Laparoscopic adjustable gastric banding: Management of complications

Early adverse events occur after LAGB as may occur after any major abdominal procedure, but these have been surprisingly uncommon and are manageable. Access port site infection is preventable. Trauma to the stomach or other regional structures can be avoided by detailed knowledge of the anatomy and gentle technique. Perioperative mortality should approach zero. Symmetrical enlargements and other forms of proximal gastric enlargements such as slips remain the major late adverse event. They can be markedly reduced by band selection and by proper patient education regarding eating small amounts of good food slowly. Understanding the physiology of the band, particularly the mechanisms for induction of satiety and satiation, is essential for optimal patient education. Erosions remain an uncommon issue. All late adverse events are manageable and, with correction, the patient?s weight loss pattern can be predicted to follow the weight loss of the overall group. ? Springer Science+Business Media New York 2011, 2015.