Complications of Adjustable Gastric Banding

  • Ann M. Defnet
  • Marina S. Kurian


Adjustable gastric banding was once the leading bariatric procedure given its ease of laparoscopic placement, minimal recovery time, reversibility, and lower cost. Its prominence fell partly secondary to increased incidence of postoperative complications, including band slippage, erosion, infection, or other issues with the port or tubing itself. Although these complications, as discussed in this chapter, are rarely life-threatening, they frequently cause significant morbidity and even failure of therapy. It is important to understand the details of these complications in order to adequately diagnose and treat patients with adjustable gastric bands, as well as counsel patients before undergoing adjustable gastric banding.


Adjustable gastric banding Complications Slippage Erosion Infection Port Tubing 


  1. 1.
    Nguyen NT, Masoomi H, Magno CP, Nguyen XM, Laugenour K, Lane J. Trends in use of bariatric surgery, 2003–2008. J Am Coll Surg. 2011;213(2):261–6.CrossRefPubMedGoogle Scholar
  2. 2.
    Suter M, Calmes JM, Paroz A, Giusti V. A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg. 2006;16(7):829–35.CrossRefPubMedGoogle Scholar
  3. 3.
    Beitner M, Kurian MS. Laparoscopic adjustable gastric banding. Abdom Imaging. 2012;37(5):687–9.CrossRefPubMedGoogle Scholar
  4. 4.
    Ren CJ, Fielding GA. Laparoscopic adjustable gastric banding [Lap-Band]. Curr Surg. 2003;60(1):30–3.CrossRefPubMedGoogle Scholar
  5. 5.
    O’Brien PE, Dixon JB, Laurie C, Anderson M. A prospective randomized trial of placement of the laparoscopic adjustable gastric band: comparison of the perigastric and pars flaccida pathways. Obes Surg. 2005;15(6):820–6.CrossRefPubMedGoogle Scholar
  6. 6.
    Snow JM, Severson PA. Complications of adjustable gastric banding. Surg Clin North Am. 2011;91(6):1249–64, ix.CrossRefPubMedGoogle Scholar
  7. 7.
    Spivak H, Rubin M. Laparoscopic management of lap-band slippage. Obes Surg. 2003;13(1):116–20.CrossRefPubMedGoogle Scholar
  8. 8.
    Keidar A, Szold A, Carmon E, Blanc A, Abu-Abeid S. Band slippage after laparoscopic adjustable gastric banding: etiology and treatment. Surg Endosc. 2005;19(2):262–7.CrossRefPubMedGoogle Scholar
  9. 9.
    Manganiello M, Sarker S, Tempel M, Shayani V. Management of slipped adjustable gastric bands. Surg Obes Relat Dis. 2008;4(4):534–8; discussion 8.CrossRefPubMedGoogle Scholar
  10. 10.
    Egan RJ, Monkhouse SJ, Meredith HE, Bates SE, Morgan JD, Norton SA. The reporting of gastric band slip and related complications; a review of the literature. Obes Surg. 2011;21(8):1280–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Egberts K, Brown WA, O’Brien PE. Systematic review of erosion after laparoscopic adjustable gastric banding. Obes Surg. 2011;21(8):1272–9.CrossRefPubMedGoogle Scholar
  12. 12.
    Boschi S, Fogli L, Berta RD, Patrizi P, Di Domenico M, Vetere F, et al. Avoiding complications after laparoscopic esophago-gastric banding: experience with 400 consecutive patients. Obes Surg. 2006;16(9):1166–70.CrossRefPubMedGoogle Scholar
  13. 13.
    Brown WA, Egberts KJ, Franke-Richard D, Thodiyil P, Anderson ML, O'Brien PE. Erosions after laparoscopic adjustable gastric banding: diagnosis and management. Ann Surg. 2013;257(6):1047–52.CrossRefPubMedGoogle Scholar
  14. 14.
