Band erosion following gastric banding: How to treat it

Ezio Lattuada, Marco Antonio Zappa, Enrico Mozzi, Giuseppe Fichera, Paola Granelli, Fausto De Ruberto, Ilaria Antonini, Stefano Radaelli, Giancarlo Roviaro

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

Background: Intragastric band migration is an unusual but major long-term complication of gastric banding: its frequency ranges from 0.5-3.8% and always requires removal of the band. Different laparoscopic, laparotomic or endoscopic methods are currently used for band removal. Methods: 571 morbidly obese patients underwent adjustable gastric banding from February 1998 to July 2006. Band erosion occurred in 3 patients (0.52%). In addition, 6 such patients were referred to our Department from other hospitals. To remove the migrated band, in most patients we used an endoscopic approach with a device designed to cut the band: the Gastric Band Cutter (AMI, Agency for Medical Innovation). Results: In 7 of the 9 patients, we used the gastric band cutter to remove the band endoscopically. It was able to cut the band successfully in all cases except one, where twisting of the cutting wire required conversion from endoscopy to laparoscopy. In another case, the band, after being cut, was locked in the gastric wall and required laparotomic removal. In 2 patients, we had to remove the band surgically - in one case for port-site infection with subphrenic abscess, and in the other case for complete band migration into the jejunum associated with acute pancreatitis, cholelithiasis and choledocholithiasis. Conclusion: The Gastric Band Cutter, when used, was successful in dividing the band in all cases except one, although we could not always complete the procedure endoscopically. Endoscopic removal seems to be the procedure of choice for band erosion, because it allows earlier patient discharge and avoids a surgical operation. It is advisable to perform the endoscopic removal in the operating theater, because of possible complications of the procedure.

Original languageEnglish
Pages (from-to)329-333
Number of pages5
JournalObesity Surgery
Volume17
Issue number3
DOIs
Publication statusPublished - Mar 2007

Fingerprint

Stomach
Subphrenic Abscess
Choledocholithiasis
Cholelithiasis
Patient Discharge
Hospital Departments
Jejunum
Pancreatitis
Laparoscopy
Endoscopy
Equipment and Supplies
Infection

Keywords

  • Band erosion
  • Endoscopy
  • Gastric banding
  • Morbid obesity
  • Obesity surgery

ASJC Scopus subject areas

  • Surgery

Cite this

Lattuada, E., Zappa, M. A., Mozzi, E., Fichera, G., Granelli, P., Ruberto, F. D., ... Roviaro, G. (2007). Band erosion following gastric banding: How to treat it. Obesity Surgery, 17(3), 329-333. https://doi.org/10.1007/s11695-007-9060-z

Band erosion following gastric banding : How to treat it. / Lattuada, Ezio; Zappa, Marco Antonio; Mozzi, Enrico; Fichera, Giuseppe; Granelli, Paola; Ruberto, Fausto De; Antonini, Ilaria; Radaelli, Stefano; Roviaro, Giancarlo.

In: Obesity Surgery, Vol. 17, No. 3, 03.2007, p. 329-333.

Research output: Contribution to journalArticle

Lattuada, E, Zappa, MA, Mozzi, E, Fichera, G, Granelli, P, Ruberto, FD, Antonini, I, Radaelli, S & Roviaro, G 2007, 'Band erosion following gastric banding: How to treat it', Obesity Surgery, vol. 17, no. 3, pp. 329-333. https://doi.org/10.1007/s11695-007-9060-z
Lattuada E, Zappa MA, Mozzi E, Fichera G, Granelli P, Ruberto FD et al. Band erosion following gastric banding: How to treat it. Obesity Surgery. 2007 Mar;17(3):329-333. https://doi.org/10.1007/s11695-007-9060-z
Lattuada, Ezio ; Zappa, Marco Antonio ; Mozzi, Enrico ; Fichera, Giuseppe ; Granelli, Paola ; Ruberto, Fausto De ; Antonini, Ilaria ; Radaelli, Stefano ; Roviaro, Giancarlo. / Band erosion following gastric banding : How to treat it. In: Obesity Surgery. 2007 ; Vol. 17, No. 3. pp. 329-333.
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