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Updated: Apr 7, 2026

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

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Published on: September 22, 2023

[Gastric band erosion: Alternative management].

Denis José Echaverry-Navarrete¹, Angélica Maldonado-Vázquez¹, Pablo Cortes-Romano¹

¹Instituto de Obesidad y Síndrome Metabólico, Hospital Ángeles del Pedregal, México, D.F., México.

Cirugia Y Cirujanos

|July 13, 2015

Summary

This study presents a laparoscopic technique using Foley catheterization for managing gastric band erosion when endoscopic methods fail. This approach facilitates controlled fistula creation for spontaneous closure, offering a viable solution for complex cases.

Keywords:

Band erosion Banda gástrica Bariatric surgery Cirugía bariátrica Complicaciones Complications Erosión de banda Gastric banding Morbid obesity Obesidad mórbida

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Published on: December 27, 2024

Area of Science:

Bariatric surgery
Gastroenterology
Minimally invasive surgery

Context:

Obesity is a global health crisis affecting 1.7 billion people.
Gastric band erosion occurs in 3.4% of cases, posing a significant clinical challenge.
Standard endoscopic or primary closure techniques are not always feasible for gastric band complications.

Purpose:

To describe a novel laparoscopic technique for managing incomplete gastric band penetration.
To present a method utilizing Foley catheterization to create a controlled gastro-cutaneous fistula.
To offer a viable surgical option when endoscopic management or primary closure is not possible.

Summary:

Laparoscopic removal of gastric bands was performed in five patients with incomplete penetration.
Foley catheterization was employed at the perforation site to manage potential gastro-cutaneous fistula development.
All patients experienced spontaneous closure of the penetration site, with one case of stenosis resolved endoscopically.

Impact:

This technique provides a successful and useful alternative for complex gastric band erosion cases.
It enables controlled fistula formation, promoting spontaneous closure and improving patient outcomes.
The described method expands the armamentarium for managing bariatric surgery complications.