Chousleb Elias, Szomstein Samuel, Lomenzo Emanuele, Higa Guillermo, Podkameni David, Soto Flavia, Zundel Natan, Rosenthal Raul
Department of Minimally Invasive Surgery and The Bariatric Institute, Cleveland Clinic Florida, Weston, Florida 33331, USA.
Surg Laparosc Endosc Percutan Tech. 2005 Feb;15(1):24-7. doi: 10.1097/01.sle.0000148471.59299.26.
Laparoscopic gastric banding is a popular method for treating morbid obesity. One of the most serious complications is band erosion into the gastric lumen. We present the case of a patient who underwent gastric banding and presented with symptoms of gastrointestinal reflux and mild-to-moderate hypertension, fever, and pain. UGI revealed stomach wall erosion and partial migration of the band into the gastric lumen. The band was laparoscopically removed without any further complications. Migration after laparoscopic gastric banding must be immediately addressed to prevent infection. Close monitoring of the band location during adjustments as well as a high index of suspicion is necessary.
腹腔镜胃束带术是治疗病态肥胖的一种常用方法。最严重的并发症之一是束带侵蚀进入胃腔。我们报告一例接受胃束带术的患者，出现胃肠道反流症状以及轻至中度高血压、发热和疼痛。上消化道造影显示胃壁侵蚀和束带部分移入胃腔。通过腹腔镜将束带取出，未出现任何进一步的并发症。腹腔镜胃束带术后的移位必须立即处理以预防感染。在调整过程中密切监测束带位置以及保持高度警惕是必要的。
