Small bowel obstruction creates a closed loop in patients with a laparoscopic adjustable gastric band.
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.
Campbell
Nicholas A
NA
Upper Gastrointestinal and General Surgical Service, The Alfred Hospital, Commercial Road, Melbourne, Australia. campbellnicholas@hotmail.com
Brown
Wendy A
WA
Smith
Andrew I
AI
Skinner
Stewart
S
Nottle
Peter
P
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