Laparoscopic Adjustable Gastric Band Migration Causing Total Port Erosion: An Neglected Case


Introduction: Laparoscopic adjustable gastric banding (LAGB) still keeps it place among other obesity surgery techniques as an efficient and easy procedure with comparable percent excess weigth loss. LAGB requires frequent office visits for adjustment of the band via the port placed under the skin.

Case: 35 years old female patient presented to our outpatient clinic with complaint of burning feeling inside stomach. The patient had LAGB 4 years earlier. She lost 60kg in four years and her body mass index was 31 at current presentation. Her laboratory work up showed iron and vitamin D deficiencies. Her physical examination revealed an adjustment port totally eroded out of skin in left upper quadrant under the breast (Figure available). Upon further questioning she stated that the port was in that position for over two months.Her upper endoscopy showed  that the band migrated into the stomach with its 70% of circumference.(Figure available) The band was removed laparoscopically without any complications. The culture of the fluid inside the band did not grow any bacterial or fungal species.

Discussion: This case points out that LAGB should be applied to well educated patients who can comply to strict medical follow-up. 

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