Diagnose and Endoscopic Removal of Gastric Band Erosion


Presented by Erik Wilson, MD at the SAGES 2014 Meeting; Panel – Endoscopic Management of Bariatric Complications

intro–51 sec
gastric band erosion–1:47
endoscopic band erosion–3:19
endoscopic technique–4:07
stent induced erosion video–5:30
deploying stent–6:32
stent choice–7:19
removal of stent–7:

Keyword(s): 23 mm stents, abdominal pain, acute cholecystitis, adherent band, advance diet, advanced endoscopic skills, adverse advents, ALIMAXX Endotek esophageal stent, Apollo Endosurgery, appropriate behaviors, armamentarium, associated tubing, avoid potential perils, band buckle, band related stricture, band site, band tubing, bariatric surgeon, bleeding, Boston Scientific, bowel obstruction, bridge of tissue, cholecystectomy, chronic fistula, circumferentially, clinical affairs, collapsed, companies, complete band removal, completely removed, component, conservative, conversion, Cook Medical, covered stent, cranking mechanisms, cut, Dacron, dense adhesions, deploying stent, dept of surgery division chief, devices, diagnosis, diet, difficult surgery, dislodged, dissecting, distally, dx lap, effective, EGD, elective general surgery vice chair, emesis, encourage intraluminal band erosion, endoluminal approach, endoluminal approaches, endoscope, endoscopic gastric stent placement, endoscopic management of bariatric complications, endoscopic removal, endoscopic removal of eroded gastric bands, endoscopic removal of fixed gastric bands, endoscopic retrieval, endoscopy, Endosgastric Solutions, ERCP, esophageal overlap, esophagojejunostomy, esophagus, Ethicon, fellows, fixed gastric bands, flexible shafted instrument, flexible shafted tip, fluoroscopic assistance, fluoroscopy, foregut, further erosion, gastric band placement, gastric bypass, gastric stent placement, gastrojejunostomy, gentle dissection, Gore Medical, Gortex, grasping forceps, guidewire, high pressure staple line, hx of, identify, incision-less operation, induce, induce decubitus ulcer, induce forced ischemia, inert, infected port, infected system, infection, initial step, innovative, institutional experience, intaluminal approach, intraluminal, intraluminal erosion, intraop endoscopy, Intuitive Surgical, invasive, ischemia, JAG wire, jagwire, lap bands, laparoscopic approach, laparoscopic bands, laparoscopy, large diameter, legal aspects, less common, less invasive technique, liquids, long term complications, lower pressure system, lumen, management of adjustable gastric band erosions, marking technique, Marlex, material, migrate, migration, mild complications, minimally invasive, MIST, Molina band, monometry, mouth, mucosa, mucosal ischemia, multiple previous abdominal operations, nausea, non-eroded fixed gastric bands, not retrievable, occurrence concern, Olympus, one stage procedure, open surgery, operative revision, optimize, outside hospital, pain, pan dilated bowel, partial erosion, partially covered stents, partially eroded adjustable gastric band, partially eroded gastric band, partially removed, perforate, persistent gastric stricture, placement of covered stent, polyester based material, Polyflex esophageal stent, polypropylene, pregnant, presented, pressure, primary procedure, prior adjustable gastric band placement, prior open operation, professor, profound ileus, proximally, psuedo achalasia, purulence, rare circumstances, rate of risk, re-operative foregut surgery, re-operative surgery, reactive capsule, recover, removal, removal of band, removal of stent, resection, Reshape Medical, restrictive weight loss, retroflex view, retroflexion, revisional procedure, riskier option, safe, safely, Savary-Gilliard wire guide, scar tissue, scissors, second round of stenting, separate incision, significant complications, Silastic, size of stent, skill set, sleeve gastrectomy, small intestine, snare, Soehendra Lithotriptor, soft food, specific considerations, SQ port, stent choice, stent induced erosion, stent migration, stent related complications, stepwise approach, stomach, superior aspect, symptoms, systemic signs of infection, technique modifications, tight stricture, timing, tips for difficult stent removal, tool, transferred, tunnel release, type of stent, U.S., uneventful post-op course, VBG bands, VBGs, waste, weight loss surgery, well tolerated, Wilkinson band, woman, workup

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