Cardiogastric Fistula as a Rare Complication After Gastric Banding and Hiatal Hernia Surgery

  • Raquel Alfonso BallesterEmail author
  • Mari Carmen Fernández Moreno
  • María Lapeña Rodríguez
  • Rosa Martí Fernández
  • José Villegas Morera
  • Norberto Cassinello Fernández
  • Joaquín Ortega Serrano
Letter to the Editor


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 [1]. 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

Informed consent does not apply for this study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Raquel Alfonso Ballester
    • 1
    Email author
  • Mari Carmen Fernández Moreno
    • 1
  • María Lapeña Rodríguez
    • 1
  • Rosa Martí Fernández
    • 1
  • José Villegas Morera
    • 2
  • Norberto Cassinello Fernández
    • 1
  • Joaquín Ortega Serrano
    • 1
  1. 1.General Surgery Department, Endocrine Surgery DivisionClinic and University Hospital ValenciaValenciaSpain
  2. 2.General Surgery Department, Esofagogastric Surgery DivisionHospital MexicoSan JoséCosta Rica

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