Hernández-Avendaño V, Jiménez-López M

Language: Spanish
References: 5
Page: 204-207
PDF size: 213.71 Kb.

ABSTRACT

Background: The adjustable gastric band procedure has proven its efficacy and safety for a long period of time. Small-bowel obstruction is an unusual complication that could be caused by post-surgical adherences to the components of the gastric band system, such as the connection tubing. Case report: This is a 42-year-old male with a history of laparoscopic gastric band procedure 10 years ago. The patient came to our hospital complaining of abdominal pain and food intake intolerance for the last two days. A complementary assessment was performed and a laparoscopic approach was decided, finding an internal hernia with small-bowel necrosis caused by the location and length of the gastric band connection tubing. A small-bowel resection was performed with a T-T anastomosis with no complication; he was discharged from the hospital with satisfactory results. Discussion: Small-bowel obstruction is a rare complication, but an internal hernia can be caused by the gastric band connection tubing, causing ischemia and necrosis. One of the major factors in these events is leaving redundant connection tubing within the abdominal cavity. Conclusions: Bowel obstruction, although rare, is a very serious complication of this procedure. Most authors recommend the use of imaging assessment because most of these patients do not present with classic bowel obstruction symptoms. An early diagnosis is essential to prevent complications and establish a proper treatment.

REFERENCES

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