Clin Endosc.  2016 May;49(3):294-297. 10.5946/ce.2016.001.

Asymptomatic Gastric Band Erosion Detected during Routine Gastroduodenoscopy

• Yun GY
• Kim WS
• Kim HJ
• Kang SH
• Moon HS
• Sung JK
• Jeong HY

• KMID: 2165025
• DOI: http://doi.org/10.5946/ce.2016.001

Abstract

The incidence of gastric band erosion has decreased to 1%. Gastric band erosion can manifest with various clinical symptoms, although some patients remain asymptomatic. We present a case of a mostly asymptomatic patient who was diagnosed with gastric band erosion during a routine health check-up. A 32-year-old man without any underlying diseases except for non-alcoholic fatty liver underwent laparoscopic adjustable gastric band surgery in 2010. He had no significant complications postoperatively. He underwent routine health check-ups with near-normal gastroduodenoscopic findings through 2014. However, in 2015, routine gastroduodenoscopy showed that the gastric band had eroded into the stomach. His gastric band was removed laparoscopically, and the remaining gastric ulcer perforation was repaired using an omental patch. Due to the early diagnosis, the infection was not serious. The patient was discharged on postoperative day 3 with oral antibiotics. This patient was fortunately diagnosed early by virtue of a routine health check-up; thus, eliminating the possibility of serious complications.

Keyword

Laparoscopic gastric band; Band erosion; Obesity, morbid; Bariatric surgery

MeSH Terms

Adult
Anti-Bacterial Agents
Bariatric Surgery
Cytochrome P-450 CYP1A1
Early Diagnosis
Fatty Liver
Humans
Incidence
Obesity, Morbid
Stomach
Stomach Ulcer
Virtues
Anti-Bacterial Agents
Cytochrome P-450 CYP1A1

Figure

• 

  Fig. 1. Endoscopic finding in the fundus area during routine gastroduodenoscopy. (A) Three years ago, routine gastroduodenoscopy shows an intact gastric mucosa. (B) One year ago, routine gastroduodenoscopy shows an intact gastric mucosa. (C) Recently, routine gastroduodenoscopy shows that the gastric band had eroded into the stomach with gastric ulcer perforation.

• 

  Fig. 2. Abdominal and pelvic computed tomography for a routine health-check up in 2015. (A) Axial view, the gastric band partially eroded into the gastric lumen. The arrow shows that the gastric band caused gastric perforation. (B) Sagittal view, the eroded band is shown in the gastric lumen with gastric perforation.

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