Band migration in a patient after vertical banded gastroplasty

Obesity is an epidemic of the 21st century. Complex conservative treatment is appropriate management of it. Lack of a permanent outcome and the yo-yo phenomenon make bariatric surgery the only chance for morbid obesity patients. At present, surgeons have a large range of procedures for obesity treatment. The decision which type of bariatric surgery to choose depends on the patient's condition, feeding habits, body mass and the surgeon's experience. Vertical banded gastroplasty is one of the most often used minimally invasive approaches. But no invasive treatment is free from complications. Intragastric band migration is a late mechanical complication of gastric banding. The paper describes a case of a 30-year-old woman with intragastric band migration, 4 years after vertical banded gastroplasty. Diagnosis was made with gastroscopy. To diagnose complications the endoscopist should be familiar with surgical procedures for obesity treatment.