Abstract
Isolated gastric band tube erosion – Unusual complication of gastric band
Highlights
Laparoscopic adjustable gastric band (LAGB) first introduced in 1993 was a popular bariatric procedure at the time of its introduction
High reported complication rates of 10-26% and the availability of other effective alternatives such as sleeve gastrectomy and gastric bypass has resulted in its marked decline as a bariatric procedure
An atypical presentation of gastric band erosion where the tube which was disconnected due to port site infection had eroded into the antrum of the stomach is hereby presented
Summary
Laparoscopic adjustable gastric band (LAGB) first introduced in 1993 was a popular bariatric procedure at the time of its introduction. A 56-year-old gentleman presented to the bariatric clinic requesting revision bariatric surgery after having a LAGB in another centre 11 years back His port was removed 12 months prior due to localised port site infection. His BMI was 40 and his comorbidities included hypertension and dyslipidaemia He underwent repeat Upper GI endoscopy (12 months after the initial endoscopy at the time of removal of the infected port) in our institution as part of the workup for revisional bariatric surgery. This revealed eroded gastric band tubing which appeared to come from the antrum (Figure 1). He underwent revision to gastric bypass after 9 months and is doing well at follow up
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