TY  - JOUR
AB  - Background: Laparoscopic adjustable gastric banding (LAGB) has been widely used for the treatment of morbid obesity. Despite early success, long-term complications have become increasingly recognized. Among these, esophageal perforation is exceptionally rare.
Case Presentation: We report the case of a 60-year-old male with LAGB placement ten years prior, who presented with acute respiratory distress, sepsis, and chest pain after vomiting. Imaging revealed a mid-to-distal esophageal perforation with an esophago-pulmonary fistula and right lower lobe abscess.
Management and Outcome: The patient underwent direct full-thickness esophageal repair with an intercostal muscle flap. The gastric band was intentionally preserved due to the absence of stenosis or mucosal damage. Postoperative recovery was uneventful, and follow-up was favorable.
Conclusion: To our knowledge, this is the first reported case of delayed esophageal perforation years after LAGB. It highlights the importance of long-term follow-up in bariatric patients and awareness of rare but serious complications. Multidisciplinary management is essential for optimal outcomes.
AU  - Alberto, Gorla
AU  - Paolo, Geretto
AU  - Luca, Cortese
AU  - Dario, Ribero
AU  - Andrea, Denegri
DA  - 2026-03-03
DO  - 10.32044/ijedo.2026.02
KW  - Obesity
LAGB
Esophageal perforation
Late complications
Bariatric surgery
L1  - internal-pdf://4194577816/202602.pdf
LA  - English
M3  - Clinical cases
PY  - 2026
SE  - 12
SP  - 5
ST  - Delayed Mid-to-Distal Esophageal Perforation as a Rare Long-Term Complication of Laparoscopic Adjustable Gastric Banding: A Case Report
T2  - IJEDO
TI  - Delayed Mid-to-Distal Esophageal Perforation as a Rare Long-Term Complication of Laparoscopic Adjustable Gastric Banding: A Case Report
UR  - https://onlineijedo.positivepress.net/articoli/10.32044/ijedo202602/?lang=en
VL  - 8
ID  - 5
ER  -