Hany Nada1, Ahmed Hammad2, Mohamed Sajid1, Elizabeth Waters2, Sajid Mahmud, Mr1, James Duncan, Mr1. 1NHS Lanarkshire, 2Guy’s ans St Thomas’ NHS Trust
Aim: In this study we are presenting a video that show the feasibility of the emergency management of gastric band erosion using minimal invasive surgery.
Method: We presented a case 58 year old male, he presented as emergency admission with chest pain, epigastric pain and tenderness, ECG and cardiac enzymes were normal.
Imaging showed that the band eroded through stomach wall where it was lying crosswise in the cardia of the stomach and no signs of perforation into the peritoneal cavity.
Results: Attempted made to remove the gastric band endoscopically but it was found that band has perforated through partly through the wall of the stomach and not through the whole circumference, it was not feasible to remove endoscopically.
Laparoscopy exploration confirmed diagnosis, a gastrotomy and removal of the band was done successfully without complications.
Patient had smooth post operative course and discharged home sixth postoperative day.
Repeat gastroscopy showed healed gastric mucosa at the site of perforation.
Conclusion: The use of minimally invasive surgery is a feasible and safe method of management of gastric band erosion.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79734
Program Number: V203
Presentation Session: Video Loop
Presentation Type: VideoLoop