Management of esophagogastric fistula caused by adjustable gastric band erosion: A case report and literature review

Obes Res Clin Pract. 2023 Sep-Oct;17(5):428-431. doi: 10.1016/j.orcp.2023.09.002. Epub 2023 Sep 20.

Abstract

Laparoscopic adjustable gastric banding (LAGB) is commonly used in the treatment of morbid obesity. However, with clinical application and long-term follow-up, the shortcomings of this procedure were also exposed, bringing about surgery-related complications include dysphagia, intragastric band migration, slippage, and gastric band erosion. Lower esophageal and gastric fistula is a rare but dangerous complication after LAGB. We describe a case of esophagogastric fistula occurring twelve years after a laparoscopic band procedure and its successful management in a multidisciplinary and staged manner, followed by a short review of the literature.

Keywords: Complications; Erosion; Esophagogastric fistula; Gastric banding; Obesity surgery.

Publication types

  • Review
  • Case Reports

MeSH terms

  • Bariatric Surgery* / adverse effects
  • Fistula* / complications
  • Fistula* / surgery
  • Gastroplasty* / adverse effects
  • Gastroplasty* / methods
  • Humans
  • Laparoscopy* / adverse effects
  • Obesity, Morbid* / complications
  • Obesity, Morbid* / surgery
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery
  • Treatment Outcome