Sistema gastrointestinal y digestivo

Abstracto

Endoscopic Removal of Migrated Laparoscopic Adjustable Gastric Band Using a Soehendra Lithotriptor® and a Guidewire

Mariana Nuno Costa, Ricardo Rio-Tinto

Laparoscopic adjustable gastric banding is an effective and popular treatment for morbid obesity. However, migration of the gastric band into the gastric lumen could be a late complication of the procedure. Migrated gastric bands’ removal from the stomach is mandatory to preclude adverse events. The treatment of band migration has classically been surgical. Nonetheless, endoscopic removal is feasible traditionally requiring expensive or specialized equipment, which is not always readily available. We present a case of successfully endoscopic removal of migrated laparoscopic adjustable gastric banding using a Soehendra Lithotriptor® and standard guidewire. Since this method demonstrates that common endoscopic devices such as lithotripters and biliary wires can be used to transect an elastic band, it is a suitable option to enable the successful endoscopic removal of migrated laparoscopic adjustable gastric banding and sparing the patient from undergoing an invasive and expensive surgical procedure.