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Surgical Endoscopy
Published in: Surgical Endoscopy 11/2013

01-11-2013 | Video

Internal hernia due to adjustable gastric band tubing: review of the literature and illustrative case video

Authors: Osama H. Hamed, Lashondria Simpson, Emanuele LoMenzo, Mark D. Kligman

Published in: Surgical Endoscopy | Issue 11/2013

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Abstract

Background

Laparoscopic adjustable gastric banding (LAGB) is a commonly performed bariatric procedure. Device-related morbidity is typically associated with the subcutaneous port or the band itself. Complications related to band tubing are unusual. Small bowel obstruction (SBO) after LAGB is a unique and serious complication; there is the potential of delayed diagnosis and the risk of closed-loop bowel obstruction. SBO secondary to internal hernia caused by band tubing is very rare, with only five cases reported in the literature.

Methods

In this article, we describe our experience and provide an illustrative video of a case of SBO related to band tubing. We also provide a detailed review of the few previously published case reports.

Results

Based on the common features of our case and other published case reports, we hypothesize some risk factors that might lead to this unique morbidity of adjustable gastric band tubing and provide potential solutions to prevent this problem.

Conclusion

Tubing-related SBO is a serious complication with the risk of closed-loop bowel obstruction. Urgent operative exploration is required to avoid bowel strangulation. To prevent recurrence we advise functionally shortening the tubing by tucking it to the right upper quadrant above the liver and also provide some omental coverage between the bowel and band tubing if possible.
Appendix
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Metadata
Title
Internal hernia due to adjustable gastric band tubing: review of the literature and illustrative case video
Authors
Osama H. Hamed
Lashondria Simpson
Emanuele LoMenzo
Mark D. Kligman
Publication date
01-11-2013
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 11/2013
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-013-3024-2

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