Approaches to Lap Band Adjustment
There are two approaches to lap band adjustment:
- The office adjustment. Involves making adjustment decisions
on the basis of weight loss and the symptoms of the patient.
- The radiographic adjustment. Involves making decisions that
also incorporate the additional information derived from barium
swallow examination.
Indicators for Lap Band Adjustment in the Office
Consider adding fluid:
- Inadequate weight loss
- Rapid loss of satiety after meals
- Increased volume of meals
- Hunger between meals
Consider removing fluid:
- Vomiting, heartburn, reflux
- Difficulty coping with broad range of foods
- Maladaptive eating behavior*
*Usually characterized by the consumption of
high-calorie liquid or very soft foods and is often induced by
an overly tight lap band.
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