Epiphrenic esophageal diverticulum after laparoscopic placement of an adjustable gastric band

A morbidly obese woman (BMI 56 kg/m2) in 1998 underwent laparoscopic placement of an adjustable gastric band by the perigastric approach. 5 years later, she complained of reflux and weight regain. X-ray with contrast revealed pouch dilatation. She subsequently underwent a laparoscopic revision inclu...

Full description

Saved in:
Bibliographic Details
Published in:Obesity surgery 2006-03, Vol.16 (3), p.372-374
Main Authors: Stroh, Christine, Hohmann, U, Meyer, F, Manger, T
Format: Article
Language:English
Subjects:
Device Removal
Diverticulum, Esophageal - etiology
Diverticulum, Esophageal - surgery
Esophagus
Female
Gastroesophageal Reflux - etiology
Gastrointestinal surgery
Gastroplasty - adverse effects
Humans
Laparoscopy
Middle Aged
Obesity
Obesity, Morbid - surgery
Reoperation
Surgical outcomes
Weight control
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A morbidly obese woman (BMI 56 kg/m2) in 1998 underwent laparoscopic placement of an adjustable gastric band by the perigastric approach. 5 years later, she complained of reflux and weight regain. X-ray with contrast revealed pouch dilatation. She subsequently underwent a laparoscopic revision including retrocardia band replacement using the pars flaccida technique. During the further course, an epiphrenic diverticulum was diagnosed. Because of danger of perforation of the large thin-walled diverticulum and the esophageal motility disorder, the band was laparoscopically removed and the diverticulum was resected via a transhiatal approach. This case presents a very rare complication after placement of a gastric band and its successful management.
ISSN:0960-8923
1708-0428
DOI:10.1381/096089206776116552