Alawad M, Abukhater M, Al-Mohaimeed K. Eroded adjustable gastric band migration causing gastric obstruction and perforation in a pregnant lady.
Int J Surg Case Rep 2020;
71:192-195. [PMID:
32473550 PMCID:
PMC7533630 DOI:
10.1016/j.ijscr.2020.04.087]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2020] [Revised: 04/26/2020] [Accepted: 04/26/2020] [Indexed: 11/16/2022] Open
Abstract
Laparoscopic adjustable gastric banding (LAGB) was considered as one of the most effective management for morbid obesity, with outstanding long-term results on weight loss, comorbidities, and quality of life.
Reported complications of LAGB include erosion, infection, migration, obstruction, and rarely ischemia.
We report a case of pregnant woman who underwent LAGB 12 years ago diagnosed as gastric obstruction and perforation that was managed by central gastrectomy with gastro-gastrostomy.
We encourage the bariatric surgeons to be attentive LAGB complications among women planning for pregnancy.
Background
The laparoscopic adjustable gastric band is the least invasive bariatric surgery, which has the advantage of preserving the anatomy of the gastrointestinal tract. In the last two decades, the laparoscopic adjustable gastric band (LAGB) has largely been replaced by other surgical techniques for weight loss because of its high inseparable complications. Although a popular surgical technique at the time of its introduction in 1993, LAGB nowadays reports for not more than 5.5% of all bariatric procedures. The estimated overall long term complication rates of LAGB are ranging from 0.1% to 28%.
Objective
In this report, we review one of the cases that are considered as an anecdotic event that might follow one of the bariatric procedures.
Methods
We reported a pregnant lady who undergoes gastric banding 12 years ago. presented with progressively increasing colicky epigastric pain, nausea, and vomiting. The investigations show gastric obstruction and perforation secondary to eroded gastric band and migration.
Results
The management was completed by the elimination of the gastric band proceed with central gastrectomy plus gastro-gastrostomy with an excellent outcome for the patient and her baby.
Conclusion
This case highlights an absolutely rare serial complication, that may happen even when the patient presents with a vague complaint. Intraoperative findings can determine the way of management to achieve suitable results. Lastly; we encourage the young Women who underwent or planning for bariatric surgery to do a careful follow-up.
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