Abstract
Laparoscopic adjustable silicone gastric banding (LASGB) is one of the several surgical techniques for treating patients with morbid obesity. Erosion and perforation in the gastric chamber caused by LASGB are rare complications that have already been described. There have not yet been any reports of perforation of the middle esophagus during this procedure. The authors describe the case of a patient who presented the complication of very extensive perforation of the middle third of the esophagus following LASGB. This was successfully managed using conservative treatment.
Highlights
Laparoscopic adjustable silicone gastric banding (LASGB) is one of the several bariatric surgical techniques for patients with morbid obesity
Erosion and perforation in the gastric chamber caused by LASGB are rare complications that have already been described
We performed upper digestive endoscopy to evaluate the extent and depth of the perforation. This examination showed the presence of a deep perforation located on the left lateral wall, with a length of 5.0 cm, starting at a distance of 30 cm from the anterior incisors (Figure 3). These findings suggested that perforation had occurred following dilation of the balloon that was used for calibration during LASGB placement
Summary
Laparoscopic adjustable silicone gastric banding (LASGB) is one of the several bariatric surgical techniques for patients with morbid obesity. Because it is less invasive and presents lower rates of intraoperative and postoperative systemic complications, it has been widely indicated.. Searches in Medline (Medical Literature Analysis and Retrieval System Online) and Lilacs (Literatura Latino-Americana e do Caribe em Ciências da Saúde) did not yield any such reports. This fact, together with the unusual evolution of the present case (without requiring surgery), vests great scientific interest in the publication of this case. Most cases of esophageal perforation occur as a result of diagnostic endoscopy, therapeutic endoscopy, foreign body ingestion and inadvertent intubation with an orotracheal tube in the esophagus. Bleeding, mediastinitis and pyothorax may develop after perforation occurs. The present authors report on the previously unpublished occurrence of a case of esophageal perforation in the middle third of the esophagus that was managed with conservative treatment
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