Gastroscopic band removal after intragastric migration of adjustable gastric band: a new minimal invasive technique

Obes Surg. 2000 Apr;10(2):167-70. doi: 10.1381/096089200321668721.


Background: Laparoscopic adjustable gastric banding (LAGB) is the most used procedure for bariatric surgery in Europe. Although a low complication rate is reported, band migration within the first 2 years after LAGB is still observed in nearly 5% of cases, requiring operative band removal. To avoid increased risk of complications due to laparotomy, we propose a minimally invasive technique for this purpose.

Methods: We performed this operation in five patients who suffered from band migration after LAGB (1.9% in our series of 211 patients, one patient was operated elsewhere). The described method consists of gastroscopic band and tube removal, combined with removal of the port under local anesthesia.

Results: The described procedure was developed in the endoscopy unit without additional equipment. The mean operating-time ranged from 65 to 180 minutes (mean 135 minutes). No perioperative complication were observed. In-patient treatment was necessary for 4 days.

Conclusions: A novel technique for minimally invasive band removal after adjustable gastric band migration is described, offering the patient a low-risk procedure and a better chance for further laparoscopic approaches.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Female
  • Follow-Up Studies
  • Foreign-Body Migration / etiology
  • Foreign-Body Migration / surgery*
  • Gastroplasty / adverse effects*
  • Gastroplasty / instrumentation
  • Gastroscopy / methods*
  • Humans
  • Middle Aged
  • Minimally Invasive Surgical Procedures / methods
  • Obesity, Morbid / surgery*
  • Stomach*
  • Treatment Outcome