A minimally invasive solution for necrotic fundus following slipped adjustable gastric band.
The laparoscopic adjustable gastric band (LAGB) is widely used for treatment of morbid obesity. Band slippage is a well known long-term complication. Herein, we present a patient with band slippage who developed strangulation of the fundus with irreversible necrosis. The chosen surgical solution was minimally invasive. A diagnostic laparoscopy and consequently resection of the necrotic fundus was performed. A postoperative symptomatic left pleural effusion resolved after chest tube insertion. One week later, the patient was discharged with satisfactory results.
Yitzhak
Avraham
A
Department of Surgery A, Soroka University Medical Center, Faculty of Health Sciences, BenGurion University of the Negev, Beer-Sheva, Israel.
Avinoach
Eliezer
E
Mizrahi
Solly
S
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005748:Gastric Fundus / Q000473:pathology* / Q000601:surgery; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures; D009336:Necrosis; D009767:Obesity, Morbid / Q000601:surgery; D010996:Pleural Effusion / Q000209:etiology; D011183:Postoperative Complications; D016896:Treatment Outcome