title: Small bowel obstruction creates a closed loop in patients with a laparoscopic adjustable gastric band.
abstract: We report on two cases of small bowel obstruction in the setting of a previous laparoscopic adjustable gastric band insertion. In both cases, a closed loop obstruction was created by the band and delayed diagnosis resulted in significant morbidity. Early recognition with deflation of the adjustable gastric band and nasogastric tube insertion is paramount to managing these patients.
authors.affiliation: Upper Gastrointestinal and General Surgical Service, The Alfred Hospital, Commercial Road, Melbourne, Australia. campbellnicholas@hotmail.com
authors.forename: Nicholas A
authors.initials: NA
authors.lastname: Campbell
authors.forename: Wendy A
authors.initials: WA
authors.lastname: Brown
authors.forename: Andrew I
authors.initials: AI
authors.lastname: Smith
authors.forename: Stewart
authors.initials: S
authors.lastname: Skinner
authors.forename: Peter
authors.initials: P
authors.lastname: Nottle
mesh_terms: D000368:Aged; D003951:Diagnostic Errors; D005260:Female; D015391:Gastroplasty / Q000009:adverse effects* / Q000295:instrumentation*; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D010535:Laparoscopy; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery; D000267:Tissue Adhesions / Q000175:diagnosis / Q000209:etiology / Q000628:therapy