From the Guidelines
A gastroscopy can be performed on a patient with a gastric band for weight loss, but it requires careful consideration and coordination with the bariatric surgeon due to the increased risk of complications. The presence of a gastric band poses unique challenges, such as oesophageal dysmotility and dilatation above the band, which may increase the risk of pulmonary aspiration during the procedure 1. Key considerations for the procedure include:
- Informing the gastroenterologist about the presence of the gastric band to ensure proper preparation and technique
- Potential need to deflate the band prior to the gastroscopy to allow easier passage of the endoscope, which requires coordination with the bariatric surgeon
- Extra care when navigating the area where the band is located to avoid dislodging or damaging it
- Identifying common issues in gastric band patients, such as band slippage, erosion, pouch dilation, or other complications like esophagitis or gastritis
- Potential need to readjust the band to the appropriate level of restriction after the procedure, if it was deflated. It is essential to follow standard post-gastroscopy instructions, including fasting for a short period and gradually reintroducing foods according to their usual post-band diet plan, to minimize the risk of complications and ensure the best possible outcome for the patient.
From the Research
Gastroscopy with Gastric Band for Weight Loss
- Gastroscopy can be performed on a patient with a gastric band for weight loss, as evidenced by studies that have used gastroscopy to diagnose and treat complications related to gastric banding 2, 3.
- In some cases, gastroscopy has been used to remove an adjustable gastric band after partial intragastric migration, demonstrating the feasibility of this procedure 3, 4.
- The use of gastroscopy in patients with gastric bands is generally considered safe, with a low incidence of complications when performed by experienced practitioners in properly equipped facilities 5, 6.
- Gastroscopy may be used for both diagnostic and therapeutic purposes in patients with gastric bands, including the removal of retained stones, control of bleeding, and retrieval of migrated bands 3, 5, 4.
- The decision to perform a gastroscopy on a patient with a gastric band should be based on individual patient needs and indications, taking into account the potential benefits and risks of the procedure 2, 6.