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According to Karen Kassel, a registered dietitian at Beth Israel Deaconess Medical Center, some of the risk factors associated with vertical banded gastroplasy include the staples breaking down, which would then cause stomach juices to flow into the patients abdomen; slipping or erosion of the band; enlargement of the stomach pouch; and also reflux esophagitis. Additional risk may also include vomiting, abdominal hernia, which occurs in about 10 to 20 percent of all patients, infection at the wound area, excessive bleeding and also vitamin deficiencies..
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