Retained Foreign Body After Adjustable Gastric Band Removal: a Case Series

• Published in: Obesity surgery 2017-12, Vol.27 (12), p.3337-3340
• Main Authors: Cattanach, Daniel, Teague, Benjamin
• Format: Article
• Language: English
• Subjects: Adult; Brief Communication; Device Removal - adverse effects; Device Removal - instrumentation; Female; Foreign Bodies - etiology; Foreign Bodies - surgery; Gastrointestinal surgery; Gastroplasty - adverse effects; Gastroplasty - instrumentation; Gastroplasty - methods; Humans; Intraoperative Complications - etiology; Intraoperative Complications - surgery; Laparoscopy - adverse effects; Laparoscopy - methods; Medicine; Medicine & Public Health; Obesity; Obesity, Morbid - surgery; Reoperation - methods; Surgery; Surgical outcomes; Surgical techniques; Treatment Outcome; Weight Loss
• ISSN: 0960-8923; 1708-0428
• DOI: 10.1007/s11695-017-2937-6

Laparoscopic adjustable gastric band (LAGB) has weight loss and associated obesity-related disease benefits. Well-recognised LABG complications lead to a higher re-operation rate when compared to other obesity surgeries and therefore potential for retained foreign body. By way of a case series, we have evaluated retained foreign body after the intended complete removal of a gastric band. Analysis focused on circumstances and similarities leading to retained foreign body. From the series, the most commonly retained band component is band tubing. Difficult surgery or surgery associated with intra-operative complications may lead to increased chances of retained gastric band. Strategies to prevent this complication should be implemented. Specifically, removal technique, equipment familiarisation and post removal inspection all play a role.