Minimally Invasive Endogastric Removal of Migrated Gastric Band After Endoscopic Failure: How I Do It


Intragastric band migration is a rare and late complication of laparoscopic -adjustable gastric banding and should be recognized by all digestive surgeons. Endoscopic removal is most commonly performed, but surgery is an alternative in cases of endoscopic failure. Many different procedures have been reported. We show here (see Video) a fully laparoscopic endogastric procedure through two 5-mm antral gastrotomies. This technique can also be used to remove benign endogastric tumors. The procedure is safe and provides a large endogastric operative area, with no particular morbidity. Endogastric removal through a fully laparoscopic approach should be considered as the first alternative to endoscopic approach.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2


  1. 1.

    Cherian PT, Goussous G, Ashori F, et al. Band erosion after laparoscopic gastric banding: a retrospective analysis of 865 patients over 5 years. Surg Endocr. 2010;24(8):2031–8.

    CAS  Article  Google Scholar 

  2. 2.

    Egberts K, Brown WA, O’Brien PE. Systematic review of erosion after laparoscopic adjustable gastric banding. Obes Surg. 2011;21(8):1272–9.

    PubMed  Article  Google Scholar 

  3. 3.

    Mittermair RP, Weiss H, Nehoda H, et al. Uncommon intragastric migration of the Swedish adjustable gastric band. Obes Surg. 2002;12:372–5.

    PubMed  Article  Google Scholar 

  4. 4.

    Coelho JCU, Solhaug JH, Moody FG, et al. Experimental evaluation of gastric banding for treatment of morbid obesity in pigs. Am J Surg. 1985;149:228–31.

    CAS  PubMed  Article  Google Scholar 

  5. 5.

    Keidar A, Carmon E, Szould A, et al. Port complications following laparoscopic adjustable gastric banding for morbid obesity. Obes Surg. 2005;15:361–5.

    PubMed  Article  Google Scholar 

  6. 6.

    Galvao Neto MP, Ramos AC, Campos JM, et al. Endoscopic removal of eroded adjustable gastric band: lessons learned after 5 years and 78 cases. Surg Obes Relat Dis. 2010;6:423–8.

    Article  Google Scholar 

  7. 7.

    Regusci L, Groebli Y, Meyer JL, et al. Gastroscopic removal of an adjustable gastric band after partial intragastric migration. Obes Surg. 2003;13:281–4.

    CAS  PubMed  Article  Google Scholar 

  8. 8.

    Basa NR, Dutson E, Lewis C, et al. Laparoscopic transgastric removal of eroded adjustable band: a novel approach. Surg Obes Relat Dis. 2008;4:194–7.

    PubMed  Article  Google Scholar 

  9. 9.

    Appresai O, Murr M. Laparoscopic removal of eroded laparoscopic adjustable gastric band. Surg Obes Relat Dis. 2011;7:776–7.

    PubMed  Article  Google Scholar 

  10. 10.

    Cherian PT, Goussous G, Sigurdsson A. Management of band erosion with omental plugging: case series from a 5-year laparoscopic gastric banding experience. Obes Surg. 2009;19(10):1409–13.

    PubMed  Article  Google Scholar 

Download references


Alexandre Doussot has no conflict of interest to declare.

Matthieu Poussier has no conflict of interest to declare.

Christophe Combier has no conflict of interest to declare.

Universe Leung has no conflict of interest to declare.

Mathilde David has no conflict of interest to declare.

Jean Louis Jouve has no conflict of interest to declare.

Olivier Facy has no conflict of interest to declare.

Author information



Corresponding author

Correspondence to A. Doussot.

Electronic supplementary material

Below is the link to the electronic supplementary material.

(MP4 10289 kb)

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Doussot, A., Poussier, M., Combier, C. et al. Minimally Invasive Endogastric Removal of Migrated Gastric Band After Endoscopic Failure: How I Do It. OBES SURG 24, 958–960 (2014).

Download citation


  • Gastric band migration
  • Endogastric removal
  • Minimally invasive surgery