The band's encore: scarring causing dysphagia post-gastric band removal

Abstract

Placement of a laparoscopic adjustable gastric band (LAGB) is a procedure used in bariatric surgery. Despite its decrease in popularity due to its high reoperation rate and suboptimal clinical response, managing the complications of LAGBs remains an important component of general and bariatric surgeons' work. Only two case studies describe return to theatre to excise scarring, which has continued to cause symptoms after LAGB removal. We report the case of a 72-year-old female presenting with persistent dysphagia nine years post removal of her LAGB. Laparoscopic excision of a fibrotic scar at the site of her previous LAGB resulted in complete resolution of her symptoms. This case report draws attention to the possibility of ongoing symptoms from scarring despite LAGB removal and how this can be managed. Further, it may suggest the importance of dividing a fibrotic scar found under a LAGB on removal.