Obesity Surgery

, Volume 19, Issue 4, pp 531–533 | Cite as

A Rare Complication After Laparoscopic Gastric Banding: Connecting-Tube Penetration into the Hilus of the Kidney

  • R. SneijderEmail author
  • H. A. Cense
  • M. Hunfeld
  • R. S. Breederveld
Case Report


Laparoscopic adjustable gastric banding is a common operation for morbid obesity. Late complications mainly originate from either the injection port (dislocation, infection, leakage) or the gastric band (pouch dilatation, slippage, leakage, gastric erosion). Complications from the tube, connecting the port with the band, are rarely described. We report the penetration of a loose connecting tube into the kidney 8 months after removal of an infected injection port.


Gastric banding Complication Tubing Migration 


Open Access

This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.


  1. 1.
    Kuzmak LI. A review of seven years experience with silicone gastric banding. Obes Surg. 1991;1:403–8.CrossRefGoogle Scholar
  2. 2.
    Kuzmak LI, Thelmo W, Abramson DL, et al. Reversible adjustable gastric banding. Eur J Surg. 1994;160:571–96.Google Scholar
  3. 3.
    Weiner R, Wagner D, Bockhorn H. Laparoscopic gastric banding for morbid obesity. J Lap Adv Surg Techn. 1999;9:23–30.CrossRefGoogle Scholar
  4. 4.
    Doldi SB, Micheletto G, Lattuada E, et al. Adjustable gastric banding: 5-year experience. Obes Surg. 2000;10:171–3.CrossRefGoogle Scholar
  5. 5.
    Wolf AM, Kortner B, Kuhlmann HW. Results of bariatric surgery. Int J Obes Relat Metab Disord. 2001;25:S113–4.CrossRefGoogle Scholar
  6. 6.
    Coskun H, Bozbora A, Ogunc G, et al. Adjustable gastric banding in a multicenter study in Turkey. Obes Surg. 2003;13:294–6.CrossRefGoogle Scholar
  7. 7.
    Micheletto G, Roviaro G, Lattuada E, et al. Adjustable gastric banding for morbid obesity. Our experience. Ann Ital Chir. 2006;77:397–400.PubMedGoogle Scholar
  8. 8.
    Nocca D, Frering V, Gallix B, et al. Migration of adjustable gastric banding from a cohort study of 4,236 patients. Surg Endosc. 2005;19:947–50.CrossRefGoogle Scholar
  9. 9.
    Bueter M, Maroske J, Thalheimer A, et al. Short- and long-term results of laparoscopic gastric banding for morbid obesity. Langenbecks Arch Surg. 2008;393:199–205.CrossRefGoogle Scholar
  10. 10.
    Stroh C, Manger T. Komplikationen nach steuerbarem Gastric Banding. Chirurg 2006;77:244–50.CrossRefGoogle Scholar
  11. 11.
    Wiesner W, Weber M, Hauser RS, et al. Anterior versus posterior slippage: two different types of eccentric pouch dilatation in patients with adjustable laparoscopic gastric banding. Dig Surg. 2001;18:182–6.CrossRefGoogle Scholar
  12. 12.
    Wiener R, Wagner D, Blanco-Engert R, et al. Eine neue Technik zur laparoscopischen Platzierung des steuerbaren Magenbandes. (LAP-Band) zur Vermeidung eines Slippage. Chirurg 2002;71:1243–50.CrossRefGoogle Scholar
  13. 13.
    Wiener R, Blanco-Engert R, Wiener S, et al. Outcome after laparoscopic adjustable gastric banding—8 years experience. Obes Surg. 2003;13:427–34.CrossRefGoogle Scholar
  14. 14.
    Lattuada E, Zappa MA, Mozzi E, et al. Band erosion following gastric banding: how to treat it. Obes Surg. 2007;17:329–33.CrossRefGoogle Scholar
  15. 15.
    Lattuada E, Zappa MA, Mozzi E, et al. Histologic study of tissue reaction to the gastric band: does it contribute to the problem of band erosion? Obes Surg. 2006;16:1155–9.CrossRefGoogle Scholar
  16. 16.
    Bueter M, Thalheimer A, Meyer D, et al. Band erosion and passage, causing small bowel obstruction. Obes Surg. 2006;16:1679–82.CrossRefGoogle Scholar
  17. 17.
    Egbeare DM, Myers AF, Lawrance RJ. Small bowel obstruction secondary to intragastric erosion and migration of a gastric band. J Gastrointest Surg. 2007;12:983–4.CrossRefGoogle Scholar
  18. 18.
    Niville E, Dams A, Vlasselaers J. Lap-Band erosion: incidence and treatment. Obes Surg. 2001;11:744–7.CrossRefGoogle Scholar
  19. 19.
    Daetweiler S, Adamina M, Schöb O. Intractable abdominal pain following laparoscopic adjustable gastric banding. Obes Surg. 2005;15:1341–3.CrossRefGoogle Scholar
  20. 20.
    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
  21. 21.
    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
  22. 22.
    Bell BJ, Myers KM, Bour ES. Intracolonic tubing migration: an unusual complication of the silastic adjustable gastric band (LapBand). Surg Obes Relat Dis. 2007;3:486–7.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2008

Open AccessThis is an open access article distributed under the terms of the Creative Commons Attribution Noncommercial License (, which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

Authors and Affiliations

  • R. Sneijder
    • 1
    Email author
  • H. A. Cense
    • 1
  • M. Hunfeld
    • 1
  • R. S. Breederveld
    • 1
  1. 1.Department of SurgeryRed Cross HospitalBeverwijkThe Netherlands

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