    Abu-Abeid S, Keidar A, Gavert N, Blanc A, Szold A. The clinical spectrum of band erosion following laparoscopic adjustable silicone gastric banding for morbid obesity. Surg Endosc. 2003;17(6):861–3.CrossRefPubMedGoogle Scholar
  15. 15.
    Campos J, Ramos A, Galvao Neto M, Siqueira L, Evangelista LF, Ferraz A, et al. Hypovolemic shock due to intragastric migration of an adjustable gastric band. Obes Surg. 2007;17(4):562–4.CrossRefPubMedGoogle Scholar
  16. 16.
    Iqbal M, Manjunath S, Seenath M, Khan A. Massive upper gastrointestinal hemorrhage: an unusual presentation after laparoscopic adjustable gastric banding due to erosion into the celiac axis. Obes Surg. 2008;18(6):759–60.CrossRefPubMedGoogle Scholar
  17. 17.
    Rao AD, Ramalingam G. Exsanguinating hemorrhage following gastric erosion after laparoscopic adjustable gastric banding. Obes Surg. 2006;16(12):1675–8.CrossRefPubMedGoogle Scholar
  18. 18.
    Abeysekera A, Lee J, Ghosh S, Hacking C. Migration of eroded laparoscopic adjustable gastric band causing small bowel obstruction and perforation. BMJ Case Rep. Published Online First: 12 May 2017.
  19. 19.
    Bueter M, Thalheimer A, Meyer D, Fein M. Band erosion and passage, causing small bowel obstruction. Obes Surg. 2006;16(12):1679–82.CrossRefPubMedGoogle Scholar
  20. 20.
    Egbeare DM, Myers AF, Lawrance RJ. Small bowel obstruction secondary to intragastric erosion and migration of a gastric band. J Gastrointest Surg. 2008;12(5):983–4.CrossRefPubMedGoogle Scholar
  21. 21.
    Kim SY, KY O, Chung JW, Kim YJ, Kim KO, Kwon KA, et al. Endoscopic treatment of diverse complications caused by laparoscopic adjustable gastric banding: a study in Eastern Asia. Gut Liver. 2017;11(4):497–503.CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Klimczak T, Szewczyk T, Janczak P, Juralowicz P. Laparoscopic adjustable gastric band (LAGB) migration – Endoscopic treatment modalities. Pol Przegl Chir. 2016;88(6):299–304.CrossRefPubMedGoogle Scholar
  23. 23.
    Di Lorenzo N, Lorenzo M, Furbetta F, Favretti F, Giardiello C, Boschi S, et al. Intragastric gastric band migration: erosion: an analysis of multicenter experience on 177 patients. Surg Endosc. 2013;27(4):1151–7.CrossRefPubMedGoogle Scholar
  24. 24.
    Niville E, Dams A, Vlasselaers J. Lap-Band erosion: incidence and treatment. Obes Surg. 2001;11(6):744–7.CrossRefPubMedGoogle Scholar
  25. 25.
    Vertruyen M, Paul G. 11-cm Lap-Band System placement after history of intragastric migration. Obes Surg. 2003;13(3):435–8.CrossRefPubMedGoogle Scholar
  26. 26.
    Lattuada E, Zappa MA, Mozzi E, Antonini I, Boati P, Roviaro GC. Injection port and connecting tube complications after laparoscopic adjustable gastric banding. Obes Surg. 2010;20(4):410–4.CrossRefPubMedGoogle Scholar
  27. 27.
    Keidar A, Carmon E, Szold A, Abu-Abeid S. Port complications following laparoscopic adjustable gastric banding for morbid obesity. Obes Surg. 2005;15(3):361–5.CrossRefPubMedGoogle Scholar
  28. 28.
    Korenkov M, Kneist W, Heintz A, Junginger T. Technical alternatives in laparoscopic placement of an adjustable gastric band: experience of two German university hospitals. Obes Surg. 2004;14(6):806–10.CrossRefPubMedGoogle Scholar
  29. 29.
    Beitner MM, Ren-Fielding CJ, Fielding GA. Reducing complications with improving gastric band design. Surg Obes Relat Dis. 2016;12(1):150–6.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryNew York University Langone HealthNew YorkUSA

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