Persistent dysphagia after removal of an adjustable gastric band for morbid obesity: a rare complication

• Published in: Diseases of the esophagus Vol. 24; no. 6; pp. 401 - 403
• Main Authors: Vallin, M., Robert, M., Roman, S., Mion, F., Poncet, G.
• Format: Journal Article
• Language: English
• Published: Malden, USA Blackwell Publishing Inc 01-08-2011
• Subjects: achalasia; Adult; Constriction, Pathologic - complications; Constriction, Pathologic - pathology; Constriction, Pathologic - surgery; Deglutition Disorders - etiology; Device Removal; dysphagia; esophageal manometry; Female; gastric banding; Gastroplasty - adverse effects; Humans; morbid obesity; Obesity, Morbid - surgery; Stomach Diseases - complications; Stomach Diseases - pathology; Stomach Diseases - surgery; Vomiting - etiology
• ISSN: 1120-8694; 1442-2050
• DOI: 10.1111/j.1442-2050.2010.01140.x

SUMMARY
Esophageal and gastric pouch dilatations are not uncommon after laparoscopic adjustable gastric banding for morbid obesity. Most of the cases are treated by gastric band deflation or removal. We report here the case of a 44‐year‐old woman with vomiting and severe dysphagia persisting despite gastric band removal, in relation with a scar stenosis and a gastric pouch trapped in the thorax, treated by laparoscopic surgery. This case underlines the usefulness of high‐resolution manometry in the diagnostic work‐up of these often difficult cases.