Band slippage after laparoscopic adjustable gastric banding: etiology and treatment

Abstract

Band slippage is not a rare complication after laparoscopic adjustable gastric banding. The decision to remove or replace the band or convert to another bariatric procedure should be made preoperatively, taking both patient preference and etiology into consideration. Short-term results indicate that band salvage is successful when the patient population is chosen correctly.

Slippage after Adjustable Gastric Banding according to the Pars Flaccida and the Perigastric Approach

“…Posterior slippage makes the band move to the vertical position due to unrecognized penetration of the lesser sac. This is a more difficult complication and the band needs to be placed more proximally or removed [8,14,15] .…”

Intragastric band erosion due to band slippage after laparoscopic adjustable gastric banding: the Gastroenterologist aspect

“…On the other hand, the decrease in the visceral fat due to weight loss can lead to a decline in the supportive tissue surrounding the stomach and consequently can facilitate the band slippage. These complications can occur any time after band placement and must be considered in any patient who develops new-onset gastrointestinal reflux, upper abdominal pain, nausea, vomiting, loss of band restriction, and weight gain (2). Similar symptoms were present in our case, but gastroscopy revealed intragastric band erosion rather than a pure obstruction.…”

“…The complications reported for LAGB range from trivial infections at the port site to life-threatening hemorrhage. The major complications due to the procedure include band slippage, pouch dilation and intragastric band migration or band erosion (1)(2)(3). Herein, we present the gastroscopic findings of a patient with intragastric band erosion due to band slippage.…”

“…To the Editor, Bariatric surgery is a currently proven, effective treatment for morbid obesity, and laparoscopic adjustable gastric banding (LAGB) is one of the most popular minimally invasive restrictive procedures (1)(2)(3). With this method, a band can be placed laparoscopically around the proximal side of the stomach about 2 centimeters distal to the gastroesophageal junction.…”

Komplikationen nach steuerbarem Gastric Banding

“…Die Häu fig keit des Slip pa ge liegt in der Li te ra tur zwi schen 0,6 und 20 [10,14,22,41]. Die Slip pa ge ra te un ter schei det sich sig ni fi kant beim Ver gleich al ler Kli ni ken mit Ein rich tun gen, die mehr als 100 Bän-der im plan tiert ha ben.…”