The PrologEpilogInserter need to insert a DW_OP_deref_size before prepending a memory location expression to an already implicit expression to avoid having the existing expression act on the memory address instead of the value behind it.
The reason for using DW_OP_deref_size and not plain DW_OP_deref is that big-endian targets need to read the right size as simply truncating a larger read would yield the wrong result (LSB bytes are not at the lower address).