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Published in: Journal of Medical Case Reports 1/2012

Open Access 01-12-2012 | Case report

Connection tubing causing small bowel obstruction and colonic erosion as a rare complication after laparoscopic gastric banding: a case report

Authors: Liza BK Tan, Jimmy BY So, Asim Shabbir

Published in: Journal of Medical Case Reports | Issue 1/2012

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Abstract

Introduction

Laparoscopic adjustable gastric banding is the most frequently performed bariatric procedure for the treatment of morbid obesity and is associated with low morbidity and mortality. Complications related to obesity surgery are rare and their presentation is often non-specific. Thus, it is highly important for physicians who are practising bariatric surgery to be aware of complications described in single-case studies or series when they come across similar complications even years after the primary bariatric operation.

Case presentation

We report the case of a 47-year-old Malay woman who was admitted with symptoms and signs suggesting intestinal obstruction five years after gastric band placement.

Conclusions

In our patient, the band connection wire tube was the cause of both small bowel obstruction and colonic erosion. Computed axial tomography is the cornerstone of the investigation of such patients. After surgical removal of the connecting tube, our patient recovered without sequelae.
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Literature
1.
go back to reference Doldi SB, Micheletto G, Lattuada E, Zappa MA, Bona D, Sonvico U: Adjustable gastric banding: 5-year experience. Obes Surg. 2000, 10: 171-173. 10.1381/096089200321668730.CrossRefPubMed Doldi SB, Micheletto G, Lattuada E, Zappa MA, Bona D, Sonvico U: Adjustable gastric banding: 5-year experience. Obes Surg. 2000, 10: 171-173. 10.1381/096089200321668730.CrossRefPubMed
2.
go back to reference Wolf AM, Kortner B, Kuhlmann HW: Results of bariatric surgery. Int J Obes Relat Metab Disord. 2001, 25: S113-114.CrossRefPubMed Wolf AM, Kortner B, Kuhlmann HW: Results of bariatric surgery. Int J Obes Relat Metab Disord. 2001, 25: S113-114.CrossRefPubMed
3.
go back to reference Coskun H, Bozbora A, Ogunc G, Peker Y: Adjustable gastric banding in a multicenter study in Turkey. Obes Surg. 2003, 13: 294-296. 10.1381/096089203764467243.CrossRefPubMed Coskun H, Bozbora A, Ogunc G, Peker Y: Adjustable gastric banding in a multicenter study in Turkey. Obes Surg. 2003, 13: 294-296. 10.1381/096089203764467243.CrossRefPubMed
4.
go back to reference Weiner R, Blanco-Engert R, Weiner S, Matkowitz R, Schaefer L, Pomhoff I: Outcome after laparoscopic adjustable gastric banding--8 years experience. Obes Surg. 2003, 13: 427-434. 10.1381/096089203765887787.CrossRefPubMed Weiner R, Blanco-Engert R, Weiner S, Matkowitz R, Schaefer L, Pomhoff I: Outcome after laparoscopic adjustable gastric banding--8 years experience. Obes Surg. 2003, 13: 427-434. 10.1381/096089203765887787.CrossRefPubMed
5.
go back to reference Himpens J, Cadière GB, Bazi M, Vouche M, Cadière B, Dapri G: Long-term outcomes of laparoscopic adjustable gastric banding. Arch Surg. 2011, 146: 802-807. 10.1001/archsurg.2011.45.CrossRefPubMed Himpens J, Cadière GB, Bazi M, Vouche M, Cadière B, Dapri G: Long-term outcomes of laparoscopic adjustable gastric banding. Arch Surg. 2011, 146: 802-807. 10.1001/archsurg.2011.45.CrossRefPubMed
6.
go back to reference Zappa MA, Lattuada E, Mozzi E, Francese M, Antonini I, Radaelli S, Roviaro G: An unusual complication of gastric banding; recurrent small bowel obstruction caused by the connecting tube. Obes Surg. 2006, 16: 393-341. Zappa MA, Lattuada E, Mozzi E, Francese M, Antonini I, Radaelli S, Roviaro G: An unusual complication of gastric banding; recurrent small bowel obstruction caused by the connecting tube. Obes Surg. 2006, 16: 393-341.
7.
go back to reference Shipkov CD, Uchikov AP, Uchikova EH: Small bowel obstruction by the silicone tube of the gastric band. Obes Surg. 2004, 14: 1280-1282. 10.1381/0960892042386931.CrossRefPubMed Shipkov CD, Uchikov AP, Uchikova EH: Small bowel obstruction by the silicone tube of the gastric band. Obes Surg. 2004, 14: 1280-1282. 10.1381/0960892042386931.CrossRefPubMed
8.
go back to reference Strobos E, Antanavicius G, Josloff R: Unusual complication: small bowel obstruction caused by tubing of gastric band. Surg Obes Relat Dis. 2009, 5: 697-640. Strobos E, Antanavicius G, Josloff R: Unusual complication: small bowel obstruction caused by tubing of gastric band. Surg Obes Relat Dis. 2009, 5: 697-640.
9.
go back to reference Fass G, Simoens C, Mendes da Costa P: Diffuse abdominal and port site pain caused by the connecting tube in gastric banding. Obes Surg. 2008, 20: 1183-1185.CrossRefPubMed Fass G, Simoens C, Mendes da Costa P: Diffuse abdominal and port site pain caused by the connecting tube in gastric banding. Obes Surg. 2008, 20: 1183-1185.CrossRefPubMed
10.
go back to reference Egbert K, Brown WA, O'Brien PE: Systemic review of erosion after laparoscopic adjustable gastric banding. Obes Surg. 2011, 21: 1272-1279. 10.1007/s11695-011-0430-1.CrossRef Egbert K, Brown WA, O'Brien PE: Systemic review of erosion after laparoscopic adjustable gastric banding. Obes Surg. 2011, 21: 1272-1279. 10.1007/s11695-011-0430-1.CrossRef
11.
go back to reference Van de Water W, Vogelaar FJ, Willems JM: An unusual complication 4 years after laparoscopic adjustable banding; jejunal obstruction due to the connecting tube. Obes Surg. 2009, 21: 131-133.CrossRefPubMed Van de Water W, Vogelaar FJ, Willems JM: An unusual complication 4 years after laparoscopic adjustable banding; jejunal obstruction due to the connecting tube. Obes Surg. 2009, 21: 131-133.CrossRefPubMed
12.
go back to reference Agahi A, Harle R: A serious but rare complication of laparoscopic adjustable gastric banding: bowel obstruction due to caecal volvulus. Obes Surg. 2008, 19: 1197-1200.CrossRef Agahi A, Harle R: A serious but rare complication of laparoscopic adjustable gastric banding: bowel obstruction due to caecal volvulus. Obes Surg. 2008, 19: 1197-1200.CrossRef
13.
go back to reference Stoker J, van Randen A, Laméris W, Boermeester MA: Imaging patients with acute abdominal pain. Radiology. 2009, 253: 31-46. 10.1148/radiol.2531090302.CrossRefPubMed Stoker J, van Randen A, Laméris W, Boermeester MA: Imaging patients with acute abdominal pain. Radiology. 2009, 253: 31-46. 10.1148/radiol.2531090302.CrossRefPubMed
Metadata
Title
Connection tubing causing small bowel obstruction and colonic erosion as a rare complication after laparoscopic gastric banding: a case report
Authors
Liza BK Tan
Jimmy BY So
Asim Shabbir
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2012
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-6-9

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