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, 53 (1), 98-101

Conservative Management of Intragastric Migration of Swedish Adjustable Gastric Band by Endoscopic Retrieval

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Conservative Management of Intragastric Migration of Swedish Adjustable Gastric Band by Endoscopic Retrieval

R Baldinger et al. Gastrointest Endosc.

Abstract

Background: Intragastric migration is a known complication of gastric banding for morbid obesity.

Methods: Instead of immediate reoperation, complete migration of the Swedish Adjustable Gastric Band (SAGB) into the gastric lumen was awaited in 4 patients who were asymptomatic.

Results: After completed migration, the episternally placed access port was removed with the patient under local anesthesia, and the disconnected adjustable band was retrieved endoscopically. All 4 patients underwent rebanding with SAGB within 3 months after extraction.

Conclusions: With this procedure, patients who are asymptomatic can be spared laparotomy and possibly gastrostomy.

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