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Reminder of important clinical lesson
CASE REPORT
Migration of eroded laparoscopic adjustable gastric band causing small bowel obstruction and perforation
  1. Ashvini Abeysekera, Surgical intern,
  2. Jerry Lee, Surgical Registrar,
  3. Simon Ghosh, Bariatric Fellow,
  4. Craig Hacking
  1. Department of General Surgery, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia
  1. Correspondence to Dr Jerry Lee, leedjerry{at}gmail.com

Summary

We present an unusual and rare complication caused by gastric band erosion into the stomach after band placement 15 years ago. The complication was only picked up after the band had subsequently migrated from the stomach at the site of erosion, to the distal ileum causing acute small bowel obstruction and focal perforation requiring emergency laparotomy.

Abdominal pain in patients with gastric band should always be treated as serious until proven otherwise.

  • General surgery
  • Gastrointestinal surgery

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/bcr-2017-219954

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    Footnotes

    • Contributors Dr George Hopkins is a Consultant Bariatric Surgeon at the Royal Brisbane Hospital. AA is the intern who has drafted the report. JL is the surgical registrar and main editor. SG is the bariatric surgical fellow for Dr George Hopkins and has provided supervision for the write up. CH is the radiology consultant who has reported on patient's radiological imaging during admission, edited the article and written the radiological/investigation part of the case report.

    • Competing interests None declared.

    • Patient consent Obtained.

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