Early postpartum gastric band slippage after bariatric surgery in an adolescent obese girl.
We report here a case of a rarely described complication of laparoscopic adjustable gastric banding (LAGB), slippage during the postpartum period, after LAGB had been performed in an adolescent obese girl. The LAGB had been placed after one year of clinical survey initiated at the age of 16. Maximal pre-operative body mass index (BMI) was 48.5 kg.m(-2) and obesity was associated with insulin resistance. Before pregnancy, there was a loss of 17 Kg (final BMI = 41.5 kg.m(-2)) and a resolution of insulin resistance. The patient became pregnant 21 months after LAGB, and whole pregnancy and delivery were uneventful for both mother and fetus. Six weeks after delivery, the patient suddenly complained for total food intolerance, due to a band slippage, leading to removal of the band. Slippage is now a rare complication of LAGB, but can happen during pregnancy and the postpartum period as well.
Paediatric Surgery Department, University Hospital of Angers, Angers, France FrSchmitt@chu-angers.fr.
Françoise
F
Schmitt
General and Metabolic Surgery Department, Clinique de l'Anjou, Angers, France.
Philippe
P
Topart
Diabetes and Endocrinology Department, University Hospital of Angers, Angers, France.
Agnès
A
Salle
Department of Obstetrics and Gynecology, University Hospital of Angers, Angers, France.
Loïc
L
Sentilhes
Pediatric Endocrinology Department, University Hospital of Angers, Angers, France.
Natacha
N
Bouhours-Nouet
Pediatric Endocrinology Department, University Hospital of Angers, Angers, France.
Régis
R
Coutant
Paediatric Surgery Department, University Hospital of Angers, Angers, France.
Dominique
D
Weil
Paediatric Surgery Department, University Hospital of Angers, Angers, France.
Guillaume
G
Podevin