[Gastric band erosion: Alternative management].

Abstract

BACKGROUND:

Obesity is a public health problem, for which the prevalence has increased worldwide at an alarming rate, affecting 1.7 billion people in the world.

OBJECTIVE:

To describe the technique employed in incomplete penetration of gastric band where endoscopic management and/or primary closure is not feasible.

MATERIAL AND METHODS:

Laparoscopic removal of gastric band was performed in five patients with incomplete penetrance using Foley catheterization in the perforation site that could lead to the development of a gastro-cutaneous fistula.

CLINICAL CASES:

The cases presented include a leak that required surgical lavage with satisfactory outcome, and one patient developed stenosis 3 years after surgical management, which was resolved endoscopically. In all cases, the penetration site closed spontaneously.

DISCUSSION:

Gastric band erosion has been reported in 3.4% of cases. The reason for inserting a catheter is to create a controlled gastro-cutaneous fistula, allowing spontaneous closure.

CONCLUSIONS:

Various techniques have been described: the totally endoscopic, hybrid techniques (endoscopic/laparoscopic) and completely laparoscopic. A technique is described here that is useful and successful in cases where the above-described treatments are not viable.

• Authors: Denis José Echaverry-Navarrete, Angélica Maldonado-Vázquez, Pablo Cortes-Romano, Ricardo Cabrera-Jardines, Erwin Eduardo Mondragón-Pinzón, Federico Armando Castillo-González
• Journal: Cirugia y cirujanos (Cir Cir) 2015 Sep-Oct Vol. 83 Issue 5 Pg. 418-23 ISSN: 2444-054X [Electronic] Mexico
• Vernacular Title: Banda gástrica penetrada. Una alternativa de tratamiento.
• PMID: 26164136 (Publication Type: English Abstract, Journal Article)
• Copyright: Copyright © 2015. Published by Masson Doyma México S.A.

Topics

• Adult
• Anastomotic Leak (etiology)
• Catheterization
• Device Removal (methods)
• Disease Management
• Equipment Failure
• Female
• Gastritis (etiology)
• Gastroplasty (adverse effects, instrumentation, methods)
• Gastroscopy
• Gastrostomy (methods)
• Humans
• Laparoscopy
• Male
• Postoperative Complications (etiology)
• Surgical Wound Infection (etiology)
• Therapeutic Irrigation