Department of Forensic Medicine and Toxicology, Medical School, University of Ioannina, 451 10 Ioannina, Greece.
Diagn Pathol. 2010 Oct 11;5:68. doi: 10.1186/1746-1596-5-68.
We report a case of a rare complication of laparoscopic adjustable gastric banding (LAGB) as a cause of death in the immediate post-operative period. The number of relevant reports and postmortem images presented in the literature is extremely restricted. Gastric necrosis may constitute a cause of death after LAGB in the early post-operative period. Postmortem examination reveals the extension of gastric ischemia and necrosis, responsible for the lethal outcome. To date, only one case of gastric necrosis after LAGB in the immediate post-operative period leading to death has been reported, according to authors' knowledge. The diagnosis of this complication may be delayed on the grounds of its rarity. In our opinion, surgeons should be aware of the clinical state implying gastric ischemia early after LAGB, so as to recognize and, in turn, to treat it promptly.
我们报告了一例腹腔镜可调节胃束带术（LAGB）术后即刻罕见并发症导致死亡的病例。文献中相关报道和尸检图像的数量极其有限。胃坏死可能是 LAGB 术后早期死亡的原因。尸检显示胃缺血和坏死的范围扩大，导致了致命的后果。据作者所知，目前仅报道了一例 LAGB 术后即刻发生胃坏死导致死亡的病例。由于这种并发症罕见，其诊断可能会被延迟。我们认为，外科医生应该意识到 LAGB 后早期存在胃缺血的临床状态，以便及时识别和治疗。
