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Park, Kim, and Lee: Band Slippage after Laparoscopic Adjustable Gastric Banding (LAGB)
Case Report
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2010; 78(2): 119-122.

Published online: 19 February 2010

DOI: https://doi.org/10.4174/jkss.2010.78.2.119

Band Slippage after Laparoscopic Adjustable Gastric Banding (LAGB)

In-Soo Park, M.D., Eung-Kook Kim, M.D., Hong-Chan Lee, M.D.

Department of Surgery, St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.

Corresponding author (gsmarco@catholic.ac.kr)

Received 11 May 2009       Accepted 7 August 2009

Copyright © 2010 The Korean Surgical Society

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.

Keywords: Laparoscopic adjustable gastric banding (LAGB), Band slippage, Pouch dilatation, Bariatric surgery

Figures and Tables

Fig. 1
UGIS finding of band slippage 9 months after operation in case 1.
jkss-78-119-g001
Fig. 2
UGIS finding of band slippage 12 months after operation in case 1.
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Fig. 3
OP finding of band slippage in case 1.
jkss-78-119-g003
Fig. 4
UGIS finding of band slippage 27 months after operation in case 2.
jkss-78-119-g004

References

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