J Korean Surg Soc.  2010 Feb;78(2):119-122. 10.4174/jkss.2010.78.2.119.

Band Slippage after Laparoscopic Adjustable Gastric Banding (LAGB)

Affiliations
  • 1Department of Surgery, St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. gsmarco@catholic.ac.kr

Abstract

Laparoscopic adjustable gastric banding (LAGB) has proved to be safe and effective, worldwide. The perigastric technique was once the most frequent method of band placement, but posterior prolapse was a problem. The introduction of the pars flaccida technique has considerably reduced the incidence of this complication, and, currently, this technique is the most utilized method and recommended by most bariatric surgeons. However, LAGB with pars flaccida technique has rare complications such as band slippage and gastric pouch dilatation in 2~5% of patients. We have experienced 2 band replacement cases for band slippage and pouch dilatation each happening about 1 and 2 years after LAGB.

Keyword

Laparoscopic adjustable gastric banding (LAGB); Band slippage; Pouch dilatation; Bariatric surgery

MeSH Terms

Bariatric Surgery
Dilatation
Humans
Incidence
Prolapse

Figure

  • Fig. 1 UGIS finding of band slippage 9 months after operation in case 1.

  • Fig. 2 UGIS finding of band slippage 12 months after operation in case 1.

  • Fig. 3 OP finding of band slippage in case 1.

  • Fig. 4 UGIS finding of band slippage 27 months after operation in case 2.


Reference

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