Yuan Kong, Dr, Bo Chuan Tan, Dr, Deborah Ng, Dr, Anton Cheng, Dr, Chun Hai Tan, Dr. Khoo Teck Puat Hospital
Introduction: Gastric band erosion into the lumen of the stomach or esophagus is a common complication of laparoscopic gastric band. Left gastric artery erosion from gastric band is a rare and potentially lethal complication. There are only two case reports found in the literature, both patients presented with haematemesis, one managed with angioembolization with coils of bleeding pseudoaneurysm of left gastric artery, the other had laparotomy and suture ligation of left gastric artery.
Method and result: We present a case of 33yo gentleman who previously had laparoscopic adjustable gastric bad done in 2006, presented in May 2018 for haematemesis secondary to gastric band erosion into left gastric artery. This case was managed with laparoscopic suture ligation of left gastric artery, removal of gastric band and closure of gastrostomy. (details see in video presentation)
Conclusion: Bleeding from left gastric artery secondary to gastric band erosion is rare and a lethal complication. From the limited available literature, this can be managed surgically or via angioembolization. Choice of treatment will depend on the patient's haemodynamic status and hospital facilities. The case highlights that laparoscopic surgery can be used to salvage this situation.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95132
Program Number: V341
Presentation Session: Video Loop Day 3
Presentation Type: VideoLoop
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