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(A & B) Gastric band tubing noted in the stomach on endoscopy. (C) Gastric band tubing noted in the duodenum on endoscopy. (D) Tubing in the duodenum with distortion of the major papilla.
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The ERCP revealed erosion of the gastric band tubing into the stomach and duodenum with secondary distortion of the major papilla (Fig. 1).
Endoscopic retrograde cholangiogram showing the 10 mm area of narrowing in the lower bile duct secondary to compression from the stretched band tubing.
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Cholangiogram revealed a 10 mm area of narrowing in the lower bile duct likely secondary to compression from the tubing (Fig. 2).
(A) Intraoperative image showing the gastric band in the lumen of the proximal jejunum. (B) Extraction of the gastric band through an enterotomy.
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Treitz (Fig. 3A). The band was extracted through an enterotomy (Fig. 3B) that was repaired primarily. The gastrotomy was repaired in two layers and an adjacent 19F Jackson-Pratt drain was placed along with a nasogastric tube.