Trans-thoracic peri-oesophageal adjustable band for intractable reflux.
BACKGROUND
Gastric bands for obesity have the beneficial side-effect of improving reflux symptoms in patients; however placement of these on patients with multiple prior abdominal surgeries can be challenging.


METHODS
We present two cases where gastric bands were placed in a peri-oesophageal position via a left thoracotomy due to multiple previous abdominal surgeries in an attempt to treat their intractable reflux.


CONCLUSIONS
At three month follow up, both patients have reported improvement in their symptoms of GORD.


CONCLUSIONS
A peri-oesophageal position adjustable gastric band is a possible solution for patients with intractable reflux and hostile abdomens.
Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands, Western Australia 6009, Australia. Electronic address: simonkusel@gmail.com.
Mark Simon X
MS
Kusel
Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands, Western Australia 6009, Australia.
Jeremy T H
JT
Tan
Adjustable band; GORD; Intractable reflux; Peri-oesophageal