Enlarged Pouch and Distal Migration of Lap Band

Question Below Submitted By:  

Sherry (a patient from Georgetown, KY, USA)

I had the lap band in 2005. My last band fill was in 2006. About six months ago I stared having reflux. My family doctor sent me for EGD it came back grade C erosive esophagitis – over 25 percent of my esophagitis.

For the last seven months I’ve been on three different stomach medicines – the last, Nexium 40 mg.

About six weeks ago I developed a cough at night and anything in my stomach went to my lungs. I would wheeze all night. I was given cough medicine and three different inhalators to use.

So last week I went to see a baratric doctor and my band was drained. Apparently my band had more liquid than was put in it… how does that happen?

Within hour of leaving office I began to vomit and have severe pain. After a few days I went to the ER. A CAT scan was done and it showed distal esophageal dilation. So a UGI it showed enlarged pouch and distal migration of band.

What do I do?

Bariatric Surgery Source

Expert Responses to the Question Above

Bariatric surgeon at CBGSA , Arcadia , California

by: Dr. Troy LaMar

Hi Sherry,

Unfortunately, you are experiencing several post op complications that can occur after a Gastric Band placement.

Esophagitis, Dilatation of the esophagus, and now Band Slippage.

If you are still having vomiting and or pain and the UGI shows "migration of the band", you have a band slippage and need to have the band removed. You need to go to the ER or see your surgeon urgently now!

Good luck,
Troy LaMar, MD

los angeles bariatric surgeon

(click here for Dr. LaMar's full bio & contact info)

DISCLAIMER: This educational advice is based on the depth of your question and the details provided. The above should never replace the advice of your local physicians as they have the ability to evaluate you in person.

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