Conservative management of intragastric migration of Swedish adjustable gastric band by endoscopic retrieval
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Published on: March 20, 2017
R Baldinger1, R Mluench, R Steffen
1Hirslanden Clinic, Zürich, Switzerland.
Background:
Intragastric migration is a known complication of gastric banding for morbid obesity.
Methods:
Instead of immediate reoperation, complete migration of the Swedish Adjustable Gastric Band (SAGB) into the gastric lumen was awaited in 4 patients who were asymptomatic.
Results:
After completed migration, the episternally placed access port was removed with the patient under local anesthesia, and the disconnected adjustable band was retrieved endoscopically. All 4 patients underwent rebanding with SAGB within 3 months after extraction.
Conclusions:
With this procedure, patients who are asymptomatic can be spared laparotomy and possibly gastrostomy.
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