Intragastric Migration of Gastric Band Diagnosed During Surgery: A Case Report and Literature

• Published in: Haseki tıp bülteni Vol. 56; no. 4; pp. 341 - 345
• Main Authors: Uluşahin, Mehmet, Yıldırım, Reyyan, Tomas, Kadir, Bodur, Muhammed Selim, Tayar, Serkan, Türkyılmaz, Serdar, Güner, Ali
• Format: Journal Article
• Language: English; Turkish
• Published: Istanbul Haseki Eğitim ve Araştırma Hastanesi 01.12.2018; Galenos Publishing House; Galenos Yayinevi
• Subjects: bariatric surgery; Body mass index; Case reports; complication; Endoscopy; Fistula; Gastrointestinal surgery; Intragastric band migration; Laparoscopy; Methods; Obesity; obesity surgery; Pain; Patients; Sağlık Hizmetleri; Stomach; Surgeons; Surgical techniques; Tıp; Vitamin deficiency; Weight control; İstanbul; Türkiye; complication; obezite cerrahisi; bariatric surgery; İntragastrik band migrasyonu; obesity surgery; bariatrik cerrahi; Intragastric band migration; komplikasyon
• ISSN: 1302-0072; 2147-2688
• DOI: 10.4274/haseki.4015

Intragastric band migration (IGBM) is one of the major complications of gastric banding. In this report, we aimed to present a case of IGBM, which was diagnosed intraoperatively, and to review the relevant literature. A 59-year-old male patient was admitted to our outpatient clinic due to epigastric pain persisting for the past three months. The patient had a history of gastric banding surgery owing to obesity with open surgery nine years ago. Postoperative follow-up was not done properly and the patient had started to gain weight in the third postoperative year. Incisional hernia was found in physical examination and operation for gastric band removal and hernia repair was planned. During surgery, the band could not be found around the stomach, therefore, gastroscopy was performed and it was found that the majority of the band was placed in the stomach. The patient was intraoperatively diagnosed with IGBM and the band was removed through gastrotomy, and hernia repair was performed. The patient was discharged at postoperative 6th day without any complication. Although IGBM is rarely seen, it should be considered as a long-term complication in cases with dysfunctional gastric band and in patients who started to gain weight after operation. Treatment is the removal of the band review.