title: Management modalities in slipped gastric band.
abstract: BACKGROUND
  Gastric band slippage is one of the possible complications of the laparoscopic gastric band (LGB). Band slippage can present as an emergency and have drastic consequences. We herein report the different treatment modalities of slipped gastric band.
  
  
  METHODS
  A retrospective study of all patients presenting with slipped gastric band between May 2013 and January 2015 at our University hospital is described. All patients were evaluated at the time of presentation by radiological studies and upper gastrointestinal endoscopy. On diagnosis, all bands were deflated in an attempt to relieve symptoms. After patient counseling and band position evaluation, patients were consented for either removal or repositioning of the band.
  
  
  RESULTS
  This study included 100 patients. Gastric band slippage rate was 8%. All patients presented with signs of gastric obstruction and expressed a long history of intermittent vomiting attacks. All patients were subjected to a complete gastric band deflation on presentation. Band deflation successfully relieved symptoms and reversed band slippage in 2 patients. However, both patients returned with band reslippage within the same month. The other 6 patients had persistent band slippage despite complete band deflation. Three of the 8 patients had a successful band repositioning, and the rest had their gastric bands removed.
  
  
  CONCLUSIONS
  Gastric band slippage can be a serious LGB complication. Repeated vomiting can be a significant risk factor for band slippage. Moreover, band repositioning can be a well-tolerated and feasible option in the management of slipped gastric band.
authors.affiliation: General Surgery Department, Alexandria University, Alexandria, Egypt. Electronic address: tamerbaki@hotmail.com.
authors.forename: Tamer N
authors.initials: TN
authors.lastname: Abdelbaki
authors.affiliation: General Surgery Department, Alexandria University, Alexandria, Egypt.
authors.forename: Wael Nabil
authors.initials: WN
authors.lastname: Abdelsalam
authors.affiliation: General Surgery Department, Alexandria University, Alexandria, Egypt.
authors.forename: Said
authors.initials: S
authors.lastname: ElKayal
mesh_terms: D000328:Adult; D020878:Device Removal; D016099:Endoscopy, Gastrointestinal; D004868:Equipment Failure; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology; D020250:Postoperative Nausea and Vomiting / Q000209:etiology; D011391:Prolapse; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D013272:Stomach Diseases / Q000209:etiology; D016896:Treatment Outcome
keywords: Band slippage; Bariatric; Gastric band; Laparoscopy