Slipped gastric band

Case contributed by Dr Henry Knipe

Presentation

Epigastric pain/dysphagia.

Patient Data

Age: 45
Gender: Female
X-ray

Left upper quadrant gastric band, horizontal lie raising suspicion of slip

CT

A gastric band is noted with tubing and subcutaneous port intact. It lies in an abnormal position beyond the horizontal, around the mid part of the stomach. There is marked eccentric dilatation of the pouch. Distal stomach is collapsed. No gastric wall oedema, hypo-enhancement or intramural gas. Contrast passes distal to the gastric band.

Multiple gallstones.

Case Discussion

  • up to 25% of patient will experience gastric band slippage (as either an early or later complication)
  • gastric band will lie either in a more vertical or horizontal position with eccentric pouch dilatation
  • band slippage can be further complicated by obstruction, volvulus, ischaemic/infarction, and/or perforation
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Case information

rID: 35388
Case created: 4th Apr 2015
Last edited: 7th Dec 2016
Inclusion in quiz mode: Included

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