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Peer-reviewedCC BY 4.0Case Reports in Surgery

Successful Nonoperative Management of Small Bowel Obstruction due to Distal Gastric Band Migration: A Rare Late Complication of LAGB

  • Chaled Alnakib1
  • Nuha Riyad2
  • Fahim Kanani1,2
  • Mohammad Maraqah3
  • Basem Bali2
  • Mordechai Shimonov1,2
  • Ammir Abuzahra4
  • Osama Ewidat2
4 affiliations
  1. 1Department of Surgery Hebron University Hebron State of Palestine hebron.edu
  2. 2Department of Medicine Faculty of Medicine and Health Sciences An-Najah National University Nablus State of Palestine najah.edu
  3. 3Faculty of Medicine Hebron University Hebron State of Palestine hebron.edu
  4. 4College of Medicine Hebron University Hebron State of Palestine hebron.edu
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Abstract

A 61‐year‐old woman presented with abdominal pain, vomiting, and distension 13 years after laparoscopic adjustable gastric banding (LAGB). Imaging showed small bowel obstruction (SBO) caused by distal migration of the gastric band into the jejunum. As she was hemodynamically stable without peritonitis, a conservative management strategy was adopted. Bedside removal of the subcutaneous port was performed to release tubing tension, followed by nasogastric decompression and supportive therapy. Serial imaging confirmed gradual distal movement of the band, which was spontaneously expelled per rectum on the fifth hospital day. The patient recovered fully without surgical intervention. This case highlights the importance of individualized management and demonstrates that conservative therapy, including port removal, can be a safe and effective alternative to surgery for stable patients with distal gastric band migration–related obstruction.

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Cite

BibTeXRIS
BibTeX
@article{alnakib2026successful,
  title = {{Successful Nonoperative Management of Small Bowel Obstruction due to Distal Gastric Band Migration: A Rare Late Complication of LAGB}},
  author = {Chaled Alnakib and Nuha Riyad and Fahim Kanani and Mohammad Maraqah and Basem Bali and Mordechai Shimonov and Ammir Abuzahra and Osama Ewidat},
  journal = {Case Reports in Surgery},
  year = {2026},
  month = oct,
  doi = {10.1155/cris/7889399},
  url = {https://doi.org/10.1155/cris/7889399},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Successful Nonoperative Management of Small Bowel Obstruction due to Distal Gastric Band Migration: A Rare Late Complication of LAGB
AU  - Chaled Alnakib
AU  - Nuha Riyad
AU  - Fahim Kanani
AU  - Mohammad Maraqah
AU  - Basem Bali
AU  - Mordechai Shimonov
AU  - Ammir Abuzahra
AU  - Osama Ewidat
PY  - 2026
DA  - 2026/10/31
JO  - Case Reports in Surgery
DO  - 10.1155/cris/7889399
UR  - https://doi.org/10.1155/cris/7889399
AB  - A 61‐year‐old woman presented with abdominal pain, vomiting, and distension 13 years after laparoscopic adjustable gastric banding (LAGB). Imaging showed small bowel obstruction (SBO) caused by distal migration of the gastric band into the jejunum. As she was hemodynamically stable without peritonitis, a conservative management strategy was adopted. Bedside removal of the subcutaneous port was performed to release tubing tension, followed by nasogastric decompression and supportive therapy. Serial imaging confirmed gradual distal movement of the band, which was spontaneously expelled per rectum on the fifth hospital day. The patient recovered fully without surgical intervention. This case highlights the importance of individualized management and demonstrates that conservative therapy, including port removal, can be a safe and effective alternative to surgery for stable patients with distal gastric band migration–related obstruction.
SN  - 2090-6900
SN  - 2090-6919
ER  -