Obesity Surgery

, Volume 22, Issue 5, pp 773–776 | Cite as

The Effect of Gastric Band Slippage on Patient Body Mass Index and Quality of Life

  • Shaheel M. Sahebally
  • John P. Burke
  • Donal O’Shea
  • Justin Geoghegan
Clinical Research



Laparoscopic adjustable gastric banding (LAGB) is a popular surgical procedure for the management of morbid obesity. Gastric band slippage (GBS) is the most common long-term complication. In this study, the effect of GBS on body mass index (BMI) and quality of life (QOL) were assessed.


This was a retrospective, case-controlled study. Patient demographics and BMI were prospectively recorded, and QOL was assessed via telephone questionnaire using the medical outcomes study short-form-36 (SF-36). The QOL of the GBS group were compared with an age, sex, and duration of follow-up matched control group who underwent uncomplicated LAGB (n = 10).


Seventeen patients with GBS who underwent surgery were identified. Ten patients underwent band removal, and seven underwent revision surgery (six band repositioning and one Roux-en-Y gastric bypass); all were managed laparoscopically. Mean follow-up since re-operation was 17.2 ± 2.9 months. A significant increase in BMI occurred following GBS surgery (29.0 ± 1.5 vs. 33.8 ± 1.0, P = 0.035), which did not differ between the removal or revision groups. Overall, there was no difference in QOL between the GBS and control groups. On subgroup analysis, those who underwent revision surgery had a worse score in limitations in social activities because of physical or emotional problems than those who underwent band removal (92.0 ± 3.9 vs. 70.8 ± 10.0, P = 0.046).


Following surgery for GBS, patients experience a rise in BMI. Overall, this does not affect patient QOL but may limit social activities because of physical or emotional problems in those who have band revision surgery.


Laparoscopic adjustable gastric band Band slippage Band revision Band removal Quality of life 


Conflicts of interest

All authors declare no conflicts of interest.


  1. 1.
    Buchwald H, Williams SE. Bariatric surgery worldwide 2003. Obes Surg. 2004;14(9):1157–64.PubMedCrossRefGoogle Scholar
  2. 2.
    Weiner R, Blanco-Engert R, Weiner S, et al. Outcome after laparoscopic adjustable gastric banding—8 years experience. Obes Surg. 2003;13(3):427–34.PubMedCrossRefGoogle Scholar
  3. 3.
    Suter M, Calmes JM, Paroz A, et al. A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg. 2006;16(7):829–35.PubMedCrossRefGoogle Scholar
  4. 4.
    Carelli AM, Youn HA, Kurian MS, et al. Safety of the laparoscopic adjustable gastric band: 7-year data from a U.S. center of excellence. Surg Endosc. 2010;24(8):1819–23.PubMedCrossRefGoogle Scholar
  5. 5.
    Bruegger D, Rehm M, Da Silva L, et al. Severe metabolic acidosis resulting from a dislocated gastric band. Obes Surg. 2004;14(4):555–8.PubMedCrossRefGoogle Scholar
  6. 6.
    Fischer G, Myers JA, Huang W, et al. Gastric migration and strangulation after adjustable gastric banding. Obes Surg. 2008;18(6):753–5.PubMedCrossRefGoogle Scholar
  7. 7.
    Bueter M, Thalheimer A, Wierlemann A, et al. Reoperations after gastric banding: replacement or alternative procedures? Surg Endosc. 2009;23(2):334–40.PubMedCrossRefGoogle Scholar
  8. 8.
    Wolnerhanssen B, Kern B, Peters T, et al. Reduction in slippage with 11-cm Lap-Band and change of gastric banding technique. Obes Surg. 2005;15(7):1050–4.PubMedCrossRefGoogle Scholar
  9. 9.
    Suter M. Laparoscopic band repositioning for pouch dilatation/slippage after gastric banding: disappointing results. Obes Surg. 2001;11(4):507–12.PubMedCrossRefGoogle Scholar
  10. 10.
    Schouten R, van Dielen FM, Greve JW. Re-operation after laparoscopic adjustable gastric banding leads to a further decrease in BMI and obesity-related co-morbidities: results in 33 patients. Obes Surg. 2006;16(7):821–8.PubMedCrossRefGoogle Scholar
  11. 11.
    McHorney CA, Ware Jr JE, Raczek AE. The MOS 36-item short-form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care. 1993;31(3):247–63.PubMedCrossRefGoogle Scholar
  12. 12.
    Jenkinson C, Wright L, Coulter A. Criterion validity and reliability of the SF-36 in a population sample. Qual Life Res. 1994;3(1):7–12.PubMedCrossRefGoogle Scholar
  13. 13.
    McHorney CA, Kosinski M, Ware Jr JE. Comparisons of the costs and quality of norms for the SF-36 health survey collected by mail versus telephone interview: results from a national survey. Med Care. 1994;32(6):551–67.PubMedCrossRefGoogle Scholar
  14. 14.
    Ahroni JH, Montgomery KF, Watkins BM. Laparoscopic adjustable gastric banding: weight loss, co-morbidities, medication usage and quality of life at one year. Obes Surg. 2005;15(5):641–7.PubMedCrossRefGoogle Scholar
  15. 15.
    Brancatisano A, Wahlroos S, Brancatisano R. Improvement in comorbid illness after placement of the Swedish Adjustable Gastric Band. Surg Obes Relat Dis. 2008;4(3 Suppl):S39–46.PubMedCrossRefGoogle Scholar
  16. 16.
    Nguyen NT, Slone JA, Nguyen XM, et al. A prospective randomized trial of laparoscopic gastric bypass versus laparoscopic adjustable gastric banding for the treatment of morbid obesity: outcomes, quality of life, and costs. Ann Surg. 2009;250(4):631–41.PubMedGoogle Scholar
  17. 17.
    Chevallier JM, Paita M, Rodde-Dunet MH, et al. Predictive factors of outcome after gastric banding: a nationwide survey on the role of center activity and patients’ behavior. Ann Surg. 2007;246(6):1034–9.PubMedCrossRefGoogle Scholar
  18. 18.
    Madan AK, Tichansky DS, Taddeucci RJ. Postoperative laparoscopic bariatric surgery patients do not remember potential complications. Obes Surg. 2007;17(7):885–8.PubMedCrossRefGoogle Scholar
  19. 19.
    Di Lorenzo N, Furbetta F, Favretti F, et al. Laparoscopic adjustable gastric banding via pars flaccida versus perigastric positioning: technique, complications, and results in 2,549 patients. Surg Endosc. 2010;24(7):1519–23.PubMedCrossRefGoogle Scholar
  20. 20.
    Boschi S, Fogli L, Berta RD, et al. Avoiding complications after laparoscopic esophago-gastric banding: experience with 400 consecutive patients. Obes Surg. 2006;16(9):1166–70.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2011

Authors and Affiliations

  • Shaheel M. Sahebally
    • 1
  • John P. Burke
    • 1
  • Donal O’Shea
    • 2
  • Justin Geoghegan
    • 1
  1. 1.Department of SurgerySt. Columcille’s HospitalDublinIreland
  2. 2.Department of EndocrinologySt. Columcille’s HospitalDublinIreland

Personalised recommendations