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Gastric band removal for weight regain

M Vix, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Oct 2012;12(10). URL: http://websurg.com/doi/vd01en3764

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  • 2012-10-16
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Patients with a gastric band frequently request for its removal when it becomes inefficient in order to envisage another bariatric procedure. The intervention consists in the dissection of several adhesions between the liver and the stomach, the freeing of the gastric wrap, and the band removal. This procedure may be made uneasy because of the abundance and tightness of adhesions. In a few cases, our team has performed another procedure at the same time but usually we delay the second procedure in order to reduce complication risks, and more particularly anastomotic risks linked to this new intervention. The second interventions should be performed at least 2 months apart in order to allow for proper scarring of the gastric wall which harboured the band.