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Case Reports
. 2018 Nov 13;2018(11):rjy306.
doi: 10.1093/jscr/rjy306. eCollection 2018 Nov.

A nutrition problem solved by a two-step endoscopic removal of a non-adjustable gastric band

Christer D Johansen  1 , Jan Norum  1   2 , Bernt E Engebretsen  1   2 , Uwe Agledahl  1
Affiliations
Case Reports

A nutrition problem solved by a two-step endoscopic removal of a non-adjustable gastric band

Christer D Johansen et al. J Surg Case Rep. .

Abstract

Bariatric surgery is an effective approach for weight loss and short-term improvement in metabolic disorders. Stenosis is a common complication of gastric banding. Balloon dilatation or gastrotomy has been employed in this setting. Few studies have indicated endoscopic removal of the band a feasible procedure. We present a 60-year-old female who underwent gastric banding in 1985 and suffered from late stenosis and malnutrition. Endoscopy revealed a severe stenosis. A two-step procedure was performed. Initially a coated stent was placed into the stenosis to achieve pressure necrosis. Two weeks later, the stent was removed and the band was removed endoscopically. The procedure was performed without any complications. The patient was discharged the next day. A follow-up after 2 months revealed no problems with stenosis or malnutrition. The procedure was a safe, efficient and convenient way of handling late stenosis after gastric banding.

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Figures

Figure 1:
Figure 1:
An X-ray of the stomach with gastric banding and a stenosis. Barium has been administered.
Figure 2:
Figure 2:
The figure illustrates the inserted stent. (a) The gastric stent in position in the stenosis and (b) the available gastric band due to tissue necrosis.
See this image and copyright information in PMC

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