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 language | English |
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Title of host publication | Bariatric Surgery Complications and Emergencies |
Publisher | Springer International Publishing |
Pages | 215-222 |
Number of pages | 8 |
ISBN (Electronic) | 9783319271149 |
ISBN (Print) | 9783319271125 |
DOIs | |
State | Published - 1 Jan 2016 |
Externally published | Yes |
Keywords
- Adjustable gastric band
- Erosion
- Obesity
- Roux-en-Y gastric bypass
- Sleeve gastrectomy
- Surgery