P62: Ultrasound guidance for the difficult lap band adjustment

Abstract

As experience with the LapBand system increases, it is apparent that many practitioners perform postoperative adjustments in the office setting using simple palpation to access the port. In most cases this is adequate and saves much time and effort in scheduling for radiographic assistance and time, etc.. There are certain instances, however, where the port is difficult to palpate or access due to an inordinately thick abdominal wall, thick fibrous capsule formation, or in cases of suspected port migration or rotation.