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Long-term adjustable gastric band with resultant megaoesophagus causing cardiac compression
Ramesh De Silva1, My Pham1, Michael Devadas1
1Norwest Surgical Services, Norwest Hospital, Bella Vista, New South Wales, Australia.
Journal of Surgical Case Reports
|January 7, 2022
Summary
Laparoscopic-assisted gastric banding can cause severe esophageal dilation, a rare condition known as megaesophagus. This case report highlights an extremely rare instance of cardiac compression resulting from this complication.
Area of Science:
- Gastroenterology
- Bariatric Surgery
Background:
- Laparoscopic-assisted gastric banding (LAGB) is a bariatric surgery procedure.
- Esophageal dilatation is a known complication of LAGB, occurring in up to 80% of patients.
Observation:
- Severe esophageal dilatation, termed megaesophagus, can occur with aperistalsis.
- This case report details an extremely rare instance of cardiac compression due to esophageal dilatation post-LAGB.
Findings:
- Esophageal dilatation is a common complication following LAGB.
- Megaesophagus is defined as severe esophageal dilatation with aperistalsis.
- Cardiac compression from esophageal dilatation is an exceptionally rare complication.
Implications:
- Awareness of rare complications like cardiac compression is crucial for clinicians managing LAGB patients.
- This case underscores the importance of monitoring for severe esophageal dilatation and its potential sequelae.
- Further research may be needed to understand the mechanisms and prevention of severe LAGB complications.
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