Spontaneous migration into the stomach and out of the intestine, as late complication of a gastric band

• Published in: BMJ case reports 2018-07, Vol.2018, p.bcr-2018-225673
• Main Authors: van Geffen, Mark W L, Straathof, Jan Willem A, Luijten, Arijan A P M
• Format: Article
• Language: English
• Subjects: Bands; Bariatric Surgery - adverse effects; Bariatric Surgery - instrumentation; Bariatric Surgery - methods; Case reports; Endoscopy; Female; Foreign-Body Migration - diagnostic imaging; Foreign-Body Migration - etiology; Gastrointestinal surgery; Humans; Images In; Intestines; Laparoscopy; Medical imaging; Middle Aged; Obesity, Morbid - surgery; Postoperative Complications - diagnostic imaging; Postoperative Complications - etiology; Stomach - surgery
• ISSN: 1757-790X; 1757-790X
• DOI: 10.1136/bcr-2018-225673

An upper gastrointestinal endoscopy confirmed an intact port site with a connected tube and migration and perforation of the band into the jejunum with an erosion of the gastric (figure 4) and duodenal wall. Complications can be related either to the band such as slippage, erosion and pouch dilatation, or due to the connecting tube such as infection, disconnection or dislocation and migration.1 Band migration into the gastric wall is a well-known postoperative complication, connecting tube migration into the intestinal lumen is very rare though.2 A few cases have been described due to tube migration into the jejunal lumen or colonic lumen.2–4 In our case the tube migrated into the jejunal wall causing obstruction at the level of the proximal jejunum without disconnection from the port after a previous erosion and perforation of the gastric and duodenal wall. CT scan as well as endoscopy seem to be essential diagnostic tools in the evaluation of abdominal pain and obstruction due to band migration in order to observe previous erosion or perforation of the gastric or intestinal lumen.