AI Article Synopsis
- Migration of the adjustable gastric band (AGB) can result in serious complications, though it typically doesn't require urgent treatment unless life-threatening.
- A case study described a 30-year-old patient who experienced severe symptoms, including fainting and internal bleeding, due to the band eroding into the stomach 13 months after placement.
- Emergency treatment included resuscitation and an endoscopic procedure to cut and remove the band, leading to recovery with no further bleeding in the following year; this highlights the need for careful monitoring and follow-up for patients with AGB.
Article Abstract
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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| http://dx.doi.org/10.1007/s11695-007-9078-2 | DOI Listing |
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