Wong Vincent, Choi Catherine, Qiu He, Kaye Alexander, Wang Weizheng
Internal Medicine/Pediatrics, Rutgers University New Jersey Medical School, Newark, USA.
Gastroenterology and Hepatology, Rutgers University, Newark, USA.
Cureus. 2022 Jun 3;14(6):e25636. doi: 10.7759/cureus.25636. eCollection 2022 Jun.
Laparoscopic gastric banding has been favored for the treatment of morbid obesity because it is minimally invasive, effective, and reversible. One of the complications is gastric band erosion which can cause abdominal pain, hematemesis, and hematochezia. Erosions can be partial and can lead to intra-abdominal free air, peritonitis, and sepsis. Endoscopic removal of the gastric band can be done safely and effectively using a wire and a mechanical lithotripter. We describe a patient with a rare case of an incidental near-complete gastric band erosion without perforation and subsequent endoscopic removal.
腹腔镜胃束带术因微创、有效且可逆,一直是治疗病态肥胖的首选方法。其并发症之一是胃束带侵蚀,可导致腹痛、呕血和便血。侵蚀可能是部分性的,可导致腹腔内游离气体、腹膜炎和败血症。使用钢丝和机械碎石器可安全有效地在内镜下取出胃束带。我们描述了一例罕见病例,患者偶然发生近乎完全的胃束带侵蚀但未穿孔,随后接受了内镜下取出术。