Does my lap band need to be emptied when I get an endoscopy?

I agree that you should only have and endoscopy by your bariatric surgeon.  Most gastroenterologists do not know how a band should look during endoscopy.  We do not deflate bands during endoscopy. A bariatric surgeon experienced in Lap-Band and enodscopy is the most qualified person to perform your endoscopy.

Generally, an EGD is possible without deflation.  However, if your band is pretty tight then it may be more difficult. I usually remove some fluid for my patients.  

I worry that you have to answer this question.  If you are having an endoscopy, it should be done only by your bariatric surgeon, since most gastroenterologists have no experience in dealing with bands or diagnosing and treating the problems that band patients have.  Why are you having an endoscopy?  If it is for a problem such as reflux, heartburn, or difficulty swallowing, then it probably isn't necessary in the first place; a simple upper GI x-ray would answer the question.  Gastroenterologists make money by doing scopes, so they do them whenever possible.  The main reason to do an endoscopy on a band patient is to see if the band has eroded into the stomach.  Talk to your surgeon before you get 'scoped.

It does not need to be emptied, they can get through it easily. However, they may note that you have a "hiatal hernia" and if that is the case you may need to have the band emptied and be on a liquid diet.  That usually means you have dilated the upper pouch .