Presentation
Post laparoscopic adjustable gastric banding. Now patient complains of upper abdominal pain, bloating, acidity and reflux from one month.
Patient Data
Single contrast barium...
Single contrast barium upper GI series
The scout radiographs show apparently normal band position with phi (φ) angle of 47 degrees (within normal limits).
The oesophagus is dilated and tortuous and shows prominent tertiary contractions. There is pooling of the contrast in the oesophagus with dilatation of the gastric pouch. There is delayed, very slow and limited passage of contrast through the stoma into the distal stomach. Tertiary contractions are noted in the oesophagus. Reflux of contrast is noted from the gastric pouch to the oesophagus.
Case Discussion
The gastric band is too tight causing stomal stenosis and delayed gastric emptying. There is resultant dilatation and tortuosity of oesophagus with oesophageal dysmotility as indicated by tertiary contractions and reflux.
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