Gastric Band Slippage: The Impact of a Change in Education and Band Filling.

Obes Surg

Department of Upper Gastrointestinal and Bariatric Surgery, Royal Berkshire Hospital, London Road, Reading, Berkshire, UK, RG15AN,

Published: July 2015

Background: Gastric band slippage is a significant challenge in gastric band surgery and can result in poor weight loss, pain and dysphagia, often requiring re-operation. The Royal Berkshire Hospital is one of 49 UK centres performing bariatric surgery. We audited our band slippage rates.

Methods: All patients undergoing gastric banding from February 2007 to December 2013 were included (follow-up until December 2014). Slip rate was calculated and compared to an audit standard (3.9 %). The impact of two interventions altering the method of band filling and post-operative dietary advice was studied.

Results: Initial slippage rates were high (17 %). Rates decreased following the interventions: 8.5 % by July 2012 (p = 0.05); 2.7 % by December 2014 (p = 0.2).

Conclusions: Two simple, low-risk interventions have reduced complication rates in a high-risk population.

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Source
http://dx.doi.org/10.1007/s11695-015-1661-3DOI Listing

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