Obes Surg. 2010 Feb;20(2):247-50. doi: 10.1007/s11695-009-9957-9. Epub 2009 Sep 1.
We describe the case of early band migration that developed into intraabdominal infection treated by natural orifice translumenal endoscopic surgery. A 40-year-old man was seen 4 years after gastric band placement. He complained of epigastric pain and fever. Gastroscopy revealed minimal gastric fundus erosion and a bulging of the antrum wall. Abdominal CT scan showed perigastric abscess surrounding the band tube. Antibiotic therapy was initiated, and endoscopic transgastric abscess drainage was performed. The endoscope was guided into the abscess cavity, and the band tubing was brought into the gastric lumen to serve as a stent to drain the infection, which ceased 5 days later. During the follow-up, the mucosa covering the band was incised in two more sessions to hasten the erosion process. Endoscopic removal was done 7 months after the drainage.
我们描述了一例早期的带迁移病例，该病例发展为经自然腔道内镜手术治疗的腹腔内感染。一名 40 岁男性在胃带放置 4 年后就诊。他主诉上腹痛和发热。胃镜检查显示胃底部有轻微的糜烂，窦壁隆起。腹部 CT 扫描显示胃周围脓肿环绕带管。开始使用抗生素治疗，并进行经胃内镜脓肿引流。内镜引导进入脓肿腔，将带管带入胃腔作为支架引流感染，5 天后感染停止。在随访中，又进行了两次切开带覆盖的黏膜以加速糜烂过程。引流后 7 个月进行了内镜下取出。
