J Metab Bariatr Surg.  2015 Jun;4(1):25-28. 10.0000/jmbs.2015.4.1.25.

Conversion Sleeve Gastrectomy for Pouch Dilatation and Band Scar Stenosis: 1 Case

• Hong JS
• Han SM

• KMID: 2131664
• DOI: http://doi.org/10.0000/jmbs.2015.4.1.25

Abstract

Esophageal and gastric pouch dilatations are common complications that occur after laparoscopic adjustable gastric banding, often performed to treat morbid obesity. Most cases are treated by a gastric band deflation or a removal of band. Nevertheless, additional surgical procedures are rarely ever needed to treat persistent dysphagia and pouch dilatation. We report here, the case of a 38-year-old woman with constant vomiting and severe persistent epigastric pain despite the gastric band deflation, and a band scar stenosis, treated via laparoscopic conversion sleeve gastrectomy. Surgical band scar revision, or revision sleeve gastrectomy, may be considered if gastric pouch dilation and dysphagia are not treated by gastric band deflation.

Keyword

Laparoscopic adjustable gastric banding; Pouch dilatation; Scar stenosis; Reflux esophagitis

MeSH Terms

Adult
Cicatrix*
Constriction, Pathologic*
Deglutition Disorders
Dilatation*
Esophagitis, Peptic
Female
Gastrectomy*
Humans
Obesity, Morbid
Vomiting