Gastric prolapse with pseudocysts following laparoscopic adjustable gastric banding.
BACKGROUND
Laparoscopic adjustable gastric banding (LAGB) is a reversible method of surgical gastric restriction. Following LAGB, the adverse event most commonly necessitating subsequent reoperation is prolapse of the gastric corpus or fundus above the band. A review of the  medical literature reveals no reports of nonpancreatic pseudocysts being associated with this adverse event. Nonpancreatic pseudocysts, encountered during revisional bariatric surgery should be considered a cause of irreducible gastric prolapse.


METHODS
We report the case of  a 41-year-old Caucasian female who underwent laparoscopic surgery to revise an adjustable gastric band and to repair an anterior gastric prolapse. Intraoperatively, 2 pseudocysts were found on the gastric fundus above the band in association with the gastric prolapse. The pseudocysts were  resected, the gastric prolapse was reduced, and the band was left in place. The patient recovered uneventfully.


CONCLUSIONS
Nonpancreatic pseudocysts may be associated with gastric prolapse in patients who have undergone LAGB. These pseudocysts can often be excised laparoscopically  without violating the gastric lumen. This atypical presentation of gastric prolapse may pose a diagnostic and therapeutic challenge as these patients may.
Howard University College of Medicine, Washington, DC, USA.
Jason A
JA
Glenn
Gezzer
G
Ortega
Dani O
DO
Gonzalez
Jasmine A
JA
Reed
Patricia L
PL
Turner
Daniel D
DD
Tran
Stephen
S
McKenna
Christine C
CC
Bauer
Terrence M
TM
Fullum
D000328:Adult; D003560:Cysts / Q000209:etiology* / Q000601:surgery*; D005260:Female; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D009767:Obesity, Morbid / Q000601:surgery*; D011391:Prolapse; D013272:Stomach Diseases / Q000209:etiology* / Q000601:surgery*