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Learning from errors
CASE REPORT
Unique complication of laparoscopic adjustable gastric band? A misplaced band encircling the abdominal aorta
  1. Mohamed Sahloul1,
  2. Douglas Bowley1,2 and
  3. Martin Richardson1
  1. 1 General surgery, Heart of England NHS Foundation Trust, Birmingham, UK
  2. 2 Royal Centre for Defence Medicine, Birmingham, UK
  1. Correspondence to Mr Mohamed Sahloul, mohammadsahloul{at}live.com

Abstract

In the recent past, laparoscopic adjustable gastric bands (LAGBs) have been used extensively in bariatric surgery. Despite questionable long-term efficacy, they are generally safe and reversible. We report a possibly unique presentation of a potential hazard of the insertion technique; a misplaced LAGB encircling the abdominal aorta, which was confirmed radiologically and on operative removal of the gastric band. This is a dramatic complication of LAGB, representing an important anatomical hazard for gastric band insertion.

  • general surgery
  • obesity (nutrition)

https://doi.org/10.1136/bcr-2018-228082

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    Footnotes

    • Contributors MS was responsible for the idea, writing a draft for the case report and reviewing literature.DB and MR were responsible for reviewing and editing the manuscript and also patient management and follow-up. MS and MR were involved in the operation.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.