Abstract
We describe the case of early band migration that developed into intraabdominal infection treated by natural orifice translumenal endoscopic surgery. A 40-year-old man was seen 4 years after gastric band placement. He complained of epigastric pain and fever. Gastroscopy revealed minimal gastric fundus erosion and a bulging of the antrum wall. Abdominal CT scan showed perigastric abscess surrounding the band tube. Antibiotic therapy was initiated, and endoscopic transgastric abscess drainage was performed. The endoscope was guided into the abscess cavity, and the band tubing was brought into the gastric lumen to serve as a stent to drain the infection, which ceased 5 days later. During the follow-up, the mucosa covering the band was incised in two more sessions to hasten the erosion process. Endoscopic removal was done 7 months after the drainage.
References
Campos JM, Galvão Neto MP, Vasconcelos CS, et al. Migración de la banda gastrica ajustable. In: Campos JM, Galvão Neto MP, Moura EGH, editors. Endoscopia en cirugía de la obesidad. 1st ed. Latin America: AMOLCA; 2009. p. 149–62.
Mariusz W, Tomasz S, Marek G, et al. Intra-abdominal abscess in the course of intragastric migration of an adjustable gastric band: a potentially life-threatening complication. Obes Surg. 2006;16:102–4.
De Roover A, Detry O, Coimbra C, et al. Pylephlebitis of the portal vein complicating intragastric migration of an adjustable gastric band. Obes Surg. 2006;16(3):369–71. 3.
Mahtemework Y, Powers CJ, Geiss AC, et al. Jejunal erosion in laparoscopic adjustable gastric band. American Society for Metabolic and Bariatric Surgery. 2009;5:269–70. doi:10.1016/j.soard.2008.07.015. ISSN 1550-7289.
Angus L, Rizvon K, Zhou D, et al. Intra-gastric band erosion from an un-inflated lap-band: a case report. Obes Surg. 2008;18(12):1636–39.
Chin PL. Gastrobronchial fistula as a complication of laparoscopic adjustable gastric banding. SOARD. 2008;4(5):671–73.
Bueter M, Thalheimer A, Meyer D, et al. Band erosion and passage, causing small bowel obstruction. Obes Surg. 2006;16(12):1679–82.
Campos J, Ramos A, Galvão Neto M, et al. Hypovolemic shock due to intragastric migration of an adjustable gastric band. Obes Surg. 2007;17(4):562–4.
Todd H. Baron. Endoscopic drainage of pancreatic pseudocysts. J Gastrointest Surg. 2008;12(2):369–72.
Galvão Neto M, Ramos A, Campos JM, et al. Transgastric salpingectomy in a porcine animal: a NOTES procedure. Surg Endosc. 2007;21:S299–339.
Galvão Neto M, Moura EGH, Campos JM, et al. Gastrojejunostomy stenosis: endoscopic dilatation with TTS balloons in 107 patients. Obes Surg. 2005;15:942.
Weiss H, Nehoda H, Labeck B, et al. Gastroscopic band removal after intragastric migration of adjustable gastric band: a new minimal invasive technique. Obes Surg. 2000;10:167–70.
Regusci L, Groebli Y, Meyer L, et al. Gastroscopic removal of an adjustable gastric band after partial intragastric migration. Obes Surg. 2003;13:281–4.
Calmes J, Bettschart V, Raffoul W, et al. Band infection with splenoportal venous thrombosis: an unusual but severe complication of gastric banding. Obes Surg. 2002;12(5):699–702. 4.
Author information
Authors and Affiliations
Corresponding author
Electronic Supplementary Material
Below is the link to the electronic supplementary material.
(MPG 1.41 MB)
(MPG 1.49 MB)
(MPG 1.93 MB)
Rights and permissions
About this article
Cite this article
Campos, J.M., Evangelista, L.F., Neto, M.P.G. et al. Translumenal Endoscopic Drainage of Abdominal Abscess Due to Early Migration of Adjustable Gastric Band. OBES SURG 20, 247–250 (2010). https://doi.org/10.1007/s11695-009-9957-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-009-9957-9