Evidence map›Paper›PMID 42181345›Full record

ArticleCureus2026

Pins, Needles, and a Pounding Heart: A Post-Lap-Band Surprise.

Anne Y Chua, Maxwell Bressman

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Anne Y ChuaInternal Medicine, Greenwich Hospital, Yale New Haven Health, Greenwich, USA.
Maxwell BressmanInternal Medicine, Greenwich Hospital, Yale New Haven Health, Greenwich, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurologic and cardiovascular symptoms are uncommon complications of laparoscopic adjustable gastric banding (LAGB). Alterations in vagal tone have been reported, most commonly as vasovagal syncope or bradycardia. We describe a unique presentation of sinus tachycardia and paresthesias resulting from vagal nerve irritation due to gastric band adjustments. A 51-year-old woman with a past medical history of rheumatoid arthritis and laparoscopic adjustable gastric band surgery presented with episodic right-sided paresthesias, palpitations, and sinus tachycardia occurring predominantly during and after meals. Vital signs were normal, and initial blood tests were unremarkable. Telemetry revealed periods of sinus tachycardia up to 160 beats per minute. Extensive neurologic, infectious, and cardiopulmonary evaluation was unrevealing. Further history revealed similar symptoms following prior gastric band adjustment. After removing 4.2 mL of fluid from the gastric band, the patient had complete resolution of symptoms. Surgical placement of an adjustable gastric band is close to the anterior vagal trunk, which courses near the gastroesophageal junction. Placement or adjustments of the gastric band can irritate or compress the vagal nerve, leading to unintended autonomic responses. Even without symptoms at rest, expansion of the stomach from food can lead to a similar response. While vagal nerve stimulation normally produces bradycardia, this case demonstrates that vagal dysfunction can present with paradoxical sinus tachycardia and sensory symptoms, all of which resolved with decreased gastric band pressure. In patients with prior adjustable gastric banding, vagal nerve stimulation should be considered for unexplained autonomic or neurologic symptoms. Early recognition can prevent unnecessary testing and facilitate prompt management. This case highlights the importance of recognizing neurologic and cardiovascular complications of gastric banding to provide appropriate management.

Indexed as

adjustable gastric band complicationslaparoscopic adjustable gastric bandparesthesiasinus tachycardiavagal nerve irritation

Identifiers

PMID42181345
PMCPMC13197426

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.