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Case Reports in Surgery
Volume 2014 (2014), Article ID 146980, 4 pages
http://dx.doi.org/10.1155/2014/146980
Case Report

Simultaneous Gastric and Duodenal Erosions due to Adjustable Gastric Banding for Morbid Obesity

1st Surgical Department, Athens Naval and Veterans Hospital, 70 Deinokratous Street, 11521 Athens, Greece

Received 18 January 2014; Accepted 26 April 2014; Published 5 May 2014

Academic Editor: Boris Kirshtein

Copyright © 2014 Dimitrios K. Manatakis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Erosion is an uncommon but feared late complication of adjustable gastric banding for morbid obesity. A high index of clinical suspicion is required, since symptoms are usually vague and nonspecific. Diagnosis is confirmed on upper gastrointestinal endoscopy and band removal is the mainstay of treatment, with band revision or conversion to other bariatric modalities at a later stage. Duodenal erosion is a much rarer complication, caused by the connection tubing of the band. We present our experience with a case of simultaneous gastric and duodenal erosions, managed by laparoscopic explantation of the band, primary suture repair of the duodenum, and omentopexy.