Abstract:
OBJECTIVE:Malposition or misplacement of gastric bands is a rare but recognised early complication of gastric band surgery. Malposition of the band would not normally result in significant weight loss after surgery. CASE REPORT:To our knowledge, we report the first case in the English literature of a malpositioned gastric band encircling the pericardial fat pad only, who presented with delayed symptoms of dysphagia and gastro-oesophageal reflux resulting in significant weight loss (>60% of excess body weight) approximately 6 years after primary surgery. The patient underwent a water-soluble contrast study with antero-posterior views which was suggestive of a slipped band. However, on laparoscopy the band was found to be encircling the pericardial fat pad. CONCLUSION:We suggest that all contrast swallow studies for patients presenting with symptoms of gastric band slippage should include lateral views to exclude gastric band malposition, irrespective of the time of onset of symptoms after primary surgery.
journal_name
Obes Factsjournal_title
Obesity factsauthors
Labib PL,Agrawal Sdoi
10.1159/000342817subject
Has Abstractpub_date
2012-01-01 00:00:00pages
625-8issue
4eissn
1662-4025issn
1662-4033pii
000342817journal_volume
5pub_type
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