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Robot-assisted gastric band removal: any limitations?

L Marx, MD M Vix, MD A D'Urso, MD, PhD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Feb 2014;14(02). URL: http://websurg.com/doi/vd01en4163

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  • 2014-02-05
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Nowadays, indications for gastric band removal are well-standardized. In case of esophageal or gastric dilatation, migration or any injury related to the LAP-BAND® access port or tubing, the band and its access port should be removed. In rare specific cases, part of the LAP-BAND® system (either access port or band) may be preserved. Before proceeding to the surgical band removal, a complete preoperative radiological and endoscopic work-up should be performed. Here, we present the case of a 62-year-old woman who benefited from gastric band placement 10 years earlier. The band proved effective. However, for several weeks, she has been suffering from abdominal pain associated with vomiting and hematemesis. After a work-up which included CT-scanning, water-soluble contrast swallow and gastroscopy, it was decided to remove the band.