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Obesity Surgery

, Volume 19, Issue 12, pp 1734–1736 | Cite as

Cecal Volvulus as a Complication of Gastric Banding

  • Abdulla FakhroEmail author
  • James M. O’Riordan
  • Leo P. Lawler
  • P. Ronan O’Connell
Case Report

Abstract

Surgery is an increasingly important management option for patients with obesity. Laparoscopic adjustable gastric banding is a procedure employed to treat morbid obesity refractory to medical therapy. It works by reducing the capacity of the stomach and promoting early satiety. We report the unusual case of a 33-year-old female who presented acutely 2 years following laparoscopic adjustable gastric banding with cecal volvulus and closed loop obstruction caused by displacement of the connecting tube.

Keywords

Morbid obesity Obesity surgery Laparoscopic adjustable gastric banding (LAGB) Large bowel obstruction Cecal volvulus 

References

  1. 1.
    Flegal KM, Carroll MD, Ogden CL, et al. Prevalence and trends in obesity among US adults, 1999–2000. JAMA. 2002;288:1728–32.CrossRefGoogle Scholar
  2. 2.
    Balsiger BM, Murr MM, Poggio JL, et al. Bariatric surgery. Surgery for weight control in patients with morbid obesity. Med Clin North Am. 2000;84:477–89.CrossRefGoogle Scholar
  3. 3.
    DeMaria EJ. Bariatric surgery for morbid obesity. N Engl J Med. 2007;356:2176–83.CrossRefGoogle Scholar
  4. 4.
    Ballantyne GH. Measuring outcomes following bariatric surgery: weight loss parameters, improvement in co-morbid conditions, change in quality of life and patient satisfaction. Obes Surg. 2003;13:954–64.CrossRefGoogle Scholar
  5. 5.
    Belachew M, Legrand M, Vincenti V, et al. Laparoscopic placement of adjustable silicone gastric band in the treatment of morbid obesity: How to Do It. Obes Surg. 1995;5:66–70.CrossRefGoogle Scholar
  6. 6.
    O’Brien PE. Laparoscopic adjustable gastric banding: a real option for a real problem. ANZ J Surg. 2003;73:562.CrossRefGoogle Scholar
  7. 7.
    Zappa MA, Lattuada E, Mozzi E, et al. An unusual complication of gastric banding: recurrent small bowel obstruction caused by the connecting tube. Obes Surg. 2006;16:939–41.CrossRefGoogle Scholar
  8. 8.
    Shipkov CD, Uchikov AP, Uchikova EH. Small bowel obstruction by the silicone tube of the gastric band. Obes Surg. 2004;14:1280–2.CrossRefGoogle Scholar
  9. 9.
    Suter M, Calmes JM, Paroz A, et al. A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg. 2006;16:829–35.CrossRefGoogle Scholar
  10. 10.
    Peterli R, Wölnerhanssen BK, Peters T, et al. Prospective study of a two-stage operative concept in the treatment of morbid obesity: primary lap-band followed if needed by sleeve gastrectomy with duodenal switch. Obes Surg. 2007;17:334–40.CrossRefGoogle Scholar
  11. 11.
    Weber M, Müller MK, Bucher T, et al. Laparoscopic gastric bypass is superior to laparoscopic gastric banding for treatment of morbid obesity. Ann Surg. 2004;240:975–82.CrossRefGoogle Scholar
  12. 12.
    Biertho L, Steffen R, Branson R, et al. Management of failed adjustable gastric banding. Surgery. 2005;137:33–41.CrossRefGoogle Scholar
  13. 13.
    Zengin K, Sen B, Ozben V, et al. Detachment of the connecting tube from the port and migration into jejunal wall. Obes Surg. 2006;16:206–7.CrossRefGoogle Scholar
  14. 14.
    Hartmann J, Scharfenberg M, Paul M, et al. Intracolonic penetration of the laparoscopic adjustable gastric banding tube. Obes Surg. 2006;16:203–5.CrossRefGoogle Scholar
  15. 15.
    Gustavsson S, Westling A. Laparoscopic adjustable gastric banding: complications and side effects responsible for the poor long-term outcome. Semin Laparosc Surg. 2002;9:115–24.CrossRefGoogle Scholar
  16. 16.
    Vella M, Galloway DJ. Laparoscopic adjustable gastric banding for severe obesity. Obes Surg. 2003;13:642–8.CrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Abdulla Fakhro
    • 1
    Email author
  • James M. O’Riordan
    • 1
  • Leo P. Lawler
    • 2
  • P. Ronan O’Connell
    • 1
  1. 1.Department of SurgeryMater Misericordiae University HospitalDublin 7Ireland
  2. 2.Department of RadiologyMater Misericordiae University HospitalDublin 7Ireland

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