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  • Title: Conservative management of intragastric migration of Swedish adjustable gastric band by endoscopic retrieval.
    Author: Baldinger R, Mluench R, Steffen R, Ricklin TP, Riedtmann HJ, Horber FF.
    Journal: Gastrointest Endosc; 2001 Jan; 53(1):98-101. PubMed ID: 11154501.
    Abstract:
    BACKGROUND: Intragastric migration is a known complication of gastric banding for morbid obesity. METHODS: Instead of immediate reoperation, complete migration of the Swedish Adjustable Gastric Band (SAGB) into the gastric lumen was awaited in 4 patients who were asymptomatic. RESULTS: After completed migration, the episternally placed access port was removed with the patient under local anesthesia, and the disconnected adjustable band was retrieved endoscopically. All 4 patients underwent rebanding with SAGB within 3 months after extraction. CONCLUSIONS: With this procedure, patients who are asymptomatic can be spared laparotomy and possibly gastrostomy.
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