Case Report

J Minim Invasive Surg 2014; 17(4): 85-87

Published online December 15, 2014

https://doi.org/10.7602/jmis.2014.17.4.85

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

Acute Gastric Band Slippage During the 3rd Trimester Gestation

Hee-Jin Park, M.D., Ph.D.1, Ji-Sun Hong, M.D.2, Sang-Moon Han, M.D., Ph.D.2

Departments of 1Obstetrics, 2Surgery, Gangnam CHA Medical Center, CHA University School of Medicine, Seoul, Korea

Received: August 4, 2014; Revised: September 25, 2014; Accepted: October 16, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Laparoscopic adjustable gastric banding (LAGB) is a popular bariatric procedure in South Korea, and the majority of female patients who receive LAGB are of childbearing age. Due to possible band-related complications, careful evaluation is required for those who become pregnant after LAGB procedures. A 28-year-old female, gravida 1, para 0, who had undergone LAGB two years earlier presented to the clinic at the 31st week of gestation. She had experienced acute epigastric pain and vomiting for one week. She was diagnosed with gastric band slippage. She underwent cesarean section and laparoscopic gastric band removal at the 35th week of gestation. Manage-ment of gastric band slippage during the third trimester is difficult, especially before the 34th week of gestation. We report on a case of medical and surgical treatment of gastric band slippage during the third trimester.

Keywords Bariatric surgery, Complication, Laparoscopy, Pregnancy

  1. Mittermair RP, Weiss H, Nehoda H, Kirchmayr W, Aigner F. Laparoscopic Swedish adjustable gastric banding: 6-year follow-up and comparison to other laparoscopic procedures. Obes Surg 2003;13:412-417.
    Pubmed CrossRef
  2. Zinzindohoue F, Chevallier JM, Douard R, et al. Laparoscopic gastric banding: a minimally invasive surgical treatment for morbid obesity: prospective study of 500 consecutive patients. Ann Surg 2003;237:1-9.
    Pubmed KoreaMed CrossRef
  3. Bar-Zohar D, Azem F, Klausner J, Abu-Abeid S. Pregnancy after laparoscopic adjustable gastric banding: perinatal outcome is favorable also for women with relatively high gestational weight. Surg Endosc 2006;20:1580-1583.
    Pubmed CrossRef
  4. Himpens J, Cadi?re GB, Bazi M, Vouche M, Cadi?re B, Dapri G. Long-term outcomes of laparoscopic adjustable gastric banding. Arch Surg 2011;146:802-807.
    Pubmed CrossRef
  5. Brown JJ, Boyle M, Mahawar K, Balupuri S, Small PK. Laparoscopic adjustable band survival in a high-volume bariatric unit. Br J Surg 2013;100:1614-1618.
    Pubmed CrossRef
  6. Suter M, Calmes JM, Paroz A, Giusti V. A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg 2006;16:829-835.
    Pubmed CrossRef
  7. Singhal R, Bryant C, Kitchen M, et al. Band slippage and erosion after laparoscopic gastric banding: a meta-analysis. Surg Endosc 2010;24:2980-2986.
    Pubmed CrossRef
  8. Mamun A, Callaway LK, O’Callaghan MJ, et al. Associations of maternal prepregnancy obesity, and excess pregnancy weight gains with adverse pregnancy outcomes and length of hospital stay. BMC Pregnancy & Childbirth 2011;11:62.
    Pubmed KoreaMed CrossRef
  9. Dixon JB, Dixon ME, O’Brien PE. Pregnancy after Lap-Band surgery: management of the band to achieve healthy weight outcomes. Obe Surg 2001;11:59-65.
    Pubmed CrossRef
  10. Guidelines Committee of the Society of American Gastrointestinal and Endoscopic Surgeons, Yumi H. Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy. Surg Endosc 2008;22:849-861.
    Pubmed CrossRef

Article

Case Report

J Minim Invasive Surg 2014; 17(4): 85-87

Published online December 15, 2014 https://doi.org/10.7602/jmis.2014.17.4.85

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

Acute Gastric Band Slippage During the 3rd Trimester Gestation

Hee-Jin Park, M.D., Ph.D.1, Ji-Sun Hong, M.D.2, Sang-Moon Han, M.D., Ph.D.2

Departments of 1Obstetrics, 2Surgery, Gangnam CHA Medical Center, CHA University School of Medicine, Seoul, Korea

Received: August 4, 2014; Revised: September 25, 2014; Accepted: October 16, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Laparoscopic adjustable gastric banding (LAGB) is a popular bariatric procedure in South Korea, and the majority of female patients who receive LAGB are of childbearing age. Due to possible band-related complications, careful evaluation is required for those who become pregnant after LAGB procedures. A 28-year-old female, gravida 1, para 0, who had undergone LAGB two years earlier presented to the clinic at the 31st week of gestation. She had experienced acute epigastric pain and vomiting for one week. She was diagnosed with gastric band slippage. She underwent cesarean section and laparoscopic gastric band removal at the 35th week of gestation. Manage-ment of gastric band slippage during the third trimester is difficult, especially before the 34th week of gestation. We report on a case of medical and surgical treatment of gastric band slippage during the third trimester.

Keywords: Bariatric surgery, Complication, Laparoscopy, Pregnancy

References

  1. Mittermair RP, Weiss H, Nehoda H, Kirchmayr W, Aigner F. Laparoscopic Swedish adjustable gastric banding: 6-year follow-up and comparison to other laparoscopic procedures. Obes Surg 2003;13:412-417.
    Pubmed CrossRef
  2. Zinzindohoue F, Chevallier JM, Douard R, et al. Laparoscopic gastric banding: a minimally invasive surgical treatment for morbid obesity: prospective study of 500 consecutive patients. Ann Surg 2003;237:1-9.
    Pubmed KoreaMed CrossRef
  3. Bar-Zohar D, Azem F, Klausner J, Abu-Abeid S. Pregnancy after laparoscopic adjustable gastric banding: perinatal outcome is favorable also for women with relatively high gestational weight. Surg Endosc 2006;20:1580-1583.
    Pubmed CrossRef
  4. Himpens J, Cadi?re GB, Bazi M, Vouche M, Cadi?re B, Dapri G. Long-term outcomes of laparoscopic adjustable gastric banding. Arch Surg 2011;146:802-807.
    Pubmed CrossRef
  5. Brown JJ, Boyle M, Mahawar K, Balupuri S, Small PK. Laparoscopic adjustable band survival in a high-volume bariatric unit. Br J Surg 2013;100:1614-1618.
    Pubmed CrossRef
  6. Suter M, Calmes JM, Paroz A, Giusti V. A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg 2006;16:829-835.
    Pubmed CrossRef
  7. Singhal R, Bryant C, Kitchen M, et al. Band slippage and erosion after laparoscopic gastric banding: a meta-analysis. Surg Endosc 2010;24:2980-2986.
    Pubmed CrossRef
  8. Mamun A, Callaway LK, O’Callaghan MJ, et al. Associations of maternal prepregnancy obesity, and excess pregnancy weight gains with adverse pregnancy outcomes and length of hospital stay. BMC Pregnancy & Childbirth 2011;11:62.
    Pubmed KoreaMed CrossRef
  9. Dixon JB, Dixon ME, O’Brien PE. Pregnancy after Lap-Band surgery: management of the band to achieve healthy weight outcomes. Obe Surg 2001;11:59-65.
    Pubmed CrossRef
  10. Guidelines Committee of the Society of American Gastrointestinal and Endoscopic Surgeons, Yumi H. Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy. Surg Endosc 2008;22:849-861.
    Pubmed CrossRef

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