An 18-year-old female who had undergone a laparoscopic adjustable gastic ba
nding developed several episodes of gastric pouch dilatation (GPD), treated
conservatively. The last GPD (31 months after LapBand(R) placement) involv
ed the lesser curvature of the stomach and was refractory to medical treatm
ent. Conversion to an open gastric bypass was performed. Gastric bypass is
are option in the case of Lap-Band(R) failure.