Unique complication of laparoscopic adjustable gastric band? A misplaced band encircling the abdominal aorta

In the recent past, laparoscopic adjustable gastric bands (LAGBs) have been used extensively in bariatric surgery. Despite questionable long-term efficacy, they are generally safe and reversible. We report a possibly unique presentation of a potential hazard of the insertion technique; a misplaced LAGB encircling the abdominal aorta, which was confirmed radiologically and on operative removal of the gastric band. This is a dramatic complication of LAGB, representing an important anatomical hazard for gastric band insertion.

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Mesentero-axial gastric volvulus after removal of laparoscopic adjustable gastric band

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2016.0313 ◽

2017 ◽

Vol 99 (2) ◽

pp. e58-e59

Author(s):

N Pirmadjid ◽

DJ Pournaras ◽

S Huan ◽

V Sujendran

Keyword(s):

Gastric Banding ◽

Gastric Band ◽

Gastric Volvulus ◽

Laparoscopic Adjustable Gastric Band ◽

Adjustable Gastric Band ◽

Emergency Laparotomy ◽

Band Removal ◽

Number Of Patients

Despite the decreasing popularity of gastric banding, a large number of patients still have a band in situ. Although immediate postoperative complications are relatively rare, long-term complications of gastric banding are more common but are not reported to occur after band removal. We report a case of gastric volvulus and subsequent ischaemic perforation in a patient shortly after band removal, resulting in emergency laparotomy and total gastrectomy. Severe continuing pain persisting after band deflation and even gastric band removal should be treated as an emergency and urgent investigation should not be delayed.

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Clinical characteristics vary between women and men in 67,524 patients with moderate obesity preoperative for laparoscopic adjustable gastric band (LAGB)

Advances in Obesity Weight Management & Control ◽

10.15406/aowmc.2020.10.00316 ◽

2020 ◽

Vol 10 (4) ◽

pp. 111-115

Author(s):

Christopher Bashian ◽

Jandie Schwartz ◽

Luke Perry ◽

Gus J Slotman

Keyword(s):

Mental Health ◽

Clinical Characteristics ◽

Gastric Band ◽

Laparoscopic Adjustable Gastric Band ◽

Adjustable Gastric Band ◽

Abdominal Hernia ◽

Clinical Knowledge ◽

Long Term Outcomes ◽

Clinical Conditions

Background: As of 2018, LAGB represents <2% of weight loss operations, but with excellent long-term outcomes in selected patients. Thus, every clinical insight can help in selecting LAGB patients and planning surgery. While more women than men undergo bariatric surgery, differences between the sexes in obesity-related clinical conditions pre-operatively among patients seeking LAGB have not been investigated. The objective of this study was to identify variations in obesity-related co-morbidities among women and men who chose laparoscopic adjustable gastric band (LAGB). Methods: Pre-operative data on 53,292 women and 14,222 men undergoing LAGB were examined retrospectively from the Surgical Review Corporation’s Bariatric Outcomes Longitudinal Database (BOLD). Results: Women were more frequently African American and on Medicaid while men were more frequently Caucasian insured with Medicare. Men were older, heavier, and used alcohol, tobacco, and illicit substances more frequently. Men had higher rates of cardiovascular and pulmonary disease, diabetes, gout, impaired functional status, abdominal hernia, and liver disease. Women had higher rates of asthma, cholelithiasis, urinary incontinence, panniculitis, and mental health. Conclusion: Pre-operative characteristics of LAGB patients vary by sex. This clinical knowledge may aid physicians and surgeons in facilitating anticipatory management of patients with moderate obesity

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Under and over 50: exploring long-term weight-loss outcomes following laparoscopic adjustable gastric band by age and body mass index group

Surgery for Obesity and Related Diseases ◽

10.1016/j.soard.2016.05.027 ◽

2016 ◽

Vol 12 (8) ◽

pp. 1616-1621 ◽

Cited By ~ 1

Author(s):

Jude Hancock ◽

Sue Jackson ◽

Andrew B. Johnson

Keyword(s):

Body Mass Index ◽

Weight Loss ◽

Body Mass ◽

Gastric Band ◽

Laparoscopic Adjustable Gastric Band ◽

Adjustable Gastric Band ◽

Body Mass Index Group ◽

Index Group ◽

Weight Loss Outcomes

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Disappointing Long-Term Result After Laparoscopic Adjustable Gastric Band Insertion

Bariatric Surgical Practice and Patient Care ◽

10.1089/bari.2013.0007 ◽

2013 ◽

Vol 8 (4) ◽

pp. 140-146 ◽

Cited By ~ 1

Author(s):

Marco Barreca ◽

Peter Vasas ◽

Douglas Whitelaw ◽

Dominic Yue ◽

Periyathambi Jambulingam ◽

...

Keyword(s):

Gastric Band ◽

Laparoscopic Adjustable Gastric Band ◽

Adjustable Gastric Band ◽

Term Result ◽

Long Term Result

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Endoscopic removal of eroded adjustable gastric band in a pregnant patient

Journal of Digestive Endoscopy ◽

10.4103/0976-5042.165720 ◽

2015 ◽

Vol 6 (03) ◽

pp. 126-129 ◽

Cited By ~ 1

Author(s):

David C. Gochnour ◽

Brad E. Snyder ◽

Erik B. Wilson ◽

Peter A. Walker ◽

Shinil K. Shah

Keyword(s):

Weight Loss ◽

Gastric Band ◽

Weight Loss Surgery ◽

Relevant Literature ◽

Laparoscopic Adjustable Gastric Band ◽

Pregnant Patient ◽

Adjustable Gastric Band ◽

Endoscopic Removal ◽

Endoscopic Techniques ◽

Gastric Bands

AbstractComplications of the laparoscopic adjustable gastric band, including erosion, have been well described. Increasingly, endoscopic techniques are being utilized to manage complications of this and other weight loss procedures. The authors presented what was believed to be one of the first reported cases of successful endoscopic removal of an eroded gastric band during pregnancy. A complete description of the case and review of the relevant literature is provided. Endoscopy for management of eroded adjustable gastric bands needs to be part of the armamentarium of surgeons and endoscopists who deal with complications of weight loss surgery.

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