Intragastric migration of laparoscopic adjustable gastric band (Lap-Band) for morbid obesity.
The appearance of fistulas and the posterior intragastric inclusion of the adjustable silicone Lap-Band prothesis have been described, representing a severe complication of the Lap-Band procedure. A 45-year-old patient with severe obesity, weighing 115 kg, and having BMI (body max index) of 45 kg/m2 was assigned to a protocol to place a Lab-Band in her. An infection in the reservoir after 9 months indicated the beginning of the appearance of fistulas. The entire adjustable silicone gastric band device eroded inside the stomach between months 9 and 14 after its placement, resulting in reoperation. The gastric inclusion of the Lap-Band device represents a severe complication that requires reoperation, and raises concerns about the safety of this new alternative weight reduction operation.
Carbajo Caballero
M A
MA
Department of Surgery, Medina del Campo Hospital, Spain.
Martín del Olmo
J C
JC
Blanco Alvarez
J I
JI
De La Cuesta
C
C
Guerro Polo
J A
JA
Sánchez
R A
RA
D005260:Female; D005548:Foreign-Body Migration; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications; D019736:Prostheses and Implants; D012826:Silicone Elastomers
D012826:Silicone Elastomers