An unusual case of significant weight loss following malposition of a laparoscopic adjustable gastric band.

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 Facts

journal_title

Obesity facts

authors

Labib PL,Agrawal S

doi

10.1159/000342817

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

625-8

issue

4

eissn

1662-4025

issn

1662-4033

pii

000342817

journal_volume

5

pub_type

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