Abstract
Laparoscopic-adjustable gastric band (LAGB) complications are increasingly recognised as follow-up time increases. These are most commonly related to the gastric band or port site, but complications of the connecting tubing are also reported. We present a case of LAGB tubing penetration through the transverse colon causing abdominal sepsis in a complex surgical abdomen and review prior published cases of abdominal viscus penetration by LAGB tubing. Like complications involving all LAGB components, these often present with non-specific abdominal signs and symptoms and undergo abdominal CT as an early investigation. This makes knowledge of normal and pathological imaging features of LAGB components important in radiology practice.
Highlights
Surgical management of obesity has proven superior to any non-surgical approach.[1]
These complications may relate to any of the Laparoscopic-adjustable gastric band (LAGB) components, and while the port/reservoir and band itself account for the majority, connecting tubing complications are increasingly reported as follow-up time increases
Intragastric migration/erosion of the band is a well-recognised LAGB complication reported to occur in 3.9% of cases, but penetration of the connecting tubing into an abdominal viscus is rare.[3]
Summary
Laparoscopic-adjustable gastric band (LAGB) complications are increasingly recognised as follow-up time increases. These are most commonly related to the gastric band or port site, but complications of the connecting tubing are reported. We present a case of LAGB tubing penetration through the transverse colon causing abdominal sepsis in a complex surgical abdomen and review prior published cases of abdominal viscus penetration by LAGB tubing. Like complications involving all LAGB components, these often present with non-specific abdominal signs and symptoms and undergo abdominal CT as an early investigation. This makes knowledge of normal and pathological imaging features of LAGB components important in radiology practice
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