An unusual complication of gastric banding: recurrent small bowel obstruction caused by the connecting tube

Obes Surg. 2006 Jul;16(7):939-41. doi: 10.1381/096089206777822250.

Abstract

Laparoscopic adjustable gastric banding (LAGB) is a widely performed surgical procedure for morbid obesity. The application of this mini-invasive approach has given the benefits of shorter hospital stay, less postoperative pain and quicker functional recovery. LAGB complications are related either to the access-port, such as port-site infection or tubing disconnection, or to the band, such as band slippage, pouch dilatation, or intragastric migration. We report a case of recurrent small bowel obstruction caused by the connecting tube around a jejunal loop, in a woman who had under-gone LAGB 3 years before. The diagnosis was difficult to establish because the clinical history and examination were non-specific. A 3-dimensional CT scan was needed to explain the cause of the recurrent abdominal pain, and the small bowel loop was freed from the connecting tube at laparoscopy.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Gastric Bypass / adverse effects*
  • Humans
  • Intestinal Obstruction / diagnostic imaging
  • Intestinal Obstruction / etiology*
  • Intestine, Small / surgery
  • Middle Aged
  • Postoperative Complications / diagnostic imaging*
  • Tomography, X-Ray Computed
  • Treatment Outcome