title: An unusual complication 4 years after laparoscopic adjustable banding: jejunal obstruction due to the connecting tube.
abstract: Laparoscopic adjustable gastric banding (LAGB) is an often performed bariatric procedure for morbid obesity. Several complications are known, including surgery and port-side-associated complications. As rare but serious late complication of LAGB, we describe a 50-year-old patient with periodic incomplete intestinal constriction due to the silicone connecting tube, 4 years after laparoscopic adjustable gastric banding was performed. Abdominal CT scan showed an obstructive ileus due to a loop in the connecting tube. After surgical removal of the connecting tube, the patient recovered without sequelae.
authors.affiliation: Department of Surgery, Rijnland Hospital Leiderdorp, Simon Smitweg 1, 2353 GA, Leiderdorp, The Netherlands.
authors.forename: Willemien
authors.initials: W
authors.lastname: van de Water
authors.forename: F Jeroen
authors.initials: FJ
authors.lastname: Vogelaar
authors.forename: Jorien M
authors.initials: JM
authors.lastname: Willems
mesh_terms: D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology* / Q000601:surgery; D015391:Gastroplasty / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007583:Jejunum; D010535:Laparoscopy; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*