Laparoscopic Gastric Band Erosion: A Retrospective Analysis and Review of Management

Abstract

Background: Laparoscopic gastric banding is a well-tolerated bariatric operation with low morbidity and mortality. The management of gastric band erosion has not been well described. A review of the management of gastric band erosions occurring at our institution was conducted. Methods: Operative records were reviewed retrospectively, identifying the total number of gastric bands placed, as well as any operations performed for gastric band erosions. Results: During 2006–2009, 2,570 gastric bands were placed, and 17 gastric band erosions were managed. Management consisted of removal of the band and port device, and either primary closure of the defect or intraluminal placement of a drain. Fifty percent of patients with erosion presented with port-site infections. Conclusion: We conclude that placement of an intraluminal drain is more than adequate for gastric band erosion. We further conclude that when port-site infections occur, especially late, a work-up for erosion is indicated.