Related Experiment Video
Updated: Jul 17, 2026

A Mouse Model of Intestinal Partial Obstruction
Published on: March 5, 2018
Band erosion and passage, causing small bowel obstruction
Marco Bueter1, Andreas Thalheimer, Detlef Meyer
1Julius-Maximillians-University of Wuerzburg, Department of Surgery I, Wuerzburg, Germany. bueter_m@chirurgie.uni-wuerzburg.de
Adjustable gastric banding can rarely cause complications. A gastric band migrated into the small intestine, requiring surgical removal to resolve symptoms like vomiting and obstruction.
Area of Science:
- Gastroenterology
- Bariatric Surgery
- Surgical Complications
Background:
- Laparoscopic adjustable gastric banding (LAGB) is a bariatric procedure for morbid obesity.
- While generally safe, rare complications can occur, necessitating vigilant patient monitoring.
Observation:
- A 65-year-old male presented with recurrent vomiting, epigastric pain, and small-bowel obstruction 13 months post-LAGB.
- Investigations revealed complete gastric band migration into the gastric lumen and jejunum, with intact tubing to the port.
Findings:
- Surgical exploration via laparoscopy confirmed the band's intraluminal migration.
- The gastric band was successfully transected at the stomach and removed through a jejunotomy.
- The patient experienced an uneventful postoperative recovery.
Implications:
- Complete gastric band migration is a rare but serious complication of LAGB.
- Prompt diagnosis and surgical intervention, including band removal, are crucial for patient recovery.
- This case highlights the importance of considering band migration in patients with delayed gastrointestinal symptoms after LAGB.
Related Concept Videos
Intestinal Obstruction II: Pathophysiology
Intestinal Obstruction I: Introduction
Pyloric Obstruction
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Esophageal Strictures-I: Introduction
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
