title: Complete endoscopic/transgastric retrieval of eroded gastric band: description of a novel technique and review of the literature.
abstract: Complications of laparoscopic adjustable gastric banding (LAGB) include band slippage, material infection, and band erosion. Band erosion can lead to chronic infection, obstruction, delayed perforation, and ineffectiveness; therefore, removal is indicated. A myriad of approaches exist for band removal and many authors have described novel techniques. A minimally invasive approach, including laparoscopic or endoscopic assistance, is favored given the reduction of postoperative complications compared with laparotomy. We present a novel approach to band retrieval following partial erosion involving a complete endoscopic/transgastric technique. Perioperative management and a review of the literature also are described.
authors.affiliation: Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH 44195, USA. elhayek@ccf.org
authors.forename: K
authors.initials: K
authors.lastname: El-Hayek
authors.forename: P
authors.initials: P
authors.lastname: Timratana
authors.forename: S A
authors.initials: SA
authors.lastname: Brethauer
authors.forename: B
authors.initials: B
authors.lastname: Chand
mesh_terms: D020878:Device Removal / Q000379:methods*; D005260:Female; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*