Alawad Maram, Abukhater Muhammad, Al-Mohaimeed Khalid
Department of Surgery, P.O Box 59046, King Fahad Medical City, Riyadh 11525, Saudi Arabia.
Int J Surg Case Rep. 2020;71:192-195. doi: 10.1016/j.ijscr.2020.04.087. Epub 2020 May 19.
The laparoscopic adjustable gastric band is the least invasive bariatric surgery, which has the advantage of preserving the anatomy of the gastrointestinal tract. In the last two decades, the laparoscopic adjustable gastric band (LAGB) has largely been replaced by other surgical techniques for weight loss because of its high inseparable complications. Although a popular surgical technique at the time of its introduction in 1993, LAGB nowadays reports for not more than 5.5% of all bariatric procedures. The estimated overall long term complication rates of LAGB are ranging from 0.1% to 28%.
In this report, we review one of the cases that are considered as an anecdotic event that might follow one of the bariatric procedures.
We reported a pregnant lady who undergoes gastric banding 12 years ago. presented with progressively increasing colicky epigastric pain, nausea, and vomiting. The investigations show gastric obstruction and perforation secondary to eroded gastric band and migration.
The management was completed by the elimination of the gastric band proceed with central gastrectomy plus gastro-gastrostomy with an excellent outcome for the patient and her baby.
This case highlights an absolutely rare serial complication, that may happen even when the patient presents with a vague complaint. Intraoperative findings can determine the way of management to achieve suitable results. Lastly; we encourage the young Women who underwent or planning for bariatric surgery to do a careful follow-up.
腹腔镜可调节胃束带术是侵入性最小的减肥手术，具有保留胃肠道解剖结构的优势。在过去二十年中，由于其不可分离的并发症发生率较高，腹腔镜可调节胃束带术（LAGB）在很大程度上已被其他减肥手术技术所取代。尽管LAGB在1993年引入时是一种流行的手术技术，但如今在所有减肥手术中所占比例不超过5.5%。LAGB的总体长期并发症发生率估计在0.1%至28%之间。
在本报告中，我们回顾了一例被视为减肥手术后可能发生的罕见事件的病例。
我们报告了一位12年前接受胃束带术的孕妇，她出现了逐渐加重的上腹部绞痛、恶心和呕吐。检查显示胃束带侵蚀和移位继发胃梗阻和穿孔。
通过取出胃束带并进行全胃切除术加胃胃吻合术完成了治疗，患者和她的宝宝均取得了良好的结果。
本病例突出了一种极为罕见的系列并发症，即使患者仅有模糊的症状时也可能发生。术中发现可确定治疗方法以取得合适的结果。最后，我们鼓励接受过或计划进行减肥手术的年轻女性进行仔细的随访观察。
