Korean J Obes.
2014 Jun;23(2):131-135.
Pylephlebitis and Multiple Liver Abscesses Caused by Band Erosion Following Laparoscopic Adjustable Gastric Banding
- Affiliations
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- 1Division of Pulmonology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmcksc@catholic.ac.kr
- 2Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
- Laparoscopic adjustable gastric banding (LAGB) is a widely performed surgical procedure for the treatment of morbid obesity. Erosion of the gastric band is a rare late complication of LAGB. Among the patients with the complication, Pylephlebitis, or Septic thrombophlebitis of the portal vein, is an infrequent but life-threatening complication of abdominal septic events. The authors report the occurrence of pylephlebitis and multiple liver abscesses induced by a band erosion of an LAGB. The patient has been treated with broad-spectrum antibiotics. This case emphasizes the interest in further evaluation before removal and the requirement for early removal of the gastric band.
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