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Enterocutaneous Fistula: a Rare Complication of Laparoscopic Adjustable Gastric Banding |
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| Authors: | Ehab Elakkary Dina El Essawy M M Gazayerli |
| Affiliation: | (1) Department of Surgery, North Oakland Medical Centers, Pontiac, MI, USA; Wayne State University, Detroit, MI, USA;(2) Wayne State University, Detroit, MI, USA;(3) Department of Surgery, North Oakland Medical Centers, Pontiac, MI, USA |
| Abstract: | Morbid obesity is a refractory disease with serious co-morbidities. Laparoscopic adjustable gastric banding (LAGB) has generally been a safe and effective method for achieving sustained weight loss. We report a man who presented after LAGB with persistent wound infection at the access port-site, which failed conservative management. Diagnostic laparoscopy found an enterocutaneous fistula from herniated bowel (in a Richter's hernia) into which the catheter had eroded. The small bowel and fascial defect were repaired. The catheter was then clipped and divided, and the port was removed. |
| Keywords: | MORBID OBESITY GASTRIC BANDING LAPAROSCOPY VENTRAL HERNIA ENTEROCUTANEOUS FISTULA WOUND INFECTION |
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