AI Article Synopsis
- Pouch dilatation and stoma obstruction are common complications after adjustable gastric banding surgeries for obesity, often requiring surgery to fix.
- In this case, a patient underwent a laparoscopic procedure where the adjustable band was opened, disconnected, and repositioned more proximally on the stomach.
- The surgery was successful, with no complications, and the band's position was confirmed through a postoperative radiographic contrast exam, marking a novel approach in treating these complications.
Article Abstract
Pouch dilatation with stoma obstruction is a well-known late complication after adjustable gastric banding operations for morbid obesity. Surgical treatment of this problem usually results in removal of the band, with or without replacement by another, or in repositioning of the band via laparotomy. We present the case of a patient with late pouch dilatation and stoma obstruction after placement of a Laparoscopic Adjustable Gastric Banding system (LAGB-Bioenterics) and in whom the adjustable band was laparoscopically opened, disconnected from the access port, and repositioned more proximally on the stomach. The postoperative course was uneventful. A postoperative radiographic contrast examination showed a correct repositioning of the band. The case demonstrates that the LAGB can be successfully opened and repositioned by a minimal invasive procedure. This is the first time to our knowledge that such a procedure has been reported.
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| http://dx.doi.org/10.1007/s004649900900 | DOI Listing |
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