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  Vol. 139 No. 10, October 2004 TABLE OF CONTENTS
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Image of the Month—Diagnosis

Arch Surg. 2004;139:1127-1128.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Answer: Slippage of Stomach Through an Adjustable Gastric Lap-Band

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Figure 1.


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Figure 2.


Laparoscopic adjustable silicone gastric banding (Lap-Band, Inamed Health, Santa Barbara, Calif). is a relatively new type of bariatric procedure in the United States. It was approved by the Food and Drug Administration for clinical use in 2001. Before 2001, the procedure was used throughout Europe, Australia, and Latin America, and proved to be an effective and safe procedure that could help obese patients lose up to 65% of excess body weight.1-5 The gastric band is an adjustable device that creates a small gastric pouch that promotes early satiety and slow, progressive, sustainable weight loss.

This patient suffered an anterior slippage of the stomach fundus through the Lap-Band. This was likely triggered by her paroxistic vomiting. The stomach slipped anteriorly and laterally along an area that may not have been properly fixed during the band's initial placement.

The gastric system has some early . . . [Full Text of this Article]


RELATED ARTICLE

Image of the Month—Quiz Case
Homero Rivas, Robert Cacchione, and Jeff W. Allen
Arch Surg. 2004;139(10):1127-1128.
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