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A First Case of Endoscopical Removal of an Eroded Adjustable Gastric Band in Croatia

Ivana Nikolac ; University of Zagreb, »Sestre Milosrdnice« University Hospital Centre, Department of Gastroenterology and hepatology, Interventional gastroenterology unit, Zagreb, Croatia
Marko Nikolić ; University of Zagreb, »Sestre Milosrdnice« University Hospital Centre, Department of Gastroenterology and hepatology, Interventional gastroenterology unit, Zagreb, Croatia
Vladimir Supanc ; University of Zagreb, »Sestre Milosrdnice« University Hospital Centre, Department of Gastroenterology and hepatology, Interventional gastroenterology unit, Zagreb, Croatia
Mateja Sabol ; Regional hospital Čakovec, Department of Internal medicine, Čakovec, Croatia
Ivan Kruljac ; University of Zagreb, »Sestre Milosrdnice« University Hospital Centre, Department of Endocrinology, diabetes and metabolic diseases »Mladen Sekso«, University of Zagreb Medical School, Zagreb, Croatia
Gorana Mirošević ; University of Zagreb, »Sestre Milosrdnice« University Hospital Centre, Department of Endocrinology, diabetes and metabolic diseases »Mladen Sekso«, University of Zagreb Medical School, Zagreb, Croatia
Milan Vrkljan ; University of Zagreb, »Sestre Milosrdnice« University Hospital Centre, Department of Endocrinology, diabetes and metabolic diseases »Mladen Sekso«, University of Zagreb Medical School, Zagreb, Croatia
Neven Ljubičić ; University of Zagreb, »Sestre Milosrdnice« University Hospital Centre, Department of Gastroenterology and hepatology, Interventional gastroenterology unit, Zagreb, Croatia
Borka Pezo Nikolić ; University Hospital Center Zagreb, Clinic for cardiovascular disease, Zagreb, Croatia
Miroslav Bekavac Bešlin ; University of Zagreb, »Sestre Milosrdnice« University Hospital Centre, Departmet of Abdominal surgery, Bariatric surgery unit, Zagreb, Croatia


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Abstract

Laparoscopic gastric banding (LAGB) is one of the most common surgical procedures in the treatment of morbid obesity since it provides good long-term outcomes in weight loss and decrease of comorbidities associated with obesity. Although the procedure has low morbidity and almost none-existing mortality, certain complications can occur. Erosion of the band into the gastric wall is one of the rare complications in LAGB. The reported incidence varies from 1% to 11%, however the largest study reported an incidence of 1,6%. This is in accordance with the incidence in our Centre for obesity, where only one case of erosion occurred among 112 operative procedures. The aim of this paper is to present a patient with gastric band erosion and it’s removal by using the endoscopic techniques as a minimally invasive management method.

Keywords

morbid obesity; bariatric surgery; complication; laparoscopic gastric banding; gastroscopy

Hrčak ID:

120923

URI

https://hrcak.srce.hr/120923

Publication date:

31.3.2014.

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