Migration of the adjustable gastric band (AGB) is a serious complication which usually does not require emergency treatment, except when there is a risk to life.We report a 30-year-old patient who presented with syncope, melena and hypovolemic shock due to the intragastric erosion of an AGB, 13 months after laparoscopic band placement. The diagnosis of migration had been made 7 months after placement, and bleeding only occurred 6 months later. Greater intraluminal penetration had been awaited to facilitate gastroscopic extraction, but, faced with hemodynamic instability, resuscitation was carried out followed by emergency endoscopy to cut the device, using endoscopic scissors. Then, the band was removed orally. There has been no recurrence of hemorrhage 12 months later. Delayed treatment may be indicated in cases of initial band migration; however, rigorous follow-up is necessary with frequent re-evaluation, to diagnose potentially life-threatening complications promptly.
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References
Meir E, Van Baden M. Adjustable silicone gastric band and band erosion. Obes Surg 1999; 9: 191–.
Weiss H, Nehoda H, Labeck B et al. Gastroscopic band removal after intragastric migration of adjustable gastric band: A new minimal invasive technique. Obes Surg 2000; 10: 167–0.
Silecchia G, Restuccia A, Elmore U et al. Laparoscopic adjustable silicone gastric banding: prospective evaluation of intragastric migration of the lap-band. Surg Laparosc Endosc Percutan Tech 2001; 11: 229–4.
Chevallier JM, Zinzindohoué F, Douard R et al. Complications after laparoscopic adjustable gastric banding for morbid obesity: experience with 1,000 patients over 7 years. Obes Surg 2004; 14: 407–4.
Vantienen B, Vaneerdeweg W, Hoore AD et al. Intragastric erosion of laparoscopic adjustable silicone gastric band. Obes Surg 2000; 10: 474–.
Mariusz W, Tomasz S, Marek G et al. Intra-abdominal abscess in the course of intragastric migration of an adjustable gastric band: a potentially life-threatening complication. Obes Surg 2006; 16: 102–.
Baldinger R, Muench R, Steffen R et al. Conservative management of intragastric migration of Swedish adjustable gastric band by endoscopic retrieval. Gastrointest Endosc 2001; 53: 98–01.
Regusci L, Groebli Y, Meyer L et al. Gastroscopic removal of an adjustable gastric band after partial intragastric migration. Obes Surg 2003; 13: 281–.
Taskin M, Zengin K, Unal E. Intraluminal duodenal obstruction by gastric band following erosion. Obes Surg 2001; 11: 90–.
De Roover A, Detry O, Coimbra C et al. Pylephlebitis of the portal vein complicating intragastric migration of an adjustable gastric band. Obes Surg 2006; 16: 369–1.
Lattuada E, Zappa MA, Mozzi E et al. Band erosion following gastric banding: how to treat it. Obes Surg 2007; 7: 329–3.
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Campos, J., Ramos, A., Neto, M.G. et al. Hypovolemic Shock due to Intragastric Migration of an Adjustable Gastric Band. OBES SURG 17, 562–564 (2007). https://doi.org/10.1007/s11695-007-9078-2
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DOI: https://doi.org/10.1007/s11695-007-9078-2