Table 1.
Band slip classification
Type | Definition | Mechanism | Etiology | Management |
---|---|---|---|---|
I | Anterior slip | Downward migration of band | Insufficient anterior fixation | Surgical |
II | Posterior slip | Posterior stomach wall herniates through band | Perigastric approach | Surgical |
III | Pouch enlargement | Pouch dilation | Tight band or overeating | Band deflation, re-education |
IV | Immediate postoperative prolapse | Band placed too low on the stomach | Inappropriate low band placement | Surgical |
V | Type I or II with gastric necrosis | Band slip with pouch ischemia | Acute pouch dilation | Surgical |