Laparoscopic repair of gastro-duodenal fistula secondary to band erosion

Abstract

Laparoscopic gastric banding is one of the most common surgical treatments for morbid obesity performed worldwide. The procedure, however, has many well-documented risks and complications, including band erosion. We present here a gastric banding patient who was referred to our tertiary care centre after secondarily forming an entero-enteric fistula with complaints of pain, nausea, vomiting and severe reflux. She was successfully treated with laparoscopic dissection and due to her existing anatomy, and the patient′s desire for continued weight loss, she was converted to Roux-en-Y gastric bypass.

Keywords

• Fistula
• gastric banding
• gastric bypass
• gastric erosion
• lap band
• laparoscopy
• morbid obesity
• Roux-en-Y