Presentation
Epigastric pain/dysphagia.
Patient Data
Age: 45 years
Gender: Female
From the case:
Slipped gastric band
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Left upper quadrant gastric band, horizontal lie raising suspicion of slip.
From the case:
Slipped gastric band
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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 edema, 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, ischemic/infarction, and/or perforation
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