Bariatric & Metabolic Surgery

Gastric Band Rescue

Gastric Band Rescue

Are you a Gastric Band Orphan?

Have you had gastric band surgery in the past but for whatever reason are now having problems and can’t seem to make the band work for you? Have you been abandoned by your original provider or can’t get an appointment to have your band adjusted? Have you been told you will need to have your band removed? Or are you thinking about having gastric band but feel unsure because of negative publicity or comments?

Whatever your problem, we can help. As specialists in bariatric surgery, we have a great deal of experience in solving band-related problems. We believe the gastric band is an excellent weight-loss device and has significant advantages over other surgical weight-loss procedures.

So, if you are a Gastric Band Orphan, don’t delay. Just complete the on-line assessment form or give us a call 01 612 0551.

Gastric Band Rescue Information

Are you failing with the band?

What do we mean by “failure”? Well it obviously means different things to different people, but for most patients it means inadequate or disappointing weight loss. But again, what is disappointing to one person could be an outstanding success to another.

As a rough guide we can say that most studies of the gastric band show that average weight loss is around 50-55% of excess weight. This means that if you are 100lbs overweight, successful weight loss with a band would – on average – be 50-55lbs. Remember this is an average, so some will do much better and, unfortunately, some will do worse. From a clinical point of view, it’s generally accepted among surgeons and other specialists that if you have lost less than 25% of your excess weight, the procedure has failed. If you are 100lbs overweight, this equates to 25lbs or less.

So what are the main causes of band failure?

Band failure at a glance

The table below shows some of the more common problems resulting in band failure and their causes.

Note that by far the most common causes are shown in the last column – fortunately these are usually easy to manage!

Problem Possible causes Most likely cause(s)
Not losing weight
  • Lifestyle non-compliance
  • Band not adjusted correctly
  • Band leaking
  • Band pouch dilatation
  • Band erosion
  • Lifestyle (diet and physical activity)
  • Band not adjusted correctly
Regurgitation (bringing food back)
  • Eating too quickly
  • Band too tight
  • Inflammation in band pouch
  • Band slippage
  • Pouch dilatation
  • Pseudo-capsule
  • Eating too quickly
  • Band too tight
Reflux (heartburn)
  • Band too tight
  • Inflammation in band pouch
  • Slippage
  • Pouch dilatation
  • Pseudo-capsule
  • Band too tight
  • Inflammation in pouch
Reflux + regurgitation of food and/or liquids.
Excessive weight loss
  • Band too tight (over-adjusted)
  • Slippage
  • Pseudo-capsule
  • Over-adjustment
  • Slippage
Sudden loss of restriction
  • Band leakage
  • Band erosion
  • Band leakage
Reflux, regurgitation, and poor weight loss, even though band is maximally adjusted and has not slipped
  • Pouch dilatation
    (enlargement)
  • Pouch dilatation
Redness over access port and vague upper abdominal discomfort + loss of restriction
  • Band erosion
  • Band erosion
Causes of Band Failure

1 – Mechanical Failure

Mechanical causes are problems with the band itself these include:

  • Sub-optimal adjustment
  • Inflammation of the pouch
  • Band slippage
  • Band erosion
  • Pouch dilatation (enlargement)
  • Port and tubing complications
  • Rarer causes (infection and pseudo-capsule)

Read more on Mechanical Failure

2 – Lifestyle Failure

In the majority of cases the primary reason for failing to lose weight with the band has nothing to do with mechanical problems with the device. It’s an inability to control calorie intake and a lack of physical activity.

Lifestyle causes are primarily related to poor nutrition (snacking, eating calorie-rich foods etc) and insufficient physical activity.

Read more on Lifestyle Failure

Our Services

Emergency Aspiration

If you require an emergency aspiration (de-fill) please call us on 01 612 0551 and we will do our best to advise or assist you.

Price on application.

Band removal

If you are having difficulty with your gastric band and wish to have it removed, please call us on 01 612 0551 and we will do our best to advise or assist you.

Price on application