16 August 2008

  1. First adjustments are performed under X-ray control to ensure the band is correctly positioned and fluid passes easily through the band.
  2. Adjusting the size of the opening between the two parts of the stomach controls how much food passes from the upper to the lower part of the stomach.
  3. This opening (stoma) between the two parts of the stomach can easily be decreased or increased, by injecting or removing saline from the band. The band is connected by a tube to a reservoir placed beneath the skin during surgery.
  4. The surgeon or Nurse Practitioner can later control the amount of saline in the band by piercing the reservoir through the skin with a fine needle.

How frequently should the band be adjusted?
This really depends upon how well you are doing. In general, if you are losing 1-2 lbs (0.5-1kg) each week, have no symptoms and are feeling well, your band is fine. If your weight loss is very slow, or if you feel you have very little restriction, you may need a further adjustment.

There is considerable individual variation in how many adjustments are required in the first 12-months. Some people need just one, a few may need five or six. But do remember that more is not necessarily better. Some people think that if the band is producing good weight loss, then tightening it further will result in even more dramatic losses. This is nonsense. A band which is over-adjusted can be dangerous, increasing the chance of slippage and other complications.

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