**2.2 Preoperative workup**

Before the operation, interviewing the patient by the managing team is crucial to accomplish the desired goals. Symptoms of band intolerance should be carefully assessed, such as epigastric pain, dysphagia, and regurgitation. Band deflation should be considered preoperatively. All patients should undergo an upper contrast study to evaluate the anatomy, assess for reflux/hiatal hernia, and assess if there is neo-pouch development or any signs of band slippage. Band erosion symptoms can vary significantly from being asymptomatic to port infection. Esophagogastroduodenoscopy (EGD) is a valuable tool that should be used if there is any suspicion of band erosion or significant reflux disease [17]. **Figure 1** provides a suggested pathway for AGB management.


#### **Table 1.**

*Indications of laparoscopic adjustable gastric band revision in selected studies.*

**Figure 1.** *Suggested pathway decision for adjustable gastric band revision.*
