Complications associated with adjustable gastric banding for morbid obesity: a surgeon's guide

Complications from Laparoscopic Adjustable Gastric Banding: 364 Cases Experience

“…Adjustable gastric banding probably represents the most frequent performed bariatric surgery. LAGB is considered to be an effective method of weight loss [8][9][10], however, all surgical procedures have specifi c complications related to the LAGB, requiring a process for assessment and medical management, a change in lifestyle, diet, and LAGB revision surgery in 20-60 % of cases for failures and/or complications [11,12], which have been listed as gastric band malposition, gastric band erosion, chronic gastric band erosion, gastric band slippage, pouch dilatation, gastric stomal stenosis, catheter malfunction, port-catheter disconnection, catheter-band disconnection, proximal esophageal dilatation without stomal stenosis, esophageal dysmotility, refl ux and esophageal gastrifi cation; being the pouch enlargement, band slip, band erosion, port-site infections and port breakage the most commonly associated with LAGB [13]. There are some specifi c problems related to the device with percentage reported in literature, like: band erosion (2.1% -9.5%); band intolerance; band leak (1.1% -4.9%) and band slippage (2% -18%).…”

Use of bedside ultrasound to diagnose dislodged gastric band

“…, 5 Enlargement of the pouch, band slip and erosion, port breakage and port‐site infection are the complications most commonly seen with LAGB 4 …”

“…Since the cross‐sectional area of the stomach is larger at the body than at the level of the angle of His (normal band position), complete obstruction of the stomach can occur when the band slips. The band slip can be anterior or posterior depending on which area of the stomach herniates through the band 4 (Table 1). …”

“…LAGB is associated with unique complications that require early recognition. One of these is slippage of the band either cranially or caudally 4 . We present the first published case report of diagnosis of slipped band diagnosed with bedside ultrasound.…”

Weight loss promoted by the Intra-oral Alimentary Satiety Device in a morbidly obese patient

“…Currently, the main treatments available to aid weight reduction are dietary guidance, the practice of supervised physical activity and the use of anti-obesity drugs. However, patients usually quickly abandon this type of treatment, leading to unsatisfactory results and obtained for shorter periods of time 5 . On the other hand, the demand for surgical intervention in patients with morbid obesity has increased significantly throughout the world, due to its effectiveness, safety and reduction in costs of health systems 6 .…”