A 13-year journey of a gastric band – ultimate destination terminal jejunum: a case report
| Autor: | Jeannette Widmer, Markus K. Müller, Stephanie Schade |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Left upper quadrant Bariatric Surgery lcsh:Medicine 030209 endocrinology & metabolism Case Report Jejunum 03 medical and health sciences 0302 clinical medicine Postoperative Complications Foreign-Body Migration medicine Humans Migration business.industry lcsh:R General Medicine Middle Aged medicine.disease Surgery Abdominal Pain Gastric band Bowel obstruction medicine.anatomical_structure Erosion 030211 gastroenterology & hepatology Equipment Failure Female medicine.symptom Foreign body Complication business Tomography X-Ray Computed Laparoscopic adjustable gastric banding Gastric banding Intestinal Obstruction |
| Zdroj: | Journal of Medical Case Reports, Vol 12, Iss 1, Pp 1-4 (2018) Journal of Medical Case Reports |
| ISSN: | 1752-1947 |
| Popis: | Background Laparoscopic adjustable gastric banding has been the gold standard for surgical management of obesity over the last decades in USA and Europe. However, significant complications have been documented due to foreign body placement, including band erosions. Our treatment approach for erosions is rather observant with regular follow-up until the band has sufficiently perforated the gastric wall which facilitates endoscopic removal. Consequences of a not followed-up band erosion may present even after a long time following initial diagnosis with more severe complications. Case presentation A 51-year-old Caucasian woman presented to our out-patients’ clinic with a 2-week history of worsening abdominal pain in her left upper quadrant, exacerbated by abdominal flexion and extension maneuvers. Here we describe a case involving gastric penetration and subsequent downward migration of a band into distal jejunum causing small bowel obstruction, which occurred more than 10 years following initial diagnosis of erosion. The perforation was missed due to cessation of endoscopic follow-up. Conclusion Prospective and long-term follow-up is mandatory in those with partial band erosion to avoid further complications. |
| Databáze: | OpenAIRE |
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