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Laparoscopic Adjustable Gastric Band Slippage Rates Following Laparoscopic Gastric Band Insertion: a Single Centre
J R A Skipworth1, A E Fanshawe2, M Hewitt2
1Department of Bariatric Surgery, Chelsea and Westminster Hospital NHS Trust, 369 Fulham Road, London, SW10 9NH, UK. jamesskipworth@doctors.org.uk.
Obesity Surgery
|December 15, 2015
Summary
Laparoscopic adjustable gastric bands (LAGB) slips are linked to younger patient age and greater weight loss. Further research is needed to fully understand the risk factors and mechanisms of LAGB slippage.
Area of Science:
- Bariatric surgery
- Gastroenterology
- Surgical complications
Background:
- Laparoscopic adjustable gastric bands (LAGB) are used for weight loss in morbidly obese patients.
- Band slippage can cause gastric obstruction, ischemia, or perforation, requiring intervention.
- Identifying factors associated with slippage is crucial for patient safety and surgical outcomes.
Purpose of the Study:
- To determine the incidence of LAGB slippage.
- To identify predisposing factors associated with LAGB slippage.
Main Methods:
- Review of prospectively maintained bariatric database, computer records, and case notes.
- Analysis of all LAGBs inserted at a single center using the pars flaccida technique.
- Multivariate analysis to assess associations between slippage and patient/procedural factors.
Main Results:
- A local slip rate of 3.1% was observed among 719 LAGBs.
- Significant associations found between LAGB slip and younger age at insertion (median 41 vs. 45 years).
- Higher total excess weight loss (64% vs. 36%) and faster monthly weight loss (2.41% vs. 1.00%) were linked to slippage.
Conclusions:
- LAGB slips are associated with younger patient age and greater excess weight loss.
- Further large-scale studies are recommended to fully elucidate risk factors and mechanisms of band slippage.