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Complete endoscopic/transgastric retrieval of eroded gastric band: description of a novel technique and review of the literature

Abstract

Complications of laparoscopic adjustable gastric banding (LAGB) include band slippage, material infection, and band erosion. Band erosion can lead to chronic infection, obstruction, delayed perforation, and ineffectiveness; therefore, removal is indicated. A myriad of approaches exist for band removal and many authors have described novel techniques. A minimally invasive approach, including laparoscopic or endoscopic assistance, is favored given the reduction of postoperative complications compared with laparotomy. We present a novel approach to band retrieval following partial erosion involving a complete endoscopic/transgastric technique. Perioperative management and a review of the literature also are described.

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Disclosures

S. Brethauer has served as a consultant and received honoraria from Apollo EndoSurgery, Bard, Covidien, and Ethicon. B. Chand has served as a consultant and received honoraria from Bard, Covidien, Ethicon, and Sanofi-Aventis. K. El-Hayek and P. Timratana have no conflict of interest or financial ties to disclose.

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Correspondence to K. El-Hayek.

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El-Hayek, K., Timratana, P., Brethauer, S.A. et al. Complete endoscopic/transgastric retrieval of eroded gastric band: description of a novel technique and review of the literature. Surg Endosc 27, 2974–2979 (2013). https://doi.org/10.1007/s00464-013-2856-0

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Keywords

  • Laparoscopic adjustable gastric band complications
  • Band erosion
  • Endoscopic transgastric surgery