Lap Band Adjustments Explained
At the time of surgery, the band is not filled with fluid but the tubing is primed with saline. This allows time for the stomach to adapt to the presence of the band. At 3-4 weeks post-op the first lap band adjustment or “fill” evaluation appointment is scheduