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Rare Delayed Complications of Laparoscopic Adjustable Gastric Band Erosion: Contained Gastric Perforation and
Oscar Noble1, Ana Paola Islas-Guerra1,2,3, Jesus Paez-Mayorga1,2,3
1Charles W. Duncan Jr. Department of Medicine, Houston Methodist Hospital, Hoston, TX.
Abstract:
Laparoscopic adjustable gastric banding (LAGB) has declined in use due to long-term complications such as erosions. We report a 65-year-old man who presented with melena 15 years after LAGB placement and ultimately found to have complete intragastric LAGB erosion. His clinical course was complicated by recurrent gastrointestinal bleeding, a contained gastric perforation, intra-abdominal infection, and a right gastric artery pseudoaneurysm. Management required laparoscopic band removal, advanced endoscopic procedures, and arterial embolization. This case highlights a rare but serious late complication of LAGB and emphasizes the need for continued vigilance in patients with legacy bariatric devices.
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