Massive Upper Gastrointestinal Hemorrhage: An Unusual Presentation After Laparoscopic Adjustable Gastric Banding due to Erosion into the Celiac Axis

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Abstract

Laparoscopic adjustable gastric banding (LAGB) is the most common bariatric surgical procedure done currently. It is the preferred choice as it is adjustable, minimally invasive, easily reversible, and does not cause metabolic complications. However, complications like slippage, leakage, erosion-causing perforation, pouch dilatation, pouch herniation, oesophageal dilatation/dysmotility, port disconnection, and migration of band have been reported. We report a rare case of LAGB who presented with life-threatening upper gastrointestinal hemorrhage due to erosion of band into celiac axis 4 months after the operation. An urgent laparotomy was necessary to control the hemorrhage from the celiac axis.

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