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Death-related gastric necrosis after Laparoscopic Adjustable Gastric Banding in the early post-operative period

Kleio Fragkouli, Antigoni Mitselou and Theodore Vougiouklakis*

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Department of Forensic Medicine and Toxicology, Medical School, University of Ioannina, 451 10 Ioannina, Greece

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Diagnostic Pathology 2010, 5:68  doi:10.1186/1746-1596-5-68

Published: 11 October 2010


We report a case of a rare complication of Laparoscopic Adjustable Gastric Banding (LAGB) as a cause of death in the immediate post-operative period. The number of relevant reports and postmortem images presented in the literature is extremely restricted. Gastric necrosis may constitute a cause of death after LAGB in the early post-operative period. Postmortem examination reveals the extension of gastric ischemia and necrosis, responsible for the lethal outcome. To date, only one case of gastric necrosis after LAGB in the immediate post-operative period leading to death has been reported, according to authors' knowledge. The diagnosis of this complication may be delayed on the grounds of its rarity. In our opinion, surgeons should be aware of the clinical state implying gastric ischemia early after LAGB, so as to recognize and, in turn, to treat it promptly.