Jeffrey E Quigley, DO, Manuel Garcia, MD, Esther Wu, MD, Stephanie Keeth, DNP, Aarthy Kannappan, MD, Daniel Srikureja, MD, Marcos Michelotti, MD, FACS, Keith R Scharf, DO, FACS, FASMBS. Loma Linda University Health
The Fobi pouch gastric bypass technique was first performed in 1998 and includes a silastic banded gastric pouch. One complication of these prosthetic devices is intraluminal migration or intrusion, also known as band erosion (BE). BE has a reported rate of 1.63%. Patients with BE typically present with abdominal discomfort as the predominant symptom. The treatment of BE typically involves removing the band either endoscopically, laparoscopically, or open. We present the case of a 66-year-old female with a history of Fobi gastric bypass 12 years prior. She complained of 6-months of epigastric pain after meals. The work-up included CT scan which showed a foreign body with possible erosion into the lumen of the jejunal roux limb and endoscopy confirmed this finding. We performed endoscopic removal of the band. The patient was discharged the same day with no perioperative complications. She had complete resolution of her symptoms at 2-month of follow up. BE is an uncommon complication of Fobi gastric bypass, however erosion into the roux limb is even less common. We have not found a reported case of an eroded Fobi band into the roux-limb. Endoscopic band removal is a safe an effective treatment for this condition.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87890
Program Number: V177
Presentation Session: Wednesday Video Loop (Non CME)
Presentation Type: VideoLoop