Abstract

/10.10 16 A mmo ence: Univ oul, 1 1997@ The prevalence of obesity in Korea increased from 26.9% in 1998 to 32.0% in 2011, according to data from the Korean National Health and Nutrition Examination Surveys [1]. Laparoscopic adjustable gastric banding (LAGB) is a restrictive operation frequently performed on obese patients, although laparoscopic sleeve gastrectomy has become an increasingly popular alternative [2]. Currently, the only effective treatment for obesity is bariatric surgery, given that neither lifestyle modifications nor pharmacologic interventions result in sustained weight loss [3]. In 1991, Belachew et al. introduced LAGB, and it was adopted quickly worldwide [4]. Although its use is now declining and in some countries it is no longer performed, LAGB remains a relatively common procedure in Korea [2,5] because of its minimal invasiveness, ease, and reversibility. However, complications of LAGB are well documented and include migration, erosion, prolapse, infection, pouch dilation, and gastric perforation [6,7]. Here, we report 2 cases of gastric necrosis, a rare but serious complication of LAGB.

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