title: Mesentero-axial gastric volvulus after removal of laparoscopic adjustable gastric band.
abstract: Despite the decreasing popularity of gastric banding, a large number of patients still have a band in situ. Although immediate postoperative complications are relatively rare, long-term complications of gastric banding are more common but are not reported to occur after band removal. We report a case of gastric volvulus and subsequent ischaemic perforation in a patient shortly after band removal, resulting in emergency laparotomy and total gastrectomy. Severe continuing pain persisting after band deflation and even gastric band removal should be treated as an emergency and urgent investigation should not be delayed.
authors: Addenbrooke's Hospital , Cambridge , UK.
authors: N
authors: N
authors: Pirmadjid
authors: Addenbrooke's Hospital , Cambridge , UK.
authors: D J
authors: DJ
authors: Pournaras
authors: Addenbrooke's Hospital , Cambridge , UK.
authors: S
authors: S
authors: Huan
authors: Addenbrooke's Hospital , Cambridge , UK.
authors: V
authors: V
authors: Sujendran
mesh_terms: D050110:Bariatric Surgery / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D020878:Device Removal / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013270:Stomach / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013277:Stomach Volvulus
keywords: Bariatric surgery; Gastric band; Gastric volvulus; LAGB; Obesity