Upper portion of metalic stent was grasped by a grasping forceps
and removed from Kinase Inhibitor Library esophagus by pulling out with the gastroscope. Minimal hemorrhage was noted. Fistula was closed in the follow-ups. Results: When SEMSs were found to be embedded, a fully covered SEPS or fully covered SEMS was placed inside the partially uncovered SEMS. Subsequent removal of both stents was possible after a period of 2 weeks. Conclusion: In cases with scoliosis, a combination of stent-in-stent technique and ablation of the tissue at the distal end by APC is safe and effective for the removal of partially covered SEMSs that are embedded in the esophageal wall. Key Word(s): 1. esopagus; 2. metalic stent; 3. plastic stent; Presenting Author: MUHAMMETCEMIL SAVAS Additional Authors: NIMET YıLMAZ, IRFAN KORUK, ABDURRAHMAN KADAYIFCI Corresponding Author: MUHAMMETCEMIL SAVAS Affiliations: Prof. Dr. Objective: Laparoscopic adjustable gastric banding (LAGB) is considered to be a safe and effective method of weight loss and reduction of comorbidities associated with obesity. Pouch enlargement, band slip, band erosion, port-site infections and port breakage represent the complications most commonly associated with LAGB. Band erosion and penetration into stomach is an uncommon complication of LAGB. The recommended Selleck GPCR Compound Library treatment is complete removal of the eroded gastric band laparoscopically or via laparotomy. Removing a band
that has eroded into the stomach can be fraught with difficulty owing to the extensive inflammatory response around the proximal stomach and left lobe of the liver. In addition, one must deal with the closure of a gastrotomy that results from opening the capsule around the eroded band. This report describes a case of successful endoscopic management of intragastric penetrated adjustable gastric band in a patient with
morbid obesity. Methods: 26-year old male patient who had Laparoscopic Adjustable Gastric Banding 5 years ago, applied to gastroenterology selleckchem clinic with upper abdominal dyscomfort. His weight is 150 kg and height 190 cm. He had a history of port site infection and port revision operation 2 years ago. Gastroscopy revealed an eroded and partially penetrated gastric band in the fundus of stomach. Half of the band was seen in stomach. A guidewire passed through the band and and pulled up from the mouth. Two ends of guidewire which was looping the eroded gastric band were put into mechanical lithotriptor and cut the band. Later on, two pieces of cutted gastric band removed from stomach by snare. Minimal hemorhage encountered at entry sites of the band into stomach and port site on the abdomen. Results: Patient discarged from hospital at the same day without any complication. He was well in 3 and 6 months controls. Conclusion: A high index of suspicion is required for diagnosis of band erosion as most patients are asymptomatic.