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2021, Number 3

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Rev Fac Med UNAM 2021; 64 (3)

Small Bowel Obstruction as a Rare Complication After Laparoscopic Adjustable Gastric Banding: A Case Report

Chimal JMF, Fernández RE, Gaona RF, Rodríguez RMP, Mora MVS
Full text How to cite this article

Language: Spanish
References: 10
Page: 43-47
PDF size: 185.02 Kb.


Key words:

Bariatric surgery, complications, gastric band, bowel obstruction, obesity.

ABSTRACT

Background: The main goal of bariatric surgery is the reduction of Body mass index (BMI). Laparoscopic adjustable gastric band (LAGB) was the most popular method due to its relative advantages over others.
Clinical case: A 44-year-old woman with abdominal pain and distension, with a history of LAGB placement had a diagnosis of intestinal occlusion secondary to a twist in the device tube, surgical management was given, the patient presented adequate evolution.
Conclusion: The occlusion of the small intestine by the tube of the device is a serious and uncommon complication to be considered as a differential diagnosis in bariatric patients.


REFERENCES

  1. Instituto Nacional de Salud Pública e Instituto Nacional de Estadística y Geografía. Encuesta Nacional de Salud y Nutrición 2018. 2019. Ciudad de México. México.

  2. Neff KJ, Le Roux CW, Le Roux CW. Bariatric Surgery: The Indications in Metabolic Disease. Digestive Surgery. 2014;31(1)6-12.

  3. Lo Menzo E, Szomstein S, Rosenthal R. Update on Treatment of Morbid Obesity with Adjustable Gastric Banding. Surgical Clinics of North America. 2016;96(4):795-813.

  4. Snow JM, Severson PA. Complications of Adjustable Gastric Banding. Surgical Clinics of North America. 2011; 91(6):1249-64.

  5. Needleman BJ, Happel LC. Bariatric Surgery: Choosing the Optimal Procedure. Surgical Clinics of North America. 2008;88(5):991-1007.

  6. Hamed OH, Simpson L, LoMenzo E, Kligman MD. Internal hernia due to adjustable gastric band tubing: review of the literature and illustrative case video. Surgical Endoscopy. 2013;27(11):4378-82.

  7. Tan LB, So JB, Shabbir A. Connection tubing causing small bowel obstruction and colonic erosion as a rare complication after laparoscopic gastric banding: a case report. J Med Case Reports. 2012;6:9.

  8. Van de Water W, Vogelaar FJ, Willems JM. An Unusual Complication 4 years After Laparoscopic Adjustable Banding: Jejunal Obstruction Due to the Connecting Tube. Obesity Surgery. 2009;21(1):131-3.

  9. Zappa MA, Lattuada E, Mozzi E, et al. An Unusual Complication of Gastric Banding: Recurrent Small Bowel Obstruction Caused by the Connecting Tube. Obes Surg. 2006; 16:939-41.

  10. Campanile FC, Boru CE, Rizzello M, Puzziello A, Copaescu C, Cavallaro G, et al. Acute complications after laparoscopic bariatric procedures: update for the general surgeon. Langenbeck’s Archives of Surgery. 2013;398(5):669-86.




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Rev Fac Med UNAM . 2021;64