Trans-thoracic peri-oesophageal adjustable band for intractable reflux

INTRODUCTION: Gastric bands for obesity have the beneficial side-effect of improving reflux symptoms in patients; however placement of these on patients with multiple prior abdominal surgeries can be challenging. PRESENTATION OF CASE: We present two cases where gastric bands were placed in a peri-oesophageal position via a left thoracotomy due to multiple previous abdominal surgeries in an attempt to treat their intractable reflux. DISCUSSION: At three month follow up, both patients have reported improvement in their symptoms of GORD. CONCLUSION: A peri-oesophageal position adjustable gastric band is a possible solution for patients with intractable reflux and hostile abdomens.