[Intragastric migration of adjustable gastroplasty bands].
BACKGROUND
The incidence of morbid obesity is increasing in France; adjustable gastric banding has become the most common surgical treatment.


METHODS
We report seven cases of patients who presented with gastric erosion as a complication of gastric banding; this occurred at a mean interval of 4 years following the initial bariatric procedure.


RESULTS
In six cases, repair was performed laparoscopically; one case required conversion to an open laparotomy approach. There was no mortality but morbidity occurred in 57% of cases: pleural effusion (two) and wound abscess (two).


CONCLUSIONS
Gastric erosion and migration of adjustable gastric rings can occur at a long interval after laparoscopic gastric banding. Long-term follow-up is necessary in all such patients.
Maziere
C
C
Service de chirurgie, Maison du Haut-Lévèque, avenue de Magellan, 33604 Pessac cedex, France.
Rault
A
A
Sa Cunha
A
A
Collet
D
D
D000328:Adult; D000368:Aged; D005260:Female; D005548:Foreign-Body Migration / Q000601:surgery*; D015391:Gastroplasty / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013270:Stomach