Distal esophageal erosion after laparoscopic adjustable gastric band placement with nissen fundoplication takedown.

Although primary band placement is proven to be safe, gastric band placement after previous operations in the area of the gastroesophageal junction remains controversial. Erosion into the stomach has been described after failed vertical banded gastroplasty conversion to laparoscopic gastric banding (LAGB), but no reports in the English literature are available on erosion of an adjustable gastric band into the esophagus after conversion operations. To our knowledge, this is the first case report of distal esophageal erosion after LAGB placement with Nissen fundoplication takedown.