Hybrid technique for removal of eroded adjustable gastric band.
BACKGROUND
Intragastric migration is a late and rare postsurgical complication in patients with gastric band placement. Gastric band erosion rate has previously been described to be 1.46%. In this report, we present the case of a 43-y-old male with gastric band erosion undergoing a laparoendoscopic retrieval of the gastric band, due to intragastric migration.


METHODS
A hybrid procedure was performed to retrieve the gastric band. A laparoscopic approach was initially used to extract the connecting tube. Endoscopy was then performed to cut the gastric band with a specific cutter system and was subsequently extracted transorally.


RESULTS
The postoperative course was uneventful. Clear liquids were started on day 1, and the patient was discharged on day 2.


CONCLUSIONS
The purpose of this study was to describe a hybrid technique for the removal of an eroded gastric band, as a safe and feasible option in patients with band erosions.


CONCLUSIONS
The laparoscopic approach enables safe extraction of the connecting tube, while endoscopy allows extraction of the band without creating a large incision in the stomach.
Department of Surgery, Instituto Tecnologico y de Estudios Superiores de Monterrey, Mexico. marioshade@hotmail.com
Mario
M
Rodarte-Shade
Gustavo Torres
GT
Barrera
Jose Flores H
JF
Arredondo
Roberto Rumbaut
RR
Diaz
D000328:Adult; D020878:Device Removal / Q000379:methods*; D004724:Endoscopy / Q000379:methods*; D005548:Foreign-Body Migration / Q000601:surgery*; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male