Aorta, the Innocent Bystander of Bariatric Banding

Introduction: Laparoscopic gastric banding (LAGB) is a common bariatric operation performed for obesity. Complications of LAGB commonly evolve around device malfunction and physiological changes secondary to the gastric banding. Complications of LAGB involving the aorta are rare. A case of gastric b...

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Autores principales:	Dominic Pang, Peter Lamb, Orwa Falah
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Aorta Gastic band complication Thoracic stent graft Diseases of the circulatory (Cardiovascular) system RC666-701 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/9a3872ed779b47f6a8c8fcd684e21b62
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spelling	oai:doaj.org-article:9a3872ed779b47f6a8c8fcd684e21b622021-11-12T04:48:43ZAorta, the Innocent Bystander of Bariatric Banding2666-688X10.1016/j.ejvsvf.2021.10.015https://doaj.org/article/9a3872ed779b47f6a8c8fcd684e21b622021-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666688X2100054Xhttps://doaj.org/toc/2666-688XIntroduction: Laparoscopic gastric banding (LAGB) is a common bariatric operation performed for obesity. Complications of LAGB commonly evolve around device malfunction and physiological changes secondary to the gastric banding. Complications of LAGB involving the aorta are rare. A case of gastric band misplacement around the aorta and subsequent successful retrieval of the misplaced device is reported. Report: A 45 year old obese woman presented as an emergency with food bolus obstruction secondary to gastric banding inserted 10 years previously. Investigations revealed that her gastric band was misplaced around both the oesophagus at the level of the gastro-oesophageal junction and the descending thoracic aorta at the level of T12. Successful and safe retrieval of the misplaced device is reported electively via a two staged approach: first covering the segment of supra-coeliac aorta at the level of the gastric band with a thoracic aortic stent graft (TAG), and, second, assessing for any oesophageal injury via endoscopy and finally extracting the misplaced device via laparoscopy. A Gore C-TAG device size 26 mm × 100 mm was successfully implanted percutaneously via unilateral femoral access during her first stage procedure. Her gastric band was safely retrieved during her second stage procedure with no complications. She recovered well post-operatively. Discussion: Complications of LAGB involving the aorta are rare but potentially life threatening. Multidisciplinary pre-operative planning is necessary for safe removal of the gastric band.Dominic PangPeter LambOrwa FalahElsevierarticleAortaGastic band complicationThoracic stent graftDiseases of the circulatory (Cardiovascular) systemRC666-701SurgeryRD1-811ENEJVES Vascular Forum, Vol 53, Iss , Pp 22-24 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Aorta Gastic band complication Thoracic stent graft Diseases of the circulatory (Cardiovascular) system RC666-701 Surgery RD1-811
spellingShingle	Aorta Gastic band complication Thoracic stent graft Diseases of the circulatory (Cardiovascular) system RC666-701 Surgery RD1-811 Dominic Pang Peter Lamb Orwa Falah Aorta, the Innocent Bystander of Bariatric Banding
description	Introduction: Laparoscopic gastric banding (LAGB) is a common bariatric operation performed for obesity. Complications of LAGB commonly evolve around device malfunction and physiological changes secondary to the gastric banding. Complications of LAGB involving the aorta are rare. A case of gastric band misplacement around the aorta and subsequent successful retrieval of the misplaced device is reported. Report: A 45 year old obese woman presented as an emergency with food bolus obstruction secondary to gastric banding inserted 10 years previously. Investigations revealed that her gastric band was misplaced around both the oesophagus at the level of the gastro-oesophageal junction and the descending thoracic aorta at the level of T12. Successful and safe retrieval of the misplaced device is reported electively via a two staged approach: first covering the segment of supra-coeliac aorta at the level of the gastric band with a thoracic aortic stent graft (TAG), and, second, assessing for any oesophageal injury via endoscopy and finally extracting the misplaced device via laparoscopy. A Gore C-TAG device size 26 mm × 100 mm was successfully implanted percutaneously via unilateral femoral access during her first stage procedure. Her gastric band was safely retrieved during her second stage procedure with no complications. She recovered well post-operatively. Discussion: Complications of LAGB involving the aorta are rare but potentially life threatening. Multidisciplinary pre-operative planning is necessary for safe removal of the gastric band.
format	article
author	Dominic Pang Peter Lamb Orwa Falah
author_facet	Dominic Pang Peter Lamb Orwa Falah
author_sort	Dominic Pang
title	Aorta, the Innocent Bystander of Bariatric Banding
title_short	Aorta, the Innocent Bystander of Bariatric Banding
title_full	Aorta, the Innocent Bystander of Bariatric Banding
title_fullStr	Aorta, the Innocent Bystander of Bariatric Banding
title_full_unstemmed	Aorta, the Innocent Bystander of Bariatric Banding
title_sort	aorta, the innocent bystander of bariatric banding
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/9a3872ed779b47f6a8c8fcd684e21b62
work_keys_str_mv	AT dominicpang aortatheinnocentbystanderofbariatricbanding AT peterlamb aortatheinnocentbystanderofbariatricbanding AT orwafalah aortatheinnocentbystanderofbariatricbanding
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Aorta, the Innocent Bystander of Bariatric Banding

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