Laparoscopic adjustable gastric banding (LAGB) is an increasingly common procedure for morbid obesity. The most prevalent complication following LAGB is band slippage leading to gastric prolapse. These cases often present to the emergency department where surgeons need to appropriately diagnose and stabilize the patient, prior to any surgical intervention. It is imperative that surgeons at all levels of training implement an organized, effective acute management plan to reduce the morbidity and mortality associated with this life-threatening condition. This report highlights the case of a gastric banding patient who presented to an emergency department >1 year after a LAGB operation had been performed, with dysphagia. The diagnosis of gastric prolapse can be overlooked, with potentially serious consequences.
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References
Salameh JR. Bariatric surgery: past and present. Am J Med Sci 2006; 331: 194–00.
Korenkov M, Sauerland S, Junginger T. Surgery for obesity. Curr Opin Gastroenterol 2005; 21: 679–3.
Kriwanek S, Schermann M, Ali AS et al. Band slippage –a potentially life-threatening complication after laparoscopic adjustable gastric banding. Obes Surg 2005; 15: 133–.
Rosenthal RJ, Szomstein S, Kennedy CI et al. Laparoscopic surgery for morbid obesity: 1,001 consecutive bariatric operations performed at The Bariatric Institute, Cleveland Clinic Florida. Obes Surg 2006; 16: 119–4.
Hashemi M. Laparoscopic gastric banding. In: Taylor I, Johnson C, eds. Recent Advances in Surgery. London: Royal Society of Medicine Press, Vol 28, 2005.
Landen S, Majerus B, Delugeau V. Complications of gastric banding presenting to the ED. Am J Emerg Med 2005; 23: 368–0.
Steffen R, Biertho L, Ricklin T et al. Laparoscopic Swedish adjustable gastric banding: a five-year prospective study. Obes Surg 2003; 13: 404–1.
Keidar A, Szold A, Carmon E et al. Band slippage after laparoscopic adjustable gastric banding: etiology and treatment. Surg Endosc 2005; 19: 262–.
Lunca S, Vix M, Rikkers A et al. Late gastric prolapse with pouch necrosis after laparoscopic adjustable gastric banding. Obes Surg 2005; 15: 571–.
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.
O’Brien PE, Dixon JB, Laurie C et al. A prospective randomized trial of placement of the laparoscopic adjustable gastric band: comparison of the perigastric and pars flaccida technique. Obes Surg 2005; 15: 820–.
Dargent J. Laparoscopic adjustable gastric banding: lessons from the first 500 patients in a single institution. Obes Surg 1999; 9: 446–2.
Wiesner W, Schob O, Hauser RS et al. Adjustable laparoscopic gastric banding in patients with morbid obesity: radiographic management, results, and postoperative complications. Radiology 2000; 216: 389–4.
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Abuzeid, AW.M., Banerjea, A., Timmis, B. et al. Gastric Slippage as an Emergency: Diagnosis and Management. OBES SURG 17, 559–561 (2007). https://doi.org/10.1007/s11695-007-9080-8
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DOI: https://doi.org/10.1007/s11695-007-9080-8