Enterocutaneous fistula: a rare complication of laparoscopic adjustable gastric banding.
Morbid obesity is a refractory disease with serious co-morbidities. Laparoscopic adjustable gastric banding (LAGB) has generally been a safe and effective method for achieving sustained weight loss. We report a man who presented after LAGB with persistent wound infection at the access port-site, which failed conservative management. Diagnostic laparoscopy found an enterocutaneous fistula from herniated bowel (in a Richter's hernia) into which the catheter had eroded. The small bowel and fascial defect were repaired. The catheter was then clipped and divided, and the port was removed.
Elakkary
Ehab
E
Department of Surgery, North Oakland Medical Centers, Pontiac, MI 48341, USA. elakkary@gmail.com
El Essawy
Dina
D
Gazayerli
M M
MM
D005548:Foreign-Body Migration / Q000150:complications; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D013530:Surgical Wound Infection / Q000209:etiology