title: Intermittent obstructive jaundice following gastric band placement.
abstract: Complications of laparoscopic adjustable gastric banding occur in 10 - 20% of patients. However, hepatobiliary complications of this procedure are very rare. We report a unique case of gastric band misplacement around the hepato-duodenal ligament. The patient developed obstructive jaundice several months after the gastric band placement and suffered recurrent episodes of obstructive jaundice and cholangitis that were initially erroneously attributed to fatty infiltration of the liver. Further diagnostic work-up demonstrated the presence of the gastric band in the hepatic hilum. Exploratory laparotomy confirmed the diagnosis, and the band was removed. Jaundice reversed and hepatic function was restored following removal of the occluding band.
authors.affiliation: 2nd Department of Surgery, University of Athens School of Medicine, Aretaieion Hospital, Greece. narkado@otenet.gr
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Arkadopoulos
authors.forename: Christina
authors.initials: C
authors.lastname: Palamarou
authors.forename: Andreas
authors.initials: A
authors.lastname: Koureas
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Sechopoulos
authors.forename: Athanassios
authors.initials: A
authors.lastname: Marinis
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Kostopanagiotou
authors.forename: Constantinos
authors.initials: C
authors.lastname: Kostopanagiotou
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Dafnios
authors.forename: Vassilios
authors.initials: V
authors.lastname: Smyrniotis
mesh_terms: D000328:Adult; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D010535:Laparoscopy; D008297:Male; D019300:Medical Errors / Q000009:adverse effects*; D009767:Obesity, Morbid / Q000601:surgery