Abstract

A known adverse event of gastric banding for morbid obesity is the trans- or intragastric migration of the laparoscopic adjustable silicone gastric band (LASGB); the estimated risk is as high as 1%. A patient, with suspected band migration caused by unexpected weight gain, underwent an upper endoscopy showing a partial transgastric migration of the LASGB. With the patient under local anesthesia, the injection port and the silicone connecting tube were resected. The band was then retrieved endoscopically by using a polypectomy snare placed over the notch on the band.

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