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Laparoscopic Adjustable Gastric Banding: Complications – Diagnosis and Management

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Obesity, Bariatric and Metabolic Surgery

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Abstract

Gastric Band Complications are relatively common but rarely serious in nature. Complications can be classified as general or specific to band surgery. General complications are rare and gastric band surgery remains one of the safest forms of weight loss surgery available.

Over the lifetime of a band, in excess of 25% of patients should expect to have their surgery revised. Problems that develop over the long term include pouch dilatation, band slippage, erosion, and port-related problems. Modern band design and a standardized approach to placement have led to a decrease in complications. A reduced risk and appropriate management of complications is dependent on good long-term follow-up. It is important to note that most significant complications occur beyond a standard 2-year follow-up program.

Most acute problems can be managed by a simple, percutaneous band deflation. Gastric band patients can rarely present with complete obstruction that does not respond to conservative measures and requires immediate attention to avoid potentially life-threatening sequelae.

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Author information

Authors and Affiliations

  1. Department of Upper GI and Bariatric Surgery, East Midlands Bariatric and Metabolic Institute, Royal Derby Hospital, Derby, UK

    Paul Constantine Leeder

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  1. Paul Constantine Leeder
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Correspondence to Paul Constantine Leeder .

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Editors and Affiliations

  1. Homerton University Hospital, London, UK

    Sanjay Agrawal

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  1. Flinders University, Adelaide, Australia

    Lilian Kow

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Leeder, P.C. (2023). Laparoscopic Adjustable Gastric Banding: Complications – Diagnosis and Management. In: Agrawal, S. (eds) Obesity, Bariatric and Metabolic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-60596-4_31

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  • DOI: https://doi.org/10.1007/978-3-030-60596-4_31

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