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Published on: November 10, 2018
Simultaneous Gastric and Duodenal Erosions due to Adjustable Gastric Banding for Morbid Obesity
Dimitrios K Manatakis1, Ioannis Terzis1, Ioannis D Kyriazanos1
11st Surgical Department, Athens Naval and Veterans Hospital, 70 Deinokratous Street, 11521 Athens, Greece.
Abstract:
Erosion is an uncommon but feared late complication of adjustable gastric banding for morbid obesity. A high index of clinical suspicion is required, since symptoms are usually vague and nonspecific. Diagnosis is confirmed on upper gastrointestinal endoscopy and band removal is the mainstay of treatment, with band revision or conversion to other bariatric modalities at a later stage. Duodenal erosion is a much rarer complication, caused by the connection tubing of the band. We present our experience with a case of simultaneous gastric and duodenal erosions, managed by laparoscopic explantation of the band, primary suture repair of the duodenum, and omentopexy.
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