What is the treatment approach if removal of fluid does not resolve band slippage in LAGB?

If the removal of fluid does not result in the resolution of band slippage in laparoscopic adjustable gastric banding (LAGB), the appropriate treatment approach is to perform surgery. Band slippage is a complication that occurs when the gastric band moves from its original position, which can lead to symptoms like nausea, vomiting, and difficulty eating.

In cases where non-invasive methods, such as adjusting the fluid level of the band, fail to correct the slippage, surgical intervention becomes necessary. This may involve repositioning the band or, in some cases, removing it altogether if it has caused significant issues.

Further monitoring without addressing the surgical problem could lead to worsening symptoms and complications, and increasing caloric intake would not resolve the mechanical issue of slippage. The use of medications typically does not address the physical positioning of the band. Thus, surgical intervention is the most logical and effective solution when conservative measures do not yield results.