract the connecting tube. Endoscopy was then performed to cut the gastric band with a specific cutter system and was subsequently extracted transorally.
Results: The postoperative course was uneventful. Clear liquids were started on day 1, and the patient was discharged on day 2.
Discussion: The purpose of this study was to describe a hybrid technique for the removal of an eroded gastric band, as a safe and feasible option in patients with band erosions.
Conclusion: The laparoscopic approach enables safe extraction of the connecting tube, while endoscopy allows extraction of the band without creating a large incision in the stomach.

• 出版日期2013-6