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Hybrid technique for removal of eroded adjustable gastric band
Mario Rodarte-Shade1, Gustavo Torres Barrera, Jose Flores H Arredondo
1Department of Surgery, Instituto Tecnologico y de Estudios Superiores de Monterrey, Mexico. marioshade@hotmail.com
Background:
Intragastric migration is a late and rare postsurgical complication in patients with gastric band placement. Gastric band erosion rate has previously been described to be 1.46%. In this report, we present the case of a 43-y-old male with gastric band erosion undergoing a laparoendoscopic retrieval of the gastric band, due to intragastric migration.
Method:
A hybrid procedure was performed to retrieve the gastric band. A laparoscopic approach was initially used to extract the connecting tube. Endoscopy was then performed to cut the gastric band with a specific cutter system and was subsequently extracted transorally.
Results:
The postoperative course was uneventful. Clear liquids were started on day 1, and the patient was discharged on day 2.
Discussion:
The purpose of this study was to describe a hybrid technique for the removal of an eroded gastric band, as a safe and feasible option in patients with band erosions.
Conclusion:
The laparoscopic approach enables safe extraction of the connecting tube, while endoscopy allows extraction of the band without creating a large incision in the stomach.