Laparoscopic Treatment of a Large Gastric Pouch Following Gastric Band Slippage View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-09-20

AUTHORS

Baptiste Brac, Lionel Rebibo, Jean-Philippe Lemouel, Jean-Marc Regimbeau

ABSTRACT

IntroductionGastric band slippage with formation of a gastric pouch is a frequent complication after gastric banding. There is no consensus on the treatment of this condition, which differs within and between centers. Here, we describe our treatment of a large gastric pouch after gastric band slippage. Despite removal of the band, the pouch caused oral feeding intolerance.MethodsThe video shows our treatment of large gastric pouch following gastric banding and surgical revision. A 45-year-old woman with history of gastric banding was referred to our center for persistent oral feeding intolerance following gastric band removal.ResultsWe found that a large gastric pouch was responsible for extrinsic compression and thus required revisional surgery after optimization of the patient’s nutritional status. Video endoscopy revealed a large gastric pouch, which was responsible for oral feeding intolerance. Intra-operative exploration then revealed major adhesions, which had probably caused the pouch to form. During surgery that was somewhat analogous to sleeve gastrectomy, we removed the adhesions and resected the gastric pouch. The operating time was 70 min. An uneventful postoperative course enabled rapid discharge (on postoperative day 2).ConclusionThe formation of a large gastric pouch is a rare complication of chronic gastric band slippage. Following nutritional optimization, surgery is required. More... »

PAGES

3084-3085

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11695-016-2388-5

DOI

http://dx.doi.org/10.1007/s11695-016-2388-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1016508144

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/27650451


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