{"title":"Stealth Erosion: A Rare Case of Gastric Band Complication 2 Decades Postimplantation With a Prolonged and Complex Hospital Course.","authors":"Karan J Yagnik, Suryansh Atreya, Pranay Joshi, Sankalp Acharya, Dharmesh Kaswala, Wael Ghali","doi":"10.14309/crj.0000000000001770","DOIUrl":null,"url":null,"abstract":"<p><p>A woman in her 60s presented with epigastric pain and fever, initially managed as acute cholecystitis. Imaging was inconclusive, but esophagogastroduodenoscopy on hospital day 4 revealed gastric band erosion 20 years postlaparoscopic adjustable gastric banding. Surgery confirmed partial erosion with abscess along the band tract and subcutaneous port site. Postoperative complications included gastric leak, candida infection, and abdominal wall abscess, managed with antibiotics, drainage, and supportive care. She was later discharged on oral antibiotics but developed a pulmonary embolism requiring anticoagulation. Laparoscopic adjustable gastric banding complications, including erosion, should be considered even decades later; early endoscopy may prevent delays and related complications.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 7","pages":"e01770"},"PeriodicalIF":0.6000,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273678/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACG Case Reports Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14309/crj.0000000000001770","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
A woman in her 60s presented with epigastric pain and fever, initially managed as acute cholecystitis. Imaging was inconclusive, but esophagogastroduodenoscopy on hospital day 4 revealed gastric band erosion 20 years postlaparoscopic adjustable gastric banding. Surgery confirmed partial erosion with abscess along the band tract and subcutaneous port site. Postoperative complications included gastric leak, candida infection, and abdominal wall abscess, managed with antibiotics, drainage, and supportive care. She was later discharged on oral antibiotics but developed a pulmonary embolism requiring anticoagulation. Laparoscopic adjustable gastric banding complications, including erosion, should be considered even decades later; early endoscopy may prevent delays and related complications.
期刊介绍：
ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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