title: [Gastric band erosion: Alternative management].
abstract: BACKGROUND
  Obesity is a public health problem, for which the prevalence has increased worldwide at an alarming rate, affecting 1.7 billion people in the world.
  
  
  OBJECTIVE
  To describe the technique employed in incomplete penetration of gastric band where endoscopic management and/or primary closure is not feasible.
  
  
  METHODS
  Laparoscopic removal of gastric band was performed in five patients with incomplete penetrance using Foley catheterization in the perforation site that could lead to the development of a gastro-cutaneous fistula.
  
  
  METHODS
  The cases presented include a leak that required surgical lavage with satisfactory outcome, and one patient developed stenosis 3 years after surgical management, which was resolved endoscopically. In all cases, the penetration site closed spontaneously.
  
  
  CONCLUSIONS
  Gastric band erosion has been reported in 3.4% of cases. The reason for inserting a catheter is to create a controlled gastro-cutaneous fistula, allowing spontaneous closure.
  
  
  CONCLUSIONS
  Various techniques have been described: the totally endoscopic, hybrid techniques (endoscopic/laparoscopic) and completely laparoscopic. A technique is described here that is useful and successful in cases where the above-described treatments are not viable.
authors.affiliation: Instituto de Obesidad y Síndrome Metabólico, Hospital Ángeles del Pedregal, México, D.F., México.
authors.forename: Denis José
authors.initials: DJ
authors.lastname: Echaverry-Navarrete
authors.affiliation: Instituto de Obesidad y Síndrome Metabólico, Hospital Ángeles del Pedregal, México, D.F., México.
authors.forename: Angélica
authors.initials: A
authors.lastname: Maldonado-Vázquez
authors.affiliation: Instituto de Obesidad y Síndrome Metabólico, Hospital Ángeles del Pedregal, México, D.F., México.
authors.forename: Pablo
authors.initials: P
authors.lastname: Cortes-Romano
authors.affiliation: Instituto de Obesidad y Síndrome Metabólico, Hospital Ángeles del Pedregal, México, D.F., México.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Cabrera-Jardines
authors.affiliation: Instituto de Obesidad y Síndrome Metabólico, Hospital Ángeles del Pedregal, México, D.F., México.
authors.forename: Erwin Eduardo
authors.initials: EE
authors.lastname: Mondragón-Pinzón
authors.affiliation: Instituto de Obesidad y Síndrome Metabólico, Hospital Ángeles del Pedregal, México, D.F., México. Electronic address: armandocastillo51@prodigy.net.mx.
authors.forename: Federico Armando
authors.initials: FA
authors.lastname: Castillo-González
mesh_terms: D000328:Adult; D057868:Anastomotic Leak / Q000209:etiology; D002404:Catheterization; D020878:Device Removal / Q000379:methods*; D019468:Disease Management; D004868:Equipment Failure; D005260:Female; D005756:Gastritis / Q000209:etiology; D015391:Gastroplasty / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D005773:Gastroscopy; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D013530:Surgical Wound Infection / Q000209:etiology; D007507:Therapeutic Irrigation
keywords: Band erosion; Banda gástrica; Bariatric surgery; Cirugía bariátrica; Complicaciones; Complications; Erosión de banda; Gastric banding; Morbid obesity; Obesidad mórbida