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. 2004 Jun-Jul;14(6):796-7.
doi: 10.1381/0960892041590845.

Gastric bezoars after adjustable gastric banding

Anna Veronelli  1 , Roberto Ranieri, Marco Laneri, Marco Montorsi, Paolo Bianchi, Felice Cosentino, Michele Paganelli, Antonio E Pontiroli
Affiliations

Gastric bezoars after adjustable gastric banding

Anna Veronelli et al. Obes Surg. 2004 Jun-Jul.

Abstract

Background: Gastric bezoars may develop in the proximal pouch after gastric restriction.

Methods: Of 299 patients who underwent laparoscopic adjustable gastric banding (LAGB), 4 developed gastric bezoars at different intervals after surgery (24 days, 8 months, 18 months, and 6 years).

Results: Symptoms of high dysphagia and vomiting occurred in all 4 patients. Removal of the bezoars via endoscopy was uneventful, and all patients have maintained their gastric band. Patients were emphasized to avoid rapid intake of high-residue cellulose foods, and to achieve complete mastication. No bezoar has recurred in these patients at 7 to 75 months further follow-up.

Conclusion: Gastric bezoar should be considered after LAGB if the patient complains of persistent high fullness and vomiting.

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