Intermittent obstructive jaundice following gastric band placement

Complications of laparoscopic adjustable gastric banding occur in 10 - 20% of patients. However, hepatobiliary complications of this procedure are very rare. We report a unique case of gastric band misplacement around the hepato-duodenal ligament. The patient developed obstructive jaundice several m...

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Bibliographic Details
Published inObesity surgery Vol. 17; no. 2; pp. 247 - 250
Main Authors Arkadopoulos, Nikolaos, Palamarou, Christina, Koureas, Andreas, Sechopoulos, Panagiotis, Marinis, Athanassios, Kostopanagiotou, Konstantinos, Kostopanagiotou, Constantinos, Dafnios, Nikolaos, Smyrniotis, Vassilios
Format Journal Article
LanguageEnglish
Published United States Springer Nature B.V 01.02.2007
Subjects
Adult
Gastrointestinal surgery
Gastroplasty - adverse effects
Humans
Jaundice
Jaundice, Obstructive - etiology
Laparoscopy
Male
Medical Errors - adverse effects
Obesity
Obesity, Morbid - surgery
Surgical outcomes
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Summary:Complications of laparoscopic adjustable gastric banding occur in 10 - 20% of patients. However, hepatobiliary complications of this procedure are very rare. We report a unique case of gastric band misplacement around the hepato-duodenal ligament. The patient developed obstructive jaundice several months after the gastric band placement and suffered recurrent episodes of obstructive jaundice and cholangitis that were initially erroneously attributed to fatty infiltration of the liver. Further diagnostic work-up demonstrated the presence of the gastric band in the hepatic hilum. Exploratory laparotomy confirmed the diagnosis, and the band was removed. Jaundice reversed and hepatic function was restored following removal of the occluding band.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-007-9029-y