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Management modalities in slipped gastric band

Tamer N Abdelbaki1, Wael Nabil Abdelsalam1, Said ElKayal1

  • 1General Surgery Department, Alexandria University, Alexandria, Egypt.

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
|January 19, 2016
PubMed

Insights

Gastric band slippage is a serious complication of laparoscopic gastric band (LGB) surgery. Band repositioning is a feasible treatment option for slipped gastric bands, offering a well-tolerated solution.

Area of Science:

  • Bariatric surgery outcomes
  • Gastrointestinal complications
  • Surgical device management

Background:

  • Gastric band slippage is a known complication of laparoscopic gastric band (LGB) surgery.
  • Slippage can lead to emergency situations with severe consequences.
  • This study investigates treatment options for slipped gastric bands.

Observation:

  • A retrospective review of 100 patients with slipped gastric bands was conducted.
  • The overall gastric band slippage rate was 8%.
  • Patients commonly presented with gastric obstruction and a history of vomiting.

Findings:

  • Complete gastric band deflation provided temporary relief in some cases, but persistent slippage occurred in most patients.
  • Band repositioning was successful in 3 out of 8 patients with persistent slippage.
  • Gastric band removal was necessary for the remaining patients.

Implications:

  • Repeated vomiting is a significant risk factor for gastric band slippage.
  • Band repositioning is a viable and well-tolerated management strategy.
  • Effective management of slipped gastric bands is crucial for patient outcomes.
Abstract

Keywords:
Band slippageBariatricGastric bandLaparoscopy

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