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  • Title: Pylephlebitis of the portal vein complicating intragastric migration of an adjustable gastric band.
    Author: De Roover A, Detry O, Coimbra C, Hamoir E, Honoré P, Meurisse M.
    Journal: Obes Surg; 2006 Mar; 16(3):369-71. PubMed ID: 16545171.
    Abstract:
    Pylephlebitis, or septic thrombophlebitis of the portal vein, is an infrequent but life-threatening complication of abdominal septic events. The authors report the occurrence of pylephlebitis and multiple liver abscesses induced by a neglected intra-gastric migration of an adjustable silicone gastric band. The patient was successfully treated by broad-spectrum antibiotics and total gastrectomy with Roux-en-Y esophago-jejunostomy. Postoperative recovery was marked by acute liver failure that was managed conservatively. The patient is alive and well at 1-year follow-up. This case emphasizes the interest in early removal of the band when intra-gastric migration is diagnosed.
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