Background

We are presenting three cases encountered this year involving surgical complications from adjustable lap bands placed on gastric bypass pouches. The first case involves an acute presentation of a slipped band causing gastric outlet obstruction. The second case highlights an elective encounter of a slipped band resulting in partial obstruction and hiatal hernia, as well as an unexpected esophageal mass. The third case involves an eroded lap band requiring an elective laparoscopic converted to open band removal. The presentation highlights the complexity of these cases and their complications, as well as the necessity of being prepared to perform all operative approaches ranging from endoscopic to open.