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recurance

Gemma Marshall

2 Jan 2025 · Coroner Steve Eccleston · West Yorkshire (Western)

The coroner's concerns

  1. 1. gastric band slipped

    “Evidence was given by the consultant surgeon who fitted the band, a senior bariatric surgeon at the treating hospital and a consultant radiologist at the treating hospital that the gastric band had slipped”
  2. 2. inadequate radiology reporting of gastric band position

    “CT scan was undertaken on 13.03.24 and reported on by a radiologist with expertise in musculoskeletal imaging (rather than gastric or abdominal imaging) who worked for an outsourced company. This was because of staff shortages in the hospital. The scan report mentioned the existence of the band but didn't comment on the fact that the images clearly showed the band was out of position.”
  3. 3. failure to trigger referral for bariatric review after slipped band detection

    “This was, in my view, a critical failure in the care Ms [name redacted] received. Had this image been correctly reported, then a referral to bariatric surgeons would have probably been made which might have meant she would have survived”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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Gemma Marshall · Recurance