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Gastric Band Slippage: The Impact of a Change in Education and Band Filling

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Abstract

Background

Gastric band slippage is a significant challenge in gastric band surgery and can result in poor weight loss, pain and dysphagia, often requiring re-operation. The Royal Berkshire Hospital is one of 49 UK centres performing bariatric surgery. We audited our band slippage rates.

Methods

All patients undergoing gastric banding from February 2007 to December 2013 were included (follow-up until December 2014). Slip rate was calculated and compared to an audit standard (3.9 %). The impact of two interventions altering the method of band filling and post-operative dietary advice was studied.

Results

Initial slippage rates were high (17 %). Rates decreased following the interventions: 8.5 % by July 2012 (p = 0.05); 2.7 % by December 2014 (p = 0.2).

Conclusions

Two simple, low-risk interventions have reduced complication rates in a high-risk population.

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Acknowledgments

The authors would like to thank Mr Thomas Dehn (MS, FRCS), Miss Marianne Sampson (MB BChir MA FRCS) (consultant surgeons) and Katharine Hallworth-Cook (Bariatric Specialist Nurse and Dietician).

Conflict of Interest

The authors report no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Obtaining an informed consent does not apply. For this type of study, formal consent is not required.

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Authors and Affiliations

  1. Department of Upper Gastrointestinal and Bariatric Surgery, Royal Berkshire Hospital, London Road, Reading, Berkshire, UK, RG15AN

    Laura Findlay, William Ball & James Ramus

  2. Department of Breast Surgery, Torbay Hospital, Torquay, Devon, TQ27AA, UK

    Laura Findlay

Authors
  1. Laura Findlay
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  2. William Ball
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  3. James Ramus
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Correspondence to Laura Findlay.

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Findlay, L., Ball, W. & Ramus, J. Gastric Band Slippage: The Impact of a Change in Education and Band Filling. OBES SURG 25, 1302–1306 (2015). https://doi.org/10.1007/s11695-015-1661-3

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  • DOI: https://doi.org/10.1007/s11695-015-1661-3

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