Conservative management of intragastric migration of Swedish adjustable gastric band by endoscopic retrieval.
BACKGROUND
Intragastric migration is a known complication of gastric banding for morbid obesity.


METHODS
Instead of immediate reoperation, complete migration of the Swedish Adjustable Gastric Band (SAGB) into the gastric lumen was awaited in 4 patients who were asymptomatic.


RESULTS
After completed migration, the episternally placed access port was removed with the patient under local anesthesia, and the disconnected adjustable band was retrieved endoscopically. All 4 patients underwent rebanding with SAGB within 3 months after extraction.


CONCLUSIONS
With this procedure, patients who are asymptomatic can be spared laparotomy and possibly gastrostomy.
Baldinger
R
R
Hirslanden Clinic, Zürich, Switzerland.
Mluench
R
R
Steffen
R
R
Ricklin
T P
TP
Riedtmann
H J
HJ
Horber
F F
FF
D000328:Adult; D005260:Female; D005548:Foreign-Body Migration / Q000628:therapy*; D005773:Gastroscopy; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000628:therapy; D013270:Stomach