Epiphrenic esophageal diverticulum after laparoscopic placement of an adjustable gastric band.
A morbidly obese woman (BMI 56 kg/m2) in 1998 underwent laparoscopic placement of an adjustable gastric band by the perigastric approach. 5 years later, she complained of reflux and weight regain. X-ray with contrast revealed pouch dilatation. She subsequently underwent a laparoscopic revision including retrocardia band replacement using the pars flaccida technique. During the further course, an epiphrenic diverticulum was diagnosed. Because of danger of perforation of the large thin-walled diverticulum and the esophageal motility disorder, the band was laparoscopically removed and the diverticulum was resected via a transhiatal approach. This case presents a very rare complication after placement of a gastric band and its successful management.
Department of General and Abdominal Surgery, Teaching Hospital of the University of Jena, Gera, Germany. Christine.Stroh@wkg.srh.de
Christine
C
Stroh
U
U
Hohmann
F
F
Meyer
T
T
Manger
D020878:Device Removal; D004936:Diverticulum, Esophageal / Q000209:etiology* / Q000601:surgery; D005260:Female; D005764:Gastroesophageal Reflux / Q000209:etiology; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D012086:Reoperation