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Updated: Apr 7, 2026
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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.
Background:
Obesity is a public health problem, for which the prevalence has increased worldwide at an alarming rate, affecting 1.7 billion people in the world.
Objective:
To describe the technique employed in incomplete penetration of gastric band where endoscopic management and/or primary closure is not feasible.
Material And Methods:
Laparoscopic removal of gastric band was performed in five patients with incomplete penetrance using Foley catheterization in the perforation site that could lead to the development of a gastro-cutaneous fistula.
Clinical Cases:
The cases presented include a leak that required surgical lavage with satisfactory outcome, and one patient developed stenosis 3 years after surgical management, which was resolved endoscopically. In all cases, the penetration site closed spontaneously.
Discussion:
Gastric band erosion has been reported in 3.4% of cases. The reason for inserting a catheter is to create a controlled gastro-cutaneous fistula, allowing spontaneous closure.
Conclusions:
Various techniques have been described: the totally endoscopic, hybrid techniques (endoscopic/laparoscopic) and completely laparoscopic. A technique is described here that is useful and successful in cases where the above-described treatments are not viable.
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