Successful Nonoperative Management of Small Bowel Obstruction due to Distal Gastric Band Migration: A Rare Late Complication of LAGB

A 61‐year‐old woman presented with abdominal pain, vomiting, and distension 13 years after laparoscopic adjustable gastric banding (LAGB). Imaging showed small bowel obstruction (SBO) caused by distal migration of the gastric band into the jejunum. As she was hemodynamically stable without peritonitis, a conservative management strategy was adopted. Bedside removal of the subcutaneous port was performed to release tubing tension, followed by nasogastric decompression and supportive therapy. Serial imaging confirmed gradual distal movement of the band, which was spontaneously expelled per rectum on the fifth hospital day. The patient recovered fully without surgical intervention. This case highlights the importance of individualized management and demonstrates that conservative therapy, including port removal, can be a safe and effective alternative to surgery for stable patients with distal gastric band migration–related obstruction.