Laparoscopic Removal of Gastric Band

Laparoscopic gastric bands were a popular and often successful surgical technique for weight loss.  However, gastric bands may need to be removed because of symptoms, problems or medical reasons, including:

  1. Band Slippage: The band may move out of place, causing blockage, pain, or vomiting.
  2. Erosion: The band can gradually wear through the stomach wall, leading to infection or internal damage.
  3. Infection: Infections around the band or port site may not respond to treatment and require removal.
  4. Intolerance or Poor Weight Loss: Some patients don’t lose enough weight or experience ongoing side effects like nausea or acid reflux.
  5. Esophageal Dilation: The esophagus can become stretched due to band tightness or long-term pressure, affecting swallowing.
  6. Port or Tubing Issues: Mechanical problems with the band’s port or tubing (used for adjustments) may make the band unusable.
  7. Persistent Pain or Discomfort: Ongoing abdominal pain or discomfort that doesn’t improve may require removal.

What is involved?

Gastric band removal is usually performed as a minimally invasive laparoscopic procedure, similar to how the band was originally placed. Here’s what it typically involves:

Before the Procedure
  • You’ll likely have a consultation and some investigations such as a scan or endoscopy to check the position of the band and if any erosion.
  • You may need to stop eating or drinking for a certain time before surgery.
  • If you have any signs of infection or erosion, antibiotics may be started early.

     

During the Procedure
  • The surgery is done under general anaesthesia and usually takes around 60 minutes.
  • Several small cuts are made in your abdomen to insert a camera and instruments.
  • The surgeon:
    • Locates the gastric band
    • Carefully cuts and removes the band, the tubing, and the port
    • Repairs any tissue damage if needed (especially in cases of erosion or scar tissue)
  • If there is erosion or severe complications, open surgery may be needed (rare).

     

After the Procedure
  • Most patients go home the same day or after an overnight stay.
  • You’ll likely be advised to:
    • Follow a soft food diet temporarily
    • Avoid strenuous activity for a few weeks
    • Watch for signs of infection or complications
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