title: Jejunal obstruction caused by migrated gastric band.
abstract: 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.
authors.affiliation: Department of Surgery A, Faculty of Health Sciences, Soroka Medical Center, Ben-Gurion University of the Negev, PO Box 151, Beer-Sheva 84101, Israel.
authors.forename: Leonid
authors.initials: L
authors.lastname: Lantsberg
authors.forename: Boris
authors.initials: B
authors.lastname: Kirshtein
authors.forename: Anatoly
authors.initials: A
authors.lastname: Leytzin
authors.forename: Victoria
authors.initials: V
authors.lastname: Makarov
mesh_terms: 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*