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Published on: June 11, 2012
Gastric necrosis: a rare complication of gastric banding
Antonio Iannelli1, Enrico Facchiano, Eric Sejor
1Service de Chirurgie Digestive et Transplantation Hépatique, Nice, France. antonio_iannelli@hotmail.com
Abstract:
In the last decade, laparoscopic gastric banding has become an increasingly popular surgical option for morbidly obese patients, because of the minimally invasive and easy surgical technique, its reversibility, and the possibility to calibrate the stoma. Gastric necrosis, as a complication of laparoscopic gastric banding, has been only rarely reported. Herein described is the case of a 45-year-old obese patient with gastric necrosis occurring 2 years after the placement of the band. After initial conservative management, the patient underwent urgent surgery. A huge anterior gastric prolapse through the band was found to be responsible for necrosis of the herniated stomach. An upper polar gastrectomy was performed. The mechanisms responsible for this life-threatening complication are discussed.
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