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Endoscopic Removal of Migrated Laparoscopic Adjustable Gastric Band Using a Soehendra Lithotriptor® and a Guidewire
Mariana Nuno Costa* and Ricardo Rio-Tinto
Gastroenterology Department of Centro Hospitalar de Lisboa Central, EPE, Portugal
- Corresponding Author:
- Mariana Nuno Costa
Gastroenterology Department of Centro Hospitalar de Lisboa Central
EPE, Portugal
Tel: +351 919543050
E-mail: mariananunocosta@gmail.com
Received Date: September 15, 2015 Accepted Date: October 19, 2015 Published Date: October 26, 2015
Citation:Costa MN, Rio-Tinto R (2015) Endoscopic Removal of Migrated Laparoscopic Adjustable Gastric Band Using a Soehendra Lithotriptor® and a Guidewire. J Gastrointest Dig Syst S13: S13-008. doi:10.4172/2161-069X.1000S13-008
Copyright: ©2015 Costa, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Abstract
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.
