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Laparoscopic removal of gastric band after laparoscopic gastric bypass and following placement of adjustable gastric band.

Lanaia A, Zizzo M, Cartelli CM, Fumagalli M, Bonilauri S - J Surg Case Rep (2015)

Bottom Line: According to some series, banded gastric bypass is safe and feasible.We describe the case of a 42-year-old woman undergoing laparoscopic gastric bypass in 2008.Five months later, patient showed anorexia and signs of malnutrition.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of General Surgery, S.C. General and Emergency Surgery, Arcispedale Santa Maria NuovaI, IRCCS, Reggio Emilia, Italy andrealn1@yahoo.it.

No MeSH data available.


Related in: MedlinePlus

Water-soluble contrast shows a thin liquid passage downstream of the ring and marked gastric pouch distension.
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RJV095F2: Water-soluble contrast shows a thin liquid passage downstream of the ring and marked gastric pouch distension.

Mentions: On the first day of admission, gastric banding was completely deflated. Rx abdomen showed posterior slippage of the ring (Fig. 1). Subsequently, the patient underwent rehydration therapy, 20-day total parenteral nutrition and infusion of human albumin. During that period, we examined her upper digestive tract with oral water-soluble contrast (Fig. 2) with the result of a thin liquid passage downstream of the ring and marked gastric pouch distension. Esofagogastroscopy was performed, which was negative for erosion or gastric perforation; however, it revealed a 1-cm-diameter passage through the gastric band. Despite an improvement in symptoms with partial resumption of semi-liquid intake, the patient continued to experience nausea and vomiting. For this reason, she underwent laparoscopic removal of gastric banding. In the operating room, she was placed in the lithotomy position; we placed a 10-mm optical trocar in supraumbilical region, a 5-mm one in the right upper quadrant and a 10-mm one in left upper quadrant near the subcutaneous tank. After lysis of adhesions between liver and stomach, the intraoperative picture showed a banding displacement, confirming posterior slippage of the banding and its sliding back to the level of previous gastro-jejunal anastomosis. Ascitic effusion due to dysproteinemia was reported. A methylene blue test showed no gastric perforation. After this procedure, the patient started to resume liquid intake in the first postoperative day and food intake in the second postoperative day, with complete resolution of vomiting and nausea. Then, she was discharged with the advice of an appropriate diet and invited to attend a recall visit 10 days later. In subsequent follow-up, the complete resolution of clinical symptoms was confirmed together with an improvement of the biohumoral picture.Figure 1:


Laparoscopic removal of gastric band after laparoscopic gastric bypass and following placement of adjustable gastric band.

Lanaia A, Zizzo M, Cartelli CM, Fumagalli M, Bonilauri S - J Surg Case Rep (2015)

Water-soluble contrast shows a thin liquid passage downstream of the ring and marked gastric pouch distension.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4522052&req=5

RJV095F2: Water-soluble contrast shows a thin liquid passage downstream of the ring and marked gastric pouch distension.
Mentions: On the first day of admission, gastric banding was completely deflated. Rx abdomen showed posterior slippage of the ring (Fig. 1). Subsequently, the patient underwent rehydration therapy, 20-day total parenteral nutrition and infusion of human albumin. During that period, we examined her upper digestive tract with oral water-soluble contrast (Fig. 2) with the result of a thin liquid passage downstream of the ring and marked gastric pouch distension. Esofagogastroscopy was performed, which was negative for erosion or gastric perforation; however, it revealed a 1-cm-diameter passage through the gastric band. Despite an improvement in symptoms with partial resumption of semi-liquid intake, the patient continued to experience nausea and vomiting. For this reason, she underwent laparoscopic removal of gastric banding. In the operating room, she was placed in the lithotomy position; we placed a 10-mm optical trocar in supraumbilical region, a 5-mm one in the right upper quadrant and a 10-mm one in left upper quadrant near the subcutaneous tank. After lysis of adhesions between liver and stomach, the intraoperative picture showed a banding displacement, confirming posterior slippage of the banding and its sliding back to the level of previous gastro-jejunal anastomosis. Ascitic effusion due to dysproteinemia was reported. A methylene blue test showed no gastric perforation. After this procedure, the patient started to resume liquid intake in the first postoperative day and food intake in the second postoperative day, with complete resolution of vomiting and nausea. Then, she was discharged with the advice of an appropriate diet and invited to attend a recall visit 10 days later. In subsequent follow-up, the complete resolution of clinical symptoms was confirmed together with an improvement of the biohumoral picture.Figure 1:

Bottom Line: According to some series, banded gastric bypass is safe and feasible.We describe the case of a 42-year-old woman undergoing laparoscopic gastric bypass in 2008.Five months later, patient showed anorexia and signs of malnutrition.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of General Surgery, S.C. General and Emergency Surgery, Arcispedale Santa Maria NuovaI, IRCCS, Reggio Emilia, Italy andrealn1@yahoo.it.

No MeSH data available.


Related in: MedlinePlus