Management modalities in slipped gastric band

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Tamer N AbdelbakiSaid ElKayal

Abstract

Gastric band slippage is one of the possible complications of the laparoscopic gastric band (LGB). Band slippage can present as an emergency and have drastic consequences. We herein report the different treatment modalities of slipped gastric band. A retrospective study of all patients presenting with slipped gastric band between May 2013 and January 2015 at our University hospital is described. All patients were evaluated at the time of presentation by radiological studies and upper gastrointestinal endoscopy. On diagnosis, all bands were deflated in an attempt to relieve symptoms. After patient counseling and band position evaluation, patients were consented for either removal or repositioning of the band. This study included 100 patients. Gastric band slippage rate was 8%. All patients presented with signs of gastric obstruction and expressed a long history of intermittent vomiting attacks. All patients were subjected to a complete gastric band deflation on presentation. Band deflation successfully relieved symptoms and reversed band slippage in 2 patients. However, both patients returned with band reslippage within the same month. The other 6 patients had persistent band slippage despite complete band deflation. Three of th...Continue Reading

References

Jan 16, 2003·American Journal of Surgery·Paul E O'Brien, John B Dixon
Jul 5, 2003·Obesity Surgery·Rudolf SteffenFritz F Horber
Dec 28, 2004·The Surgical Clinics of North America·George A Fielding, Christine J Ren
Aug 4, 2010·Surgical Endoscopy·Rishi SinghalPaul Super
Sep 3, 2011·The British Journal of Surgery·K HamdanM Chand

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Citations

Mar 26, 2019·The Journal of Trauma and Acute Care Surgery·Dominic ForteMatthew J Martin
Jul 2, 2019·The Journal of Trauma and Acute Care Surgery·Dominic M ForteMatthew J Martin

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