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Gastric Banding Complications: Management

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The ASMBS Textbook of Bariatric Surgery

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Abstract

Laparoscopic adjustable gastric banding (LAGB) is the safest bariatric surgery available, with a mortality rate of 0.08% (Hutter et al., Ann Surg 254(3):410–22, 2012). However, as with any surgery, it is not without its short-term and long-term complications and side effects, with which more familiarity has been gained in longer-term follow-up. This chapter reviews the more common problems that are encountered after gastric banding, their work-up, and subsequent management. These are divided into earlier complications including gastric and esophageal perforation, bleeding, and acute esophagogastric obstruction and later complications including enlarged pouch, gastric prolapse (“band slip”), band erosion, device malfunctions, band obstruction, hiatal hernia, reflux, and bowel obstruction. With knowledge on management of these complications, LAGB can remain a safe and relatively less invasive weight loss surgery compared with sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB).

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Abbreviations

CT:

Computed tomography

LAGB:

Laparoscopic adjustable gastric banding

RYGB:

Roux-en-Y gastric bypass

SG:

Sleeve gastrectomy

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Author information

Authors and Affiliations

  1. General Surgery, NYU Langone Medical Center, New York, NY, USA

    Brittany Nowak

  2. General Surgery, Division of Bariatric Surgery, NYU Langone Medical Center, New York, NY, USA

    Christine Ren-Fielding

  3. General Surgery, Division of Bariatric Surgery, Norton Healthcare, Louisville, KY, USA

    Jeff Allen

Authors
  1. Brittany Nowak
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  2. Christine Ren-Fielding
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  3. Jeff Allen
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Corresponding author

Correspondence to Brittany Nowak .

Editor information

Editors and Affiliations

  1. Department of Surgery, Division of Gastrointestinal Surgery, University of California, Irvine Medical Center, Orange, CA, USA

    Ninh T. Nguyen

  2. Department of Surgery, The Ohio State University, Columbus, OH, USA

    Stacy A. Brethauer

  3. Bariatric and Minimally Invasive Surgery Division, Yale School of Medicine, New Haven, CT, USA

    John M. Morton

  4. Bariatric Surgery, Metabolic and Bariatric Care, CHI Memorial Hospital, Chattanooga, TN, USA

    Jaime Ponce

  5. Department of General Surgery, The Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, USA

    Raul J. Rosenthal

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Nowak, B., Ren-Fielding, C., Allen, J. (2020). Gastric Banding Complications: Management. In: Nguyen, N., Brethauer, S., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-27021-6_21

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  • DOI: https://doi.org/10.1007/978-3-030-27021-6_21

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-27020-9

  • Online ISBN: 978-3-030-27021-6

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