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A case of epigastric pain in the ED: late mechanical complication after vertical banded gastroplasty.

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A case of epigastric pain in the ED: late mechanical complication after vertical banded gastroplasty.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Priola, Adriano M. Priola, Sandro M. Cataldi, Aldo Fava, Cesare Volpicelli, Giovanni
Description	Country affiliation: Italy Author Affiliation: Priola AM ( Department of Diagnostic Imaging, University of Turin, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy.)
Abstract	A 50-year-old woman presented to our emergency department complaining of recurrent epigastric stabbing pain on eating of 1 month duration. She had a history of morbid obesity treated 13 years before with laparoscopic vertical banded gastroplasty (VBG). Diagnosis was made by radiology, after upper gastrointestinal series and abdominal unenhanced computed tomography. These demonstrated intragastric band migration, with outlet stenosis of narrowed stomach. Vertical banded gastroplasty is a miniinvasive approach that gives the benefits of shorter hospital stay, less postoperative pain, and quicker functional recovery. However, many complications are known and require recognition to be appropriately treated. In our case, the history and clinical presentation led to a high suspicion of intraabdominal pathology due to postoperative complication. Radiologic upper gastrointestinal investigation and computed tomography findings were then decisive to detect the intragastric band migration.
File Format	HTM / HTML
ISSN	07356757
Issue Number	5
Volume Number	27
e-ISSN	15328171
Journal	The American Journal of Emergency Medicine
Language	English
Publisher	Elsevier
Publisher Date	2009-06-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Emergency Discipline Medicine Abdominal Pain Diagnosis Gastroplasty Methods Obesity, Morbid Surgery Postoperative Complications Diagnosis, Differential Female Humans Middle Aged Reoperation Case Reports Journal Article
Content Type	Text
Resource Type	Article Case study
Subject	Emergency Medicine

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