Gastric band

Case contributed by Dr Varun Babu

Presentation

Witheld

Patient Data

Age: 45 years old
Gender: Male

Chest radiograph

Modality: X-ray

Normal positioned gastric band with phi angle of 49 degrees. 

CT Abdomen

Modality: CT
  • normal positioning of the gastric band. 
  • gastro oesophageal junction identifed above the hiatus with proximal pouch also seen above the hiatus. No undue proximal pouch distension. 
  • normal phi angle of the gastric band. 

 

Post band removal radiograph

Modality: X-ray

Normal gastric air fluid level identified post band removal. 

Oral gastrografin study

Modality: Fluoroscopy

Post band removal oral gastrografin study reveals the anatomic appearance that is typically seen in the banding patient  with a proximal pouch like appearance in early stomach filling phase and with free flow of contrast in previous site of gastric constriction. 

Case Discussion

Understanding the type of gastric banding used, the normal radiologic appearances, the usual post banding complications is essential to provide an optimal report to the surgeon. 

This patient was not finding sufficient improvement in weight loss following banding. Hence an alternative bariatric option -  laparoscopic sleeve gastrectomy was due to be performed and a sceeening upper GI fluoroscopic study was done. 

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Case Information

rID: 45167
Case created: 16th May 2016
Last edited: 3rd Sep 2016
Inclusion in quiz mode: Included

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