A known complication of adjustable gastric banding surgery is slippage of the band, which can be detected by standard radiography (X-rays).
These are the findings of a study published in the July issue of the American Journal of Roentgenology (www.ajronline.org). Adjustable gastric banding surgery is a widely used bariatric surgical procedure to induce weight loss in morbidly obese individuals.
As adjustable gastric banding surgery becomes common, more patients are presenting to the emergency department with complications of the procedure, particularly those resulting from slippage of the gastric band. "Because the consequences of slippage may require acute surgical intervention, it is imperative that the radiologist is familiar with the surgical technique to correctly position the band and the appearances of a gastric band when correctly and incorrectly positioned," said Sabrina Pieroni, MD, lead author of the study.
"As adjustable banding is increasingly used, more patients will present to the emergency department with complications of the procedure, particularly complications from band slippage," said Pieroni.
"Identification of the O sign on radiography can potentially aid the radiologist, surgeon, or emergency department physician in the early detection of gastric band slippage and appropriate patient triage," she said.