title: Gastric Band Slippage: The Impact of a Change in Education and Band Filling.
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.
authors: Department of Upper Gastrointestinal and Bariatric Surgery, Royal Berkshire Hospital, London Road, Reading, Berkshire, UK, RG15AN, laura.findlay@doctors.org.uk.
authors: Laura
authors: L
authors: Findlay
authors: William
authors: W
authors: Ball
authors: James
authors: J
authors: Ramus
mesh_terms: D000328:Adult; D005260:Female; D015391:Gastroplasty / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D012086:Reoperation; D012189:Retrospective Studies