Jejunal obstruction caused by migrated gastric band.
We describe the rare complication of an eroded gastric band in the gastric cavity that passed through the pylorus and obstructed the proximal jejunum at the point allowed by the length of the connecting tube. At surgery, in addition to the expected finding, multiple necrotic pressure ulcerations in the jejunal wall were found in step ladder locations. Anyone who has adopted laparoscopic gastric banding as the modality for surgical treatment of morbid obesity should be familiar with this rare but potentially dangerous complication.
Lantsberg
Leonid
L
Department of Surgery A, Faculty of Health Sciences, Soroka Medical Center, Ben-Gurion University of the Negev, PO Box 151, Beer-Sheva 84101, Israel.
Kirshtein
Boris
B
Leytzin
Anatoly
A
Makarov
Victoria
V
D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D015391:Gastroplasty / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D010535:Laparoscopy; D008875:Middle Aged; D019736:Prostheses and Implants / Q000009:adverse effects*