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Obesity Surgery
Published in: Obesity Surgery 8/2008

01-08-2008 | Case Report

Lap-Band Causing Left Gastric Artery Erosion Presenting with Torrential Hemorrhage

Authors: Keng Siang Png, Jaideepraj Rao, Khong Hee Lim, Kok Hoong Chia

Published in: Obesity Surgery | Issue 8/2008

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Abstract

A 61-year-old lady presented 2 years after lap-band surgery with hemetemesis. She was stable on admission and band erosion was diagnosed on gastroscopy. Laparotomy was performed to remove the lap band. Upon division of the lap band, torrential hemorrhage from the eroded left gastric artery was encountered. An anterior gastrostomy was done to expose the artery. Intraoperative gastroscopy was also performed to define the cardioesophageal junction. The artery was ligated and the perforation and gastrostomy were repaired. The patient was discharged after 9 days in hospital. This case highlighted the potential injury to the left gastric artery in patients with band erosion presenting with hemetemesis. Torrential bleeding may be encountered upon division of the lap band, and this should be anticipated during laparotomy.
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Metadata
Title
Lap-Band Causing Left Gastric Artery Erosion Presenting with Torrential Hemorrhage
Authors
Keng Siang Png
Jaideepraj Rao
Khong Hee Lim
Kok Hoong Chia
Publication date
01-08-2008
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 8/2008
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-008-9439-5

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