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Intragastric Band Erosion After Laparoscopic Adjustable Gastric Banding for Morbid Obesity: Imaging Characteristics of an Underreported Complication

Bernard Hainaux1,2, Emmanuel Agneessens2, Erika Rubesova1, Vinciane Muls3, Quentin Gaudissart4, Constantin Moschopoulos1 and Guy-Bernard Cadière4

1 Department of Radiology, Centre Hospitalier Universitaire Saint-Pierre, Université Libre de Bruxelles, 322 rue Haute, Brussels 1000, Belgium.
2 Department of Radiology, HIS Site Etterbeek-Ixelles, 63 rue Jean Paquot, Brussels 1050, Belgium.
3 Department of Gastroenterology, Centre Hospitalier Universitaire Saint-Pierre, Université Libre de Bruxelles, Brussels 1000, Belgium.
4 Department of Gastrointestinal Surgery, Centre Hospitalier Universitaire Saint-Pierre, Université Libre de Bruxelles, Brussels 1000, Belgium.



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  		Fig. 1A. —Intragastric band erosion in 23-year-old woman. Radiograph from upper gastrointestinal series shows characteristic appearance of intragastric band erosion. Note contrast material on both sides of penetrating portion of band (arrow).

 


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  		Fig. 1B. —Intragastric band erosion in 23-year-old woman. Drawing of radiographic findings shown in A illustrates passage of contrast material through stoma of band (large arrow) and around left section of band that has eroded into stomach (small arrow). Note normal aspect of right section of band with gastric fundus wrapped around it.

 


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  		Fig. 2A. —Intragastric band erosion in 39-year-old woman. Radiograph from upper gastrointestinal series shows typical image of intragastric band erosion. Contrast material surrounds part of band that has eroded through wall of stomach (arrow). Gastric fundus is indicated by asterisk.

 


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  		Fig. 2B. —Intragastric band erosion in 39-year-old woman. Axial CT scan obtained at level of gastric banding shows good correlation with fluoroscopic view in A. Air around eroded band (arrow) corresponds to contrast material around band seen on gastrointestinal series. Gastric fundus is indicated by asterisk.

 


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  		Fig. 3A. —Intragastric band erosion in 26-year-old woman. Axial CT scan obtained at level of stomach shows abscess (arrow) around gastric wall.

 


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  		Fig. 3B. —Intragastric band erosion in 26-year-old woman. Axial CT scan obtained near level of access port shows inflammatory reaction along catheter (arrow) and in anterior gastric wall.

 

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