Skip to main content

What Are the Complications of Gastric Banding? How Do I Diagnose and Treat Them in the Emergency Department?

  • Chapter
  • First Online:
Gastrointestinal Emergencies

Abstract

Laparoscopic adjustable gastric banding (LAGB) is a favorable weight loss option for many obese patients due to its quick recovery time and low risk profile compared to other invasive procedures, such as gastric sleeve or Roux-en-Y gastric bypass. LAGB is effective in promoting weight loss and mitigating weight-related comorbidities, such as diabetes, hypertension, sleep apnea, and heart failure. However, it does have unique complications that clinicians should be aware of when evaluating the patient with a LAGB. Most patients will present with nonspecific complaints like abdominal pain, distension, reflux, bloating, nausea, or vomiting. The complications from gastric banding can be worked up with upper gastrointestinal imaging series with contrast as well as consultation with a bariatric surgeon. It is important to diagnose these complications as early management can prevent future complications.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Carelli AM, Youn HA, Kurian MS, Ren CJ, Fielding GA. Safety of the laparoscopic adjustable gastric band: 7-year data from a U.S. center of excellence. Surg Endosc. 2010;24(8):1819–23.

    Article  Google Scholar 

  2. Lattuada E, Zappa MA, Mozzi E, Antonini I, Boati P, Roviaro GC. Injection port and connecting tube complications after laparoscopic adjustable gastric banding. Obes Surg. 2010;20(4):410–4.

    Article  Google Scholar 

  3. Contival N, Menaham B, Gautier T, Le Roux Y, Alves A. Guiding the non-bariatric surgeon through complications of bariatric surgery. J Visc Surg. 2018;155:27–40.

    Article  CAS  Google Scholar 

  4. Ren-Felding C, Allen J. Gastric banding complications: management. In: Nguyen N, et al., editors. The ASMBS textbook of bariatric surgery. New York: Springer; 2015. p. 249.

    Google Scholar 

  5. Carucci LR, Turner MA, Szucs RA. Adjustable laparoscopic gastric banding for morbid obesity: imaging assessment and complications. Radiol Clin N Am. 2007;45(2):261–74.

    Article  Google Scholar 

  6. Snow JM, Severson PA. Complications of adjustable gastric banding. Surg Clin North Am. 2011;91(6):1249–64.

    Article  Google Scholar 

  7. Kirshtein B, Lantsberg L, Mizrahi S, Avinoach E. Bariatric emergencies for non-bariatric surgeons: complications of laparoscopic gastric banding. Obes Surg. 2010;20(11):1468–78.

    Article  Google Scholar 

  8. Eid I, Birch DW, Sharma AM, Sherman V, Karmali S. Complications associated with adjustable gastric banding for morbid obesity: a surgeon's guides. Can J Surg. 2011;54(1):61–6.

    Article  Google Scholar 

  9. Louri N, Darwish B, Alkhalifa K. Stoma obstruction after laparoscopic adjustable gastric banding for morbid obesity: report of two cases and treatment options. Obes Rev. 2008;9(6):518–21.

    Article  CAS  Google Scholar 

  10. Spivak H, Favretti F. Avoiding postoperative complications with the LAP-BAND system. Am J Surg. 2002;184(6B):31S–7S.

    Article  Google Scholar 

  11. Hamdan K, Somers S, Chand M. Management of late postoperative complications of bariatric surgery. Br J Surg. 2011;98(10):1345–55.

    Article  CAS  Google Scholar 

  12. Gaetke-Udager K, Wasnik A, Kaza R, Al-Hawary M, Maturen K, Cohan R. A guide to imaging in bariatric surgery. Emerg Radiol. 2014;21(3):309–19.

    Article  Google Scholar 

  13. Gayer G, Lubner M, Bhalla S, Pickhardt P. Imaging of abdominal and pelvic surgical and postprocedural foreign bodies. Radiol Clin North Am. 2014;52(5):991–1027.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Descallar, E.A., Graham, A. (2019). What Are the Complications of Gastric Banding? How Do I Diagnose and Treat Them in the Emergency Department?. In: Graham, A., Carlberg, D.J. (eds) Gastrointestinal Emergencies. Springer, Cham. https://doi.org/10.1007/978-3-319-98343-1_126

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-98343-1_126

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98342-4

  • Online ISBN: 978-3-319-98343-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics