Internal hernia secondary to laparoscopic adjustable gastric band connecting tube loop

Francisco Girão de Caires; Mafalda Nunes; Priscila Flores; Carolina Carvalhinha; António G. Caires; Rita Loureiro

doi:10.18203/2349-2902.isj20250146

Authors

Francisco Girão de Caires Department of General Surgery, Unidade Local de Saúde do Oeste, Caldas da Rainha, Portugal
Mafalda Nunes Department of General Surgery, Unidade Local de Saúde do Oeste, Caldas da Rainha, Portugal
Priscila Flores Department of Intensive Care Medicine, Unidade Local de Saúde do Médio Tejo, Abrantes, Portugal
Carolina Carvalhinha Department of Internal Medicine, Hospital Dr. Nélio Mendonça, Funchal, Portugal
António G. Caires Department of General Surgery, Hospital Dr. Nélio Mendonça, Funchal, Portugal
Rita Loureiro Department of General Surgery, Unidade Local de Saúde do Oeste, Caldas da Rainha, Portugal

DOI:

https://doi.org/10.18203/2349-2902.isj20250146

Keywords:

Obesity surgery, Bariatric surgery, Gastric banding, Complications, Emergency surgery, Small bowel obstruction, Internal hernia

Abstract

Laparoscopic adjustable gastric banding (LAGB) has been a widely used surgical technique for the management of morbid obesity. This report presents the case of a 70-year-old woman who developed small bowel obstruction (SBO) due to an incarcerated internal hernia, a rare complication of LAGB, caused by the connecting tube. The condition was successfully managed with urgent laparoscopy. As the use of LAGB continues to decline worldwide, such complications may become even rarer.

Metrics

Metrics Loading ...

References

Catel L, Lefevre F, Lauren V, et al. Small bowel obstruction from adhesions: which CT severity criteria to research? J Radiol. 2003;84:27–31.

Furbetta N, Cervelli R, Furbetta F. Laparoscopic adjustable gastric banding: the past, the present, and the future. Ann Transl Med. 2020;8:117. DOI: https://doi.org/10.21037/atm.2019.09.17

Smith MD, Patterson E, Wahed AS, et al. Thirty-day mortality after bariatric surgery: independently adjudicated causes of death in the longitudinal assessment of bariatric surgery. Obes Surg. 2011;21:1687-92. DOI: https://doi.org/10.1007/s11695-011-0497-8

Campbell NA, Brown WA, Smith AI, et al. Small bowel obstruction creates a closed loop in patients with a laparoscopic adjustable gastric band. World J Emerg Surg. 2019;14:20.

Sharma K, Arfan S, Thota SSP. Small bowel obstruction secondary to laparoscopic adjustable gastric band connecting tube intertwinement within the mesentery: a case report. Obes Surg. 2024;3:56-7. DOI: https://doi.org/10.7759/cureus.39945