Treatment of chronic obstruction as late complication of adjustable gastric band
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Updated: Jun 28, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
Kevin M Reavis1, Marcelo W Hinojosa, Brian R Smith
1Department of Surgery, University of California, Irvine, Medical Center, Orange, California 92868, USA. kreavis@uci.edu
Abstract:
Laparoscopic adjustable gastric banding is growing in popularity in the United States. A rare late complication is obstruction at the level of the band, with concentric gastric pouch dilation. In our patient, endoscopy showed gastric pouch dilation with food impaction and a restricted outlet. We describe the combined endoscopic and laparoscopic approach for alleviation of chronic obstruction as a late complication of an adjustable gastric band. This combined approach included laparoscopic band removal and scar excision with intraoperative endoscopic dilation.
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