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Band Erosion: Surgical and Endoscopic Management

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Bariatric Surgery Complications and Emergencies

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Abstract

Erosions of adjustable gastric bands have become uncommon. The presentation of an erosion is insidious with a clinical course characterized by weight gain and loss of restriction and rarely by significant hematemesis. Upper endoscopy is the preferred diagnostic tool. Surgical explantation remains the preferred option with endoscopic explantation in selected patients. Staged band replacement allows resumption of weight loss with a low risk of re-erosion, while conversion to sleeve gastrectomy or gastric bypass results in effective weight loss. A staged approach may improve morbidity associated with the latter options.

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Authors and Affiliations

  1. Department of Surgery, Mount Sinai Beth Israel, Baird Hall, Suite 16BH40, New York, NY, 10003, USA

    Paul Thodiyil MD, FRCS, FACS & Petros Benias MD

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  1. Paul Thodiyil MD, FRCS, FACS
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  2. Petros Benias MD
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Correspondence to Paul Thodiyil MD, FRCS, FACS .

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Editors and Affiliations

  1. Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA

    Daniel M. Herron

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© 2016 Springer International Publishing Switzerland

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Thodiyil, P., Benias, P. (2016). Band Erosion: Surgical and Endoscopic Management. In: Herron, D. (eds) Bariatric Surgery Complications and Emergencies. Springer, Cham. https://doi.org/10.1007/978-3-319-27114-9_17

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  • DOI: https://doi.org/10.1007/978-3-319-27114-9_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27112-5

  • Online ISBN: 978-3-319-27114-9

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