TNE - Transnasal Esophagoscopy

LINX - Antireflux System

Hiatal Hernia Repair

Gastric Sleeve

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The Surgical Practice of Robert Sewell, M.D., F.A.C.S.

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Seeing patients in the offices of

Wise County Medical & Surgical Associates

1001 W. Eagle Dr.

Decatur, Texas 76234 

Revisions and Conversions

The Lap-Band is placed around the uppermost portion of the stomach, but it doesn't always stay where it is placed. Occasionally the band will slip down onto the stomach, creating a variety of symptoms, including:

  • heartburn
  • weight gain
  • frequent regurgitation
  • chest pain​

While it may be possible to reposition or even replace the band, in most cases the appropriate option may be to simply remove it. The best way to show the position of the band before determining a course of action is an Upper GI X-ray (see above). For many patients the best way to manage a slipped band is to convert to an entirely different weight loss procedure.  

Slipped Band

Disappointed in Your Lap Band Results?

While the AGB (Adjustable Gastric Band or Lap Band) seems to work well for some, others seem to struggle to adjust to the band. It is quite common for patients to lose weight to a point, then they just seem to stop losing. The reason for this plateau effect is unknown, but on average it occurs when the patient has lost about half of their excess body weight. This may be very acceptable for someone who only needed to lose 75 to 100 pounds, but for those who started out 150 to 200 pounds or more overweight this 50% loss is generally not an adequate result. Band patients who have reached a plateau and are still morbidly obese often seek another solution. Removal of the band with conversion to another weight loss procedure such as the Gastric Sleeve may be exactly what it takes to get them started losing weight again.

Dr. Sewell Converts Lap-Band to Gastric Sleeve

Grace Had Lap-Band to Gastric Sleeve Conversion

Endoscopic view of an eroded Lap Band

The Lap-Band is a foreign object that is placed around the stomach. Among the problems that can arise months or even years after placement is the possibility the band can erode through the wall of the stomach. The most common signs of an erosion are pain in the back or pit of the stomach, and redness and tenderness around the injection port. An endoscopic exam (see photo) is the best way to tell whether a band has eroded or not. If the band has eroded it must be removed.

Eroded Band