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.
Department of Surgery, North Oakland Medical Centers, Pontiac, MI 48341, USA. elakkary@gmail.com
Ehab
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Elakkary
Dina
D
El Essawy
M M
MM
Gazayerli
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