Abstract
Laparoscopic adjustable gastric banding (LAGB) is a popular bariatric surgical procedure. The introduction of laparoscopy has increased the use of this procedure, making it the most commonly performed bariatric surgery. Patients undergoing LAGB have achieved satisfactory results in terms of weight loss, a reduction in co-morbidities, and improved quality of life. Nonetheless, complications with LAGB are well documented and include migration, erosion, prolapse, infection, pouch dilation, gastric perforation, and most commonly, lack of weight loss following the failure of the procedure. This case report presents a patient with slippage and pouch dilation, erosion of the stomach, and port site problems, including infection, occurring 28 years after LAGB.
Highlights
Obese patients are being offered an increasing number of treatment options, including bariatric surgery, a popular and viable therapeutic choice
Complications with Laparoscopic adjustable gastric banding (LAGB) are well documented and include migration, erosion, prolapse, infection, pouch dilation, gastric perforation, and most commonly, lack of weight loss following the failure of the procedure
We describe the complex case of a 73-year-old female patient with a body mass index (BMI) of 41.6 kg/m2 who underwent LAGB in September 1992 and came to our attention 28 years later, presenting with fever, epigastric pain, and multiple LAGB-related complications, which necessitated laparoscopic removal
Summary
Obese patients are being offered an increasing number of treatment options, including bariatric surgery, a popular and viable therapeutic choice. Case Report A 73-year-old Caucasian female presented to the emergency department feeling generally unwell and reporting fever and abdominal pain over the past 14 days. She had a history of pain, nausea, and vomiting. The patient had abdominal pain, especially in the epigastric region, and pain and redness from the LAGB port Her laboratory results showed leukocytosis (16,000/mm3) and a C reactive protein level of 157 mg/L. No complications were seen after 1 month and 3 months
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