A rare complication of laparoscopic adjustable gastric band: acute large bowel obstruction

With many thousands patients carrying laparoscopic adjustable gastric band (LAGB), long-term complications can appear emergently to any surgeon. We present a 64 year-old male who underwent placement of a laparoscopic adjustable gastric band (LAGB) years prior presented to the emergency department with concerning signs of an acute abdomen. Upon imaging review a large bowel obstruction at the level of the sigmoid colon, with ischemic changes, was discovered, caused by the patient’s LAGB catheter. The patient was taken emergently for an exploratory laparotomy during which the LAGB catheter was removed, resulting in restored bowel perfusion. Bowel obstructions are infrequent complications of LAGB. However most commonly they are limited to the small bowel. LAGB catheters resulting in large bowel obstructions are an extremely rare finding. Our review of the literature indicates that this is the first reported cause of a sigmoid obstruction caused by a LAGB. This case brings into view potential complications LAGB that can confront not only bariatric surgeons, but general and acute care surgeons as well. This report illustrates LAGB danger to the colon, and suggests how to manage, perhaps leading to early, life-saving intervention

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Large bowel obstruction from a full‐thickness resection device clip: rare complication of a novel technique

ANZ Journal of Surgery ◽

10.1111/ans.15817 ◽

2020 ◽

Vol 90 (11) ◽

pp. 2370-2372

Author(s):

Wai Keong (Keith) Choong ◽

Madhu Bhamidipaty ◽

Michael J. Johnston

Keyword(s):

Bowel Obstruction ◽

Large Bowel ◽

Rare Complication ◽

Large Bowel Obstruction ◽

Full Thickness ◽

Novel Technique

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Retained Gastric Band Tubing Resulting in Large Bowel Obstruction

CRSLS MIS Case Reports from SLS ◽

10.4293/crsls.2014.002591 ◽

2015 ◽

Vol 19 (2) ◽

Cited By ~ 1

Author(s):

Christopher Starnes ◽

Sheilendra S. Mehta ◽

Shinil K. Shah ◽

Kulvinder S. Bajwa ◽

Erik B. Wilson ◽

...

Keyword(s):

Bowel Obstruction ◽

Large Bowel ◽

Gastric Band ◽

Large Bowel Obstruction

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Laparoscopic adjustable gastric band tubing erosion into large bowel

ANZ Journal of Surgery ◽

10.1111/ans.12963 ◽

2015 ◽

Vol 87 (7-8) ◽

pp. 631-632 ◽

Cited By ~ 3

Author(s):

Andrew Strahan ◽

Ratna Aseervatham

Keyword(s):

Large Bowel ◽

Gastric Band ◽

Laparoscopic Adjustable Gastric Band ◽

Adjustable Gastric Band

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Large Bowel Obstruction, a Delayed Complication of Severe Gallstone Pancreatitis

Case Reports in Surgery ◽

10.1155/2016/1034929 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4

Author(s):

Neeraj Lal ◽

John Whiting ◽

Rahul Hejmadi ◽

Sudarsanam Raman

Keyword(s):

Bowel Obstruction ◽

High Mortality ◽

Large Bowel ◽

Bowel Resection ◽

Rare Complication ◽

Large Bowel Obstruction ◽

Emergency Laparotomy ◽

Gallstone Pancreatitis ◽

Colonic Involvement ◽

Colonic Stenting

Colonic complications are rare after acute pancreatitis but are associated with a high mortality. Possible complications include mechanical obstruction, ischaemic necrosis, haemorrhage, and fistula. We report a case of large bowel obstruction in a 31-year-old postpartum female, secondary to severe gallstone pancreatitis. The patient required emergency laparotomy and segmental bowel resection, as well as cholecystectomy. Presentation of obstruction occurs during the acute episode or can be delayed for several weeks. The most common site is the splenic flexure owing to its proximity to the pancreas. Initial management may be conservative, stenting, or surgical. CT is an acceptable baseline investigation in all cases of new onset bowel obstruction. Although bowel obstruction is a rare complication of pancreatitis, clinicians should be aware of it due to its high mortality. Obstruction can occur after a significant delay following the resolution of pancreatitis. Those patients with evidence of colonic involvement on pancreatic imaging warrant further large bowel evaluation. Bowel resection may be required electively or acutely. Colonic stenting has an increasing role in the management of large bowel obstruction but is a modality of treatment that needs further evaluation in this setting.

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Geophagia: A cause of distal large bowel obstruction in a Sudanese woman.

Medical Science and Discovery ◽

10.36472/msd.v8i5.542 ◽

2021 ◽

Vol 8 (5) ◽

pp. 338-340

Author(s):

Khalid Yousif Abu aagla ◽

Osama Mohamed Elsanousi

Keyword(s):

Bowel Obstruction ◽

Large Bowel ◽

Surgical Complication ◽

Oral Intake ◽

Exploratory Laparotomy ◽

Large Bowel Obstruction ◽

Deficiency Anemia ◽

Foreign Material ◽

The Third

Objective: Geophagia is defined as the craving and deliberate consumption of dirt, soil, or clay that is practiced sometimes by pregnant ladies, mentally handicapped, or people with iron deficiency anemia. This disorder is seen frequently in people who are native to Africa all around the world. A grave surgical complication can result from the presence of this foreign material inside the intestine notably intestinal perforation, and obstruction Case: A 34 years old female present with features of distal large bowel obstruction three weeks post-delivery underwent exploratory laparotomy were obstructing piece of clay was found, the patient confirmed after surgery a heavy consumption of river shore clay during the pregnancy. Conclusions: The patient experienced an uneventful postoperative course, oral intake allowed by the third postoperative day, and the patient was discharged home on the fifth postoperative day. Follow-up at one month after surgery show a clean healed wound with no complaints.

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Percutaneous Emergency Needle Caecostomy for Prevention of Caecal Perforation

Case Reports in Surgery ◽

10.1155/2017/1090769 ◽

2017 ◽

Vol 2017 ◽

pp. 1-3

Author(s):

Alexandra M. Limmer ◽

Zackariah Clement

Keyword(s):

Bowel Obstruction ◽

Large Bowel ◽

Laparoscopic Hernia Repair ◽

Symptom Relief ◽

Large Bowel Obstruction ◽

Computed Tomography Images ◽

Life Saving ◽

Life Threatening ◽

Saving Measure ◽

Caecal Perforation

Caecal perforation is a life-threatening complication of large bowel obstruction with a reported mortality of 34% to 72%. This case describes the novel use of percutaneous needle caecostomy as a life-saving measure to prevent imminent caecal perforation in a 68-year-old lady with large bowel obstruction secondary to an incarcerated incisional hernia. After careful review of computed tomography images and measurement of distances from the abdominal wall to the caecum, the patient’s caecum was decompressed in the emergency department using a needle under local anaesthetic. The patient subsequently underwent laparoscopic hernia repair and had an uncomplicated recovery. When conducted safely and with precision in an appropriate patient, percutaneous needle caecostomy can provide immediate symptom relief, reduce risk of caecal perforation, and allow a laparoscopic surgical approach.

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