Case Report: Endoscopic Removal of an Eroded Gastric Band Causing Small Bowel Obstruction upon Migration into the Proximal Jejunum

Abstract

Background: Adjustable gastric banding (AGB) is on the decline due to its relatively modest amount of expected weight loss, coupled with high rates of revision and complications such as band erosion. Management of eroded gastric bands can be challenging especially when complete intra-gastric erosion is followed by distal migration causing small bowel obstruction. Methods: We present an endoscopic option of using a pediatric colonoscope to remove an eroded AGB causing jejunal obstruction. Result: Endoscopic removal of an eroded ABG causing bowel obstruction was successful. Conclusion: Endoscopy remains a safe and relatively non-invasive approach to deal with such complications.