Lap-Band Complications - Slippage
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From time to time the stomach wall can slip up through the band. Slippage causes an hourglass effect with a bulge above the band and extra stomach tissue with in the band.
Slippage may be mild and intermittent, or it may be severe and may not resolve. Symptoms are nausea and vomiting and a decrease in the ability to take foods or liquids.
Slippage requiring reoperation or removal of the band occurs in less than 5 percent of patients when the currently accepted surgical technique known as the pars flacida technique is used to implant the band. Care is taken as well to make the pouch above the band very small.
Normal Location of the Lap-Band®
There is a small amount of stomach above the band. Note the diagonal orientation of the band.
Slip with Dilation
Here the back wall of the stomach has slipped up through the band causing dilation of the pouch above the band. Note how the band is now turned upward.
Slippage and dilation will cause nausea and vomiting. In extreme cases the stomach within or above the band may die and need to be removed.
- Symptoms of acute nausea and vomiting and inability to take liquids or foods
- Upper GI series X-ray.
- Mild slip: Deflate the band, reinflate in one to two weeks
- Moderate slip: Deflate the band, operate to reposition band
- Severe slip: Deflate band and operate to remove band
- Appropriate band placement by surgeon
- Careful progression of diet by patient. No solids for 4 weeks
- Wait at least 6 weeks for first adjustment