Anesth Pain Med.  2016 Oct;11(4):417-419. 10.17085/apm.2016.11.4.417.

Pulmonary aspiration during anesthetic induction in a patient with laparoscopic adjustable gastric band: A case report

• Nam SJ
• Chang H
• Kim SO
• Lee SY
• Kim JC

• KMID: 2358342
• DOI: http://doi.org/10.17085/apm.2016.11.4.417

Abstract

Recently, the number of laparoscopic adjustable gastric banding surgery is increasing as is the number of patients with morbid obesity rapidly. However, no anesthetic management including preoperative fasting strategy for patients with laparoscopic adjustable gastric banding exists. Hereby, we report a case of a 22-year-old woman with laparoscopic adjustable gastric banding who suffered pulmonary aspiration during the anesthetic induction for appendectomy, despite a preoperative fasting period longer than 14 h. This case strongly suggests that guidelines for anesthetic management including the appropriate fasting period for patients with laparoscopic adjustable gastric banding are desperately required.

Keyword

Aspiration pneumonia; Laparoscopic adjustable gastric banding; Patient safety

MeSH Terms

Appendectomy
Fasting
Female
Humans
Obesity, Morbid
Patient Safety
Pneumonia, Aspiration
Young Adult

Figure

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  Fig. 1 Dilatation of the distal esophagus on the preoperative computed tomography.

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  Fig. 2 Chest X-ray on arrival at the intensive care unit.

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