Migration of the connecting tube into small bowel after adjustable gastric banding

Migration of intraabdominal catheters into the bowel is a well-known phenomenon of uncertain cause. Intragastric migration of adjustable gastric banding is not an uncommon complication, with a reported prevalence of 1-11% in most series. Migration of the connecting tube into the small bowel lumen or colonic lumen is very rare. We present a case study of a female who had adjustable gastric banding with persistent wound infection at the access port side that failed with conservative treatment. Migration of the connecting tube into the jejunal lumen was observed at laparoscopy. The connecting tube and port were removed and the band remained. Small bowel defects were repaired laparoscopically. Migration of band tubing into the bowel should be considered in the clinical setting of relapsing port-side infection.