Cardiogastric Fistula as a Rare Complication After Gastric Banding and Hiatal Hernia Surgery
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Laparoscopic gastric banding (LGB) was one of the most popular procedures for treating obesity in the early 1990s, but now it represents less than 7% of all bariatric procedures varied out . Although it was used worldwide with acceptable results in terms of resolving weight loss and its comorbidities, most studies have shown that other techniques such as laparoscopic sleeve gastrectomy or laparoscopic Roux-en-Y gastric bypass produce superior results in most series studying the same factors [2, 3, 4, 5]. Moreover, LGB is not an innocuous procedure: it sometimes has severe complications.
Here, we present a case of a patient that was first operated in another hospital where he underwent a combined LGB and hiatal hernia repair surgery; 7 years later, he presented in our hospital with upper digestive-tract bleeding and 60% erosion of the band. Endoscopic band removal was not feasible, and so we opted for a hybrid approach of checking the defect with intraoperative...
Compliance with Ethical Standards
All ethical standards were met. No patient identity is revealed.
Conflict of Interest
The authors declare that they have no conflict of interest.
Informed consent does not apply for this study.
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