A lap band is an adjustable gastric band that is surgically implanted around the top portion of the stomach. The band works as an inflatable silicone device and is used to treat obesity by reducing the amount of food that the stomach is capable of holding. Lap band slippage is a common complication among patients who have undergone lap band surgery. You really only have one option once your lap band has moved--surgical intervention. They key is to detect symptoms early and to take measures that prevent your stomach from slipping.
Symptoms
As lap band slippage tends to be progressive, so do the symptoms that indicate the lap band is not functioning properly. A slipped lap band may begin as what seems to be a bad case of acid reflux. You should pay close attention to your digestive system and closely monitor any increase in heartburn or acid reflux. Usually these symptoms are present before nausea and vomiting develops. If you develop nausea and vomiting you should visit your doctor immediately. According to Dr. Arturo Rodriguez, these symptoms can progress and develop into sudden dysphagia. Symptoms of dysphagia include inability to chew or swallow any foods or saliva.
Procedure
Patients need surgery to repair or remove a slipped lap band and should have it done as soon as possible. Your doctor will perform an X-ray and barium swallow examination to verify that your band has slipped. The duration of surgery depends on the condition of the lap band, as it will need to be dissected from the stomach and removed or reapplied. The position of your stomach may also need to be adjusted and the band may need to be removed entirely without a replacement, depending on the condition of your stomach. This will all need to be determined by your surgeon once he is able to perform the surgery and assess the situation.
Prevention
A slipped lap band may occur for a number of reasons. A common reason for slippage is surgical error or improper band placement. It is very important that you choose your surgeon carefully and do not return to a surgeon if you continue to experience complications with his work. You should also check to make sure the lap band used on your stomach is of high quality with low incidence of complications. Perhaps the most common cause for slippage occurs when patients introduce solid foods into their diet too soon after the procedure. You should make sure that you avoid solid foods for at least 4 weeks after your surgery and introduce any new foods gradually over time. Overeating is another common reason that you could experience complications with your lap band, so make sure that you are moderating your portion sizes.
