Cargando…
Uncommon Complication of a Biliary Leak After Adjustable Gastric Band Removal: A Case Report
In the context of adjustable gastric band (AGB) placements and the prevalent issue of weight regain with associated complications, revision surgery for gastric bands becomes imperative. Such revisions may encompass band removal or conversion to bariatric procedures, often accompanied by an escalated...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10637720/ https://www.ncbi.nlm.nih.gov/pubmed/37954734 http://dx.doi.org/10.7759/cureus.46856 |
_version_ | 1785133457521770496 |
---|---|
author | Ortiz Gómez, Elías Vera Macías, Jorge Meza Jasso, Manuel A Guzmán Barba, José Aldo Esparza Estrada, Isaac |
author_facet | Ortiz Gómez, Elías Vera Macías, Jorge Meza Jasso, Manuel A Guzmán Barba, José Aldo Esparza Estrada, Isaac |
author_sort | Ortiz Gómez, Elías |
collection | PubMed |
description | In the context of adjustable gastric band (AGB) placements and the prevalent issue of weight regain with associated complications, revision surgery for gastric bands becomes imperative. Such revisions may encompass band removal or conversion to bariatric procedures, often accompanied by an escalated risk profile, potentially contributing to a 20% morbidity rate. Laparoscopic sleeve gastrectomy (LSG) has gained prominence due to its technical simplicity, effectiveness in weight loss, and lower complication rates. Specific cases involving LSG post-AGB complications are associated with staple line disruptions and leaks. This case report describes a rare complication in a 59-year-old patient following AGB removal and subsequent laparoscopic sleeve gastrectomy. The complication emerged six hours after the surgery, with approximately 400 cc of bile material reported in the drainage. A laparoscopic reintervention was conducted, revealing bile leakage from the second Couinaud hepatic segment. Successful management of the leakage was achieved through simple hepatic suturing using non-absorbable monofilament. Within 24 hours, no further leakage occurred, and the patient was discharged without additional complications. Our case also demonstrates how complex it can be to switch between different medical procedures, and it emphasizes the need for careful planning and precise surgery in the evolving world of bariatric medicine. It is worth noting that there is a dearth of literature addressing this specific complication. Consequently, this study has the potential to provide valuable insights for surgeons who may encounter a similar scenario in their clinical practice. |
format | Online Article Text |
id | pubmed-10637720 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-106377202023-11-11 Uncommon Complication of a Biliary Leak After Adjustable Gastric Band Removal: A Case Report Ortiz Gómez, Elías Vera Macías, Jorge Meza Jasso, Manuel A Guzmán Barba, José Aldo Esparza Estrada, Isaac Cureus Gastroenterology In the context of adjustable gastric band (AGB) placements and the prevalent issue of weight regain with associated complications, revision surgery for gastric bands becomes imperative. Such revisions may encompass band removal or conversion to bariatric procedures, often accompanied by an escalated risk profile, potentially contributing to a 20% morbidity rate. Laparoscopic sleeve gastrectomy (LSG) has gained prominence due to its technical simplicity, effectiveness in weight loss, and lower complication rates. Specific cases involving LSG post-AGB complications are associated with staple line disruptions and leaks. This case report describes a rare complication in a 59-year-old patient following AGB removal and subsequent laparoscopic sleeve gastrectomy. The complication emerged six hours after the surgery, with approximately 400 cc of bile material reported in the drainage. A laparoscopic reintervention was conducted, revealing bile leakage from the second Couinaud hepatic segment. Successful management of the leakage was achieved through simple hepatic suturing using non-absorbable monofilament. Within 24 hours, no further leakage occurred, and the patient was discharged without additional complications. Our case also demonstrates how complex it can be to switch between different medical procedures, and it emphasizes the need for careful planning and precise surgery in the evolving world of bariatric medicine. It is worth noting that there is a dearth of literature addressing this specific complication. Consequently, this study has the potential to provide valuable insights for surgeons who may encounter a similar scenario in their clinical practice. Cureus 2023-10-11 /pmc/articles/PMC10637720/ /pubmed/37954734 http://dx.doi.org/10.7759/cureus.46856 Text en Copyright © 2023, Ortiz Gómez et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Gastroenterology Ortiz Gómez, Elías Vera Macías, Jorge Meza Jasso, Manuel A Guzmán Barba, José Aldo Esparza Estrada, Isaac Uncommon Complication of a Biliary Leak After Adjustable Gastric Band Removal: A Case Report |
title | Uncommon Complication of a Biliary Leak After Adjustable Gastric Band Removal: A Case Report |
title_full | Uncommon Complication of a Biliary Leak After Adjustable Gastric Band Removal: A Case Report |
title_fullStr | Uncommon Complication of a Biliary Leak After Adjustable Gastric Band Removal: A Case Report |
title_full_unstemmed | Uncommon Complication of a Biliary Leak After Adjustable Gastric Band Removal: A Case Report |
title_short | Uncommon Complication of a Biliary Leak After Adjustable Gastric Band Removal: A Case Report |
title_sort | uncommon complication of a biliary leak after adjustable gastric band removal: a case report |
topic | Gastroenterology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10637720/ https://www.ncbi.nlm.nih.gov/pubmed/37954734 http://dx.doi.org/10.7759/cureus.46856 |
work_keys_str_mv | AT ortizgomezelias uncommoncomplicationofabiliaryleakafteradjustablegastricbandremovalacasereport AT veramaciasjorge uncommoncomplicationofabiliaryleakafteradjustablegastricbandremovalacasereport AT mezajassomanuela uncommoncomplicationofabiliaryleakafteradjustablegastricbandremovalacasereport AT guzmanbarbajosealdo uncommoncomplicationofabiliaryleakafteradjustablegastricbandremovalacasereport AT esparzaestradaisaac uncommoncomplicationofabiliaryleakafteradjustablegastricbandremovalacasereport |