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Obesity Surgery

, Volume 27, Issue 7, pp 1804–1808 | Cite as

Endoscopic Management of Eroded Bands Following Banded-Gastric Bypass (with Video)

  • Hany ShehabEmail author
  • Khaled Gawdat
Original Contributions

Abstract

Background

Banded-gastric bypass is a highly effective bariatric procedure, yet the possibility of band erosion remains a significant drawback. Surgical removal of eroded bands may be associated with significant morbidity. In this study, we assess the efficacy and safety of a solely peroral endoscopic approach for the management of eroded bands in patients with a banded-gastric bypass.

Materials and Methods

Starting January 2012, all patients with banded-gastric bypass and an eroded band were subjected to an attempt at peroral endoscopic removal using endoscopic scissors and/or argon plasma coagulation (APC), regardless of the circumference of band eroding inside the lumen.

Results

Sixteen patients presented with eroded bands, 2 were deemed not amenable to endoscopic removal as only part of the thickness was eroded. Of the 14 patients where endoscopic attempts were performed, 12 (86%) were completely removed successfully, while 2 (14%) were cut but could not be extracted and only the intraluminal portion was trimmed. Complete resolution of symptoms occurred in 13 (93%) while in 1 patient (7%) there was partial improvement. Only one endoscopic session was performed per patient with a median time of 37.5 min per session (22–55 min). No complications were encountered.

Conclusion

Endoscopic removal of eroded gastric bands in patients with banded-gastric bypass is effective and safe in the majority of patients. When bands are adherent to the gastric wall, removal of the intraluminal portion of the band may lead to full or partial improvement of symptoms. Endoscopic band removal can be attempted even when a small part of band circumference has eroded.

Keywords

Obesity Band erosion Eroded band Ring erosion Gastric bypass Surgery complications Banded–gastric bypass Endoscopic Bariatric 

Notes

Compliance with Ethical Standards

All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of Interest

The authors declare that they have no conflicts of interest.

Supplementary material

ESM 1

(mp4 117 mb)

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Gastroenterology DepartmentCairo University HospitalCairoEgypt
  2. 2.Gastrointestinal Endoscopy UnitAirforce Specialized HospitalCairoEgypt
  3. 3.General and Bariatric Surgery DepartmentAin Shams UniversityCairoEgypt

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