Migration of eroded laparoscopic adjustable gastric band causing small bowel obstruction and perforation

We present an unusual and rare complication caused by gastric band erosion into the stomach after band placement 15 years ago. The complication was only picked up after the band had subsequently migrated from the stomach at the site of erosion, to the distal ileum causing acute small bowel obstruction and focal perforation requiring emergency laparotomy.

Abdominal pain in patients with gastric band should always be treated as serious until proven otherwise.

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