Costa, JM

Costa, S

Gonçalves, B

Gonçalves, R

Machado, A

English

Institutional repository of Hospital de Braga

338Revista Científica da Ordem dos Médicos          www.actamedicaportuguesa.com                                                                                                                IMAGENS MÉDICAS1. Gastroenterology Department. Hospital de Braga. Braga. Portugal.2. Surgery Department. Hospital de Braga. Braga. Portugal. Autor correspondente: Samuel Costa. samuelcosta@hotmail.comRecebido: 22 de janeiro de 2016 - Aceite: 03 de outubro de 2016 | Copyright © Ordem dos Médicos 2017Intragastric Penetration of the Connecting Tube After Laparoscopic Adjustable Gastric BandingPenetração Intra-Gástrica do Tubo Conector de Banda Gástrica Colocada por Via LaparoscópicaSamuel COSTA1, Artur MACHADO1, Bruno GONÇALVES1, José Maia da COSTA2, Raquel GONÇALVES1Acta Med Port 2017 Apr;30(4):338-338  ▪  https://doi.org/10.20344/amp.7434 A 37-years-old woman with obesity grade II, hypertension and dyslipidemia was submitted to laparoscopic adjustable gastric banding (LAGB) in 2009. In 2013, because of a port site infection, the port was removed. Three months later she went to the emergency department for epigastric pain and vomiting. The abdominal computed tomography scan showed gastric distention with liquid/air and the esophagogastroduodenoscopy gastric band and connecting    Keywords: Gastroplasty; Laparoscopy; Postoperative Complications   Palavras-chave: Complicações Pós-Operatórias; Gastroplastia; Laparoscopia Figure 1 - Esophagogastroduodenoscopy Figure 2 - Gastric band and connecting tubeREFERENCES1. Westling A, Bjurling K, Ohrvall M, Gustavsson S. Silicone adjustable gastric banding: disappointing results. Obes Surg. 1998;8:467-74.2. Dogan ÜB, Akin MS, Yalaki S, Akova A, Yilmaz C. Endoscopic management of gastric band erosions: a 7-year series of 14 patients. Can J Surg. 2014;57:106-11.3. Neto MP, Ramos AC, Campos JM, Murakami AH, Falcão M, Moura EH, et al. Endoscopic removal of eroded adjustable gastric band: lessons learned after 5 years and 78 cases. Surg Obes Relat Dis. 2010;6:423-7.tube migration (Fig. 1). Long-term complications resulted in a decrease of LAGB popularity. Migration of the gastric band occurs in up to 11%.1 To the best of our knowledge this is the first case of connecting tube migration into the gastric antrum. We achieved endoscopic removal of the band and connecting tube without complications (Fig. 2). There is only one report of connecting tube migration to the gastric fundus and was managed surgically.2 The endoscopic removal of migrated gastric bands is a feasible (85% success rate), low complications (5.8%: mainly symptomatic pneumoperitoneum) procedure.3

Penetração Intra-Gástrica do Tubo Conector de Banda Gástrica Colocada por Via Laparoscópica

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Penetração Intra-Gástrica do Tubo Conector de Banda Gástrica Colocada por Via Laparoscópica

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