Gastric band removal and conversion to sleeve gastrectomy for vasovagal syncopal episodes associated with adjustable gastric banding placed using pars flaccida technique

Abstract

The morbidity and complications seen with laparoscopic adjustable gastric banding can be associated with the surgical technique used, with fewer complications noted with the pars flaccida technique than with the perigastric approach [1]. In patients who underwent gastric banding using he perigastic technique, vasovagal presyncope was not an ncommon occurrence during band adjustments owing to rritation and stimulation of the anterior vagus during adjustents. However, this phenomenon is not common in patients ho undergo gastric banding using the pars flaccida approach. e present the case of 1 patient who underwent laparoscopic djustable gastric banding placed using the pars flaccida techique who experienced vasovagal syncopal episodes when the and was inflated, requiring removal of the gastric band and onversion to laparoscopic sleeve gastrectomy.