01-07-2015 | Brief Communication
Gastric Band Slippage: The Impact of a Change in Education and Band Filling
Published in: Obesity Surgery | Issue 7/2015
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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.