Band erosion: Surgical and endoscopic management

Paul Thodiyil, Petros Benias

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

1 Scopus citations

Abstract

Erosions of adjustable gastric bands have become uncommon. The presentation of an erosion is insidious with a clinical course characterized by weight gain and loss of restriction and rarely by significant hematemesis. Upper endoscopy is the preferred diagnostic tool. Surgical explantation remains the preferred option with endoscopic explantation in selected patients. Staged band replacement allows resumption of weight loss with a low risk of re-erosion, while conversion to sleeve gastrectomy or gastric bypass results in effective weight loss. A staged approach may improve morbidity associated with the latter options.

Original languageEnglish
Title of host publicationBariatric Surgery Complications and Emergencies
PublisherSpringer International Publishing
Pages215-222
Number of pages8
ISBN (Electronic)9783319271149
ISBN (Print)9783319271125
DOIs
StatePublished - 1 Jan 2016
Externally publishedYes

Keywords

  • Adjustable gastric band
  • Erosion
  • Obesity
  • Roux-en-Y gastric bypass
  • Sleeve gastrectomy
  • Surgery

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