title: Simultaneous Gastric and Duodenal Erosions due to Adjustable Gastric Banding for Morbid Obesity.
abstract: Erosion is an uncommon but feared late complication of adjustable gastric banding for morbid obesity. A high index of clinical suspicion is required, since symptoms are usually vague and nonspecific. Diagnosis is confirmed on upper gastrointestinal endoscopy and band removal is the mainstay of treatment, with band revision or conversion to other bariatric modalities at a later stage. Duodenal erosion is a much rarer complication, caused by the connection tubing of the band. We present our experience with a case of simultaneous gastric and duodenal erosions, managed by laparoscopic explantation of the band, primary suture repair of the duodenum, and omentopexy.
authors.affiliation: 1st Surgical Department, Athens Naval and Veterans Hospital, 70 Deinokratous Street, 11521 Athens, Greece.
authors.forename: Dimitrios K
authors.initials: DK
authors.lastname: Manatakis
authors.affiliation: 1st Surgical Department, Athens Naval and Veterans Hospital, 70 Deinokratous Street, 11521 Athens, Greece.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Terzis
authors.affiliation: 1st Surgical Department, Athens Naval and Veterans Hospital, 70 Deinokratous Street, 11521 Athens, Greece.
authors.forename: Ioannis D
authors.initials: ID
authors.lastname: Kyriazanos
authors.affiliation: 1st Surgical Department, Athens Naval and Veterans Hospital, 70 Deinokratous Street, 11521 Athens, Greece.
authors.forename: Ioannis D
authors.initials: ID
authors.lastname: Dontas
authors.affiliation: 1st Surgical Department, Athens Naval and Veterans Hospital, 70 Deinokratous Street, 11521 Athens, Greece.
authors.forename: Christos N
authors.initials: CN
authors.lastname: Stoidis
authors.affiliation: 1st Surgical Department, Athens Naval and Veterans Hospital, 70 Deinokratous Street, 11521 Athens, Greece.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Stamos
authors.affiliation: 1st Surgical Department, Athens Naval and Veterans Hospital, 70 Deinokratous Street, 11521 Athens, Greece.
authors.forename: Demetrios
authors.initials: D
authors.lastname: Davides