title: Late gastric prolapse with pouch necrosis after laparoscopic adjustable gastric banding.
abstract: One of the most significant complications of the gastric banding procedure is gastric prolapse. However, pouch necrosis after gastric prolapse is an extremely rare complication. We present the case of a morbidly obese 41-year-old woman who had had a laparoscopic adjustable gastric banding procedure 3 years before. She developed a pouch necrosis after a late gastric prolapse. After failure of conservative treatment, a diagnostic laparoscopy was performed. This resulted in removal of the band and the diagnosis of pouch necrosis. A laparotomy was indicated and a sleeve gastrectomy was performed. A delay in the diagnosis of gastric prolapse can lead to major complications. Initial referral to a specialized center is necessary for proper care of this complication. Failure of conservative treatment mandates early operative intervention.
authors.affiliation: IRCAD/EITS, University of Medicine Louis Pasteur, Strasbourg, France.
authors.forename: Sorinel
authors.initials: S
authors.lastname: Lunca
authors.forename: Michel
authors.initials: M
authors.lastname: Vix
authors.forename: Andrew
authors.initials: A
authors.lastname: Rikkers
authors.forename: Francesco
authors.initials: F
authors.lastname: Rubino
authors.forename: Jacques
authors.initials: J
authors.lastname: Marescaux
mesh_terms: D000328:Adult; D015992:Body Mass Index; D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D015905:Gastric Balloon / Q000009:adverse effects*; D015391:Gastroplasty / Q000009:adverse effects / Q000379:methods; D005773:Gastroscopy; D006801:Humans; D007813:Laparotomy / Q000379:methods; D009336:Necrosis; D009767:Obesity, Morbid / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D012086:Reoperation; D018570:Risk Assessment; D012720:Severity of Illness Index; D013272:Stomach Diseases / Q000209:etiology / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome