P-B03 Gastric Band Tubing Causing Small Bowel Obstruction

Abstract Background Laparoscopically adjustable gastric bands (LAGB) have been widely employed as a means of weight loss in bariatric surgery over the past two decades. Although now largely superseded by other surgical techniques, complications from continue to be encountered practice. We report an unusual case small bowel obstruction due internal hernia caused band tubing resulting closed loop obstruction. This is not commonly and emergency general surgeons need high index suspicion for this condition possible cause Methods A 40 year old male presented with abdominal pain, vomiting failure open bowels or pass flatus nine days. Twelve years previously (2008) he had Roux n Y bypass (RYGB), followed laparoscopic banding RYGB about later (2010) also private sector. He soft but distended abdomen, empty rectum on rectal examination. CT scan abdomen reported as: Multiple loops demonstrated. No air seen rectum, indicative pneumoperitoneum. There dilatation mid distal apparent transition point where noted associated inflation device band. appears centred tied around base mesentery may creating obstruction, having created hernia. patient resultant The underwent diagnostic laparoscopy ileo-caecal resection primary anastomosis. made successful recovery. Deflated remains in-situ. Results While most adhesions individuals who previous laparotomy, it important bear mind causes such hernias particularly cases those history bypass. Early intervention necessary reduce likelihood ischaemia resection. Laparoscopy useful tool management Keywords: band, loop, surgery, Conclusions Connection causing colonic erosion rare complication after banding: report. Liza BK Tan, Jimmy BY So, Asim Shabbir - J Med Case Reports. 2012; 6: 9. Acute connecting tube Federico Oppliger, M.D. Gonzalo Wiedmaier, Juan. Published April 07 2017. https://doi.org/10.1016/j.soard.2014.03.021 An recurrent tube. M Zappa, E Lattuada, Mozzi, Francese, I Antonini, S Radaelli, G Roviaro. Obes Surg . 2006 Jul;16(7):939-41. doi: 10.1381/096089206777822250 Total herniation through space between wall: emergency. Tarek Hashem, Soliman Soliman, Sherif Wagih 2. Int Rep. 2017;30:66-68. 10.1016/j.ijscr.2016.11.021. Epub 2016 Nov 17