S. Julie-Ann Lloyd, MD, PhD, Alph J Emmanuel, MD, Bestoun H Ahmed, MD, FACS, FASMBS. University of Pittsburgh Medical Center
Introduction: The estimated two-year failure rate of Roux-en-Y gastric bypass of up to 15% is primarily due to diet non-compliance versus impaired gastric restriction. The latter may result from fistula formation between the remnant and pouch or enlargement of the gastric pouch or the gastrojejunal stoma. Among operative options for weight regain, salvage gastric band placement over the enlarged pouch aims to restore a restricted pouch size and achieve durable weight loss.
Case Presentation: A 69-year-old female with history of a laparoscopic Roux-en-Y gastric bypass underwent adjustable gastric band placement as a rescue procedure for recidivism. She later presented to our emergency room with band erosion. A laparoscopic approach was utilized to carefully remove the band but she developed an adhesive, early post-operative small bowel obstruction that required adhesiolysis. On short-term follow-up, her symptoms had resolved and her weight had remained stable.
Conclusion: Laparoscopic gastric band removal is a safe and feasible technique to treat band erosion.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93416
Program Number: V286
Presentation Session: Video Loop Day 2
Presentation Type: VideoLoop
sages_adbutler_leaderboard