Amanda Roberts, MD, Abdelrahman Nimeri, MD, FACS, FASMBS, Keith Gersin, MD, FACS, FASMBS, Timothy Kuwada, MD, FACS, FASMBS. Carolinas Weight Management
Lap bands gained popularity and were very commonly used in the treatment of morbid obesity in the early 2000s. While it has been found to be a very safe procedure, the lap band has unique risks, including band slippage, erosion, and issues with the access port and tubing. The incidence of erosion ranges from 0.2%-11.1%.
Gastric band erosion is typically a late complication, occurring on average thirty three months after placement of the initial band. It commonly presents with a loss of restriction leading to weight gain, mild epigastric pain, recurrent port site infections, or fluid missing from the band due to disruption of the balloon. The gold standard to diagnose an erosion is with an upper endoscopy, where the eroded band is visible.
There are multiple ways to treat an eroded band. This video discusses each method and shows a trans-gastric approach using a single port to safely and efficiently remove the eroded band.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95868
Program Number: V148
Presentation Session: Revisional Bariatrics/Foregut Video Session
Presentation Type: Video