Interesting info on causes of slippage and other problems

[elcee 3,341]

I found this info on another Dr's website and thought it was really interesting.Here is the address if anyone would prefer to read the entire article. Laparoscopic Gastric Banding, Lap Band Adjustable Obesity Surgery for Morbid Obesity, Sydney Australia

(Please note this is not my Dr and I am not advertising)!

After reading this I find it amazing how many people appear to be overfilled and happy about it.Yes it might be great to lose weight quickly but it is not healthy and can cause all sorts of problems.

1. Slippage of the Band & Pouch dilatation (4.75% in my series)
   Research has shown that the higher the placement of the band, the lower the risk of slippage. This technique is known as the pars flaccida approach as the band passes through the fatty pad on the back wall of the stomach and is fixed in place by the body tissues. In the technique of passing the band through the lesser sac, the risk of slippage is increased. Careful tunnel formation with 4-5 sutures over the front surface of the band, significantly decreases this problem.
   
   The risk of slippage is also increased by:
   
2. Not emptying the balloon during surgery.
   

• Filling the band too early.
  
• Introducing solids too soon into the diet.
  
• Eating excessive quantities and overfilling the small pouch
  
• Having the band too tight and not allowing food to pass steadily through the opening into the lower pouch.
  

1. The problem of slippage is, however, small. Slippage causes the pouch to enlarge and the stoma to drain poorly. This results in severe reflux and vomiting. The band has to be opened by a laparoscopic technique and the stomach pulled back down through it or the band can be removed ands placed at a higher level. It is then resutured into place. This can be a complex procedure although it sounds simple. It carries a higher risk of perforating the stomach as the plane behind the stomach is adherent to the diaphragm with dense scar tissue making it difficult to open this plane to insert the band. Another option is to remove the band and replace it at a later stage.
   

[RestlessMonkey 7]

Very interesting, elcee. Thanks for sharing! :biggrin:

[Makulafamy 55]

I found this info on another Dr's website and thought it was really interesting.Here is the address if anyone would prefer to read the entire article. Laparoscopic Gastric Banding, Lap Band Adjustable Obesity Surgery for Morbid Obesity, Sydney Australia

(Please note this is not my Dr and I am not advertising)!

After reading this I find it amazing how many people appear to be overfilled and happy about it.Yes it might be great to lose weight quickly but it is not healthy and can cause all sorts of problems.

1. Slippage of the Band & Pouch dilatation (4.75% in my series)
   Research has shown that the higher the placement of the band, the lower the risk of slippage. This technique is known as the pars flaccida approach as the band passes through the fatty pad on the back wall of the stomach and is fixed in place by the body tissues. In the technique of passing the band through the lesser sac, the risk of slippage is increased. Careful tunnel formation with 4-5 sutures over the front surface of the band, significantly decreases this problem.
   
   The risk of slippage is also increased by:
   
2. Not emptying the balloon during surgery.
   

• Filling the band too early.
  
• Introducing solids too soon into the diet.
  
• Eating excessive quantities and overfilling the small pouch
  
• Having the band too tight and not allowing food to pass steadily through the opening into the lower pouch.
  

1. The problem of slippage is, however, small. Slippage causes the pouch to enlarge and the stoma to drain poorly. This results in severe reflux and vomiting. The band has to be opened by a laparoscopic technique and the stomach pulled back down through it or the band can be removed ands placed at a higher level. It is then resutured into place. This can be a complex procedure although it sounds simple. It carries a higher risk of perforating the stomach as the plane behind the stomach is adherent to the diaphragm with dense scar tissue making it difficult to open this plane to insert the band. Another option is to remove the band and replace it at a later stage.
   

Yes, thanks for sharing! That is some good info!