Removing the Gastric Band

Jamie CyriacToronto East General Hospital

April 19, 2013

Friday, 19 April, 13

Questions

Patient needs their gastric band removed, I would:

1. do it myself

2. refer it back to their original surgeon

3. pass it on to the new guy in the group (he needs to fill his OR time and won’t refuse)

Friday, 19 April, 13

Reasons to remove Gastric Band

1. Slip

2. Erosion

3. Intolerance/failure

Friday, 19 April, 13

Gastric band slip0.1-10%

acute-chronic symptoms

vomiting, varying degrees

abdominal pain

gastric perforation!

Friday, 19 April, 13

Gastric Band Slip

Friday, 19 April, 13

video

Friday, 19 April, 13

Gastric Band Erosion

0.02-2%

rare

symptoms - none, sepsis NYD

beware the recurring infection at the port site!

Friday, 19 April, 13

Friday, 19 April, 13

Friday, 19 April, 13

Band Intolerance

many symptoms

usually related to poor diet compliance, band too tight

F/U with their surgeon

Remove with caution!

Friday, 19 April, 13

Summary

Gastric band removal can be an emergent procedure

see the patient

Don’t forget to remove all the band! ( and the port)

Talk to surgeon if need any help/advice

Friday, 19 April, 13

Questions

With a Gastric band erosion band should be removed:

1. immediately (B case)

2. within a week

3. within a month

4. depends on patient symptoms

Friday, 19 April, 13