Related Experiment Video
Updated: Aug 6, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
Gastric perforation from closed-loop obstruction created by a gastric band and distal small bowel obstruction: a case
Gregory Kunis1, John Pollock1, Erin Hart1
1General Surgery, Christiana Care Hospital, 4755 Ogletown Stanton Rd, Newark, DE 19718, United States.
Abstract:
Complications secondary to laparoscopic adjustable gastric banding are well defined in the literature, and this procedure has fallen out of favor due to more effective weight-loss surgeries over the last 15 years. Small bowel obstruction (SBO) due to gastric band erosion, slippage, compression/adhesion from the silicone tube, and bowel incarceration between abdominal wall and silicone tube are well documented in the literature. This case demonstrates a patient with an adhesive SBO related to a prior nephrectomy, who also had a gastric band in place, leading to a closed-loop obstruction. The closed-loop obstruction in this case was caused from the gastric band proximally and an adhesion distally, culminating in a gastric perforation. This complication of perforation is not well described in the literature and should be brought to the attention of our surgical community as a potential complication of patients with gastric bands and the potential for adhesive SBOs.
Related Concept Videos
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Intestinal Obstruction II: Pathophysiology
Pyloric Obstruction
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Intestinal Obstruction I: Introduction