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Case Reports
. 2015 Feb;18(1):33-37.
doi: 10.1002/j.2205-0140.2015.tb00022.x. Epub 2015 Dec 31.

Use of bedside ultrasound to diagnose dislodged gastric band

Dirk Bass  1 , Malek Telfah  1 , Justin Bowra  1
Affiliations
Case Reports

Use of bedside ultrasound to diagnose dislodged gastric band

Dirk Bass et al. Australas J Ultrasound Med. 2015 Feb.

Abstract

Introduction: Obesity levels mean an increased presentation of patients with Laparoscopic adjustable gastric banding (LAGB). Method: Literature search revealed a paucity of information on ultrasonography to diagnose a slipped LAGB. Conclusion: 2D Ultrasonography with a standard low frequency curvilinear probe proved to be a simple, effective method of diagnosing slipped Laparoscopic adjustable gastric banding (LAGB). We suggest the inclusion of routine abdominal ultrasound (after drinking water to improve sensitivity of the test) as part of the routine workup of suspected LAGB slippage.

Keywords: LAGB; PoCUS; clinician ultrasound; gastric band.

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Figures

Figure 1
Figure 1
B mode ultrasound image, transducer held in transverse orientation mid‐way between xiphisternum and umbilicus. Area of narrowing due to LAGB slippage is indicated by arrow.
Figure 2
Figure 2
Coronal image taken from abdominal contrast CT, demonstrating radio‐opaque LAGB slippage (arrow corresponds to narrowing seen in Figure 1).
Figure 3
Figure 3
Gastrograffin swallow demonstrating radio‐opaque LAGB slippage (arrow corresponds to narrowing seen in Figure 1).
Figure 4
Figure 4
B‐mode ultrasound transverse image of patient with uncomplicated LAGB. Note what appears to be reverberation artifact from the echogenic LAGB itself (arrowhead) and the presence of a small amount of fluid in the stomach proximal to the LAGB (arrowed).
See this image and copyright information in PMC

References

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