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Management of slipped adjustable gastric bands
Marc Manganiello1, Sharfi Sarker, Michael Tempel
1Department of Surgery, Loyola University Stritch School of Medicine, Chicago, Illinois, USA.
Summary
Laparoscopic adjustable gastric banding (LAGB) slippage management options were evaluated. Gastric reduction for slipped bands led to high re-slippage rates, suggesting it should not be routine.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Procedures
- Gastrointestinal Surgery
Background:
- Laparoscopic adjustable gastric banding (LAGB) is a bariatric procedure.
- Band slippage is a complication requiring intervention.
- This study reviews management of LAGB band slippage.
Purpose of the Study:
- To determine optimal management for slipped gastric bands.
- To analyze outcomes of band removal, reduction, and replacement.
- To identify factors influencing revisional surgery success.
Main Methods:
- Retrospective review of 660 LAGB patients.
- Analysis of data from 34 patients with band slippage.
- Evaluation of band removal, gastric reduction, and band replacement outcomes.
Main Results:
- 5% of LAGB patients experienced band slippage.
- Gastric reduction had a 55% re-slippage rate, requiring further surgery.
- All management options maintained significant weight loss without complications.
Conclusions:
- Gastric reduction is not recommended for slipped LAGB due to high re-slippage.
- Band removal and replacement are viable options for slipped bands.
- Further research into the causes and prevention of band slippage is needed.
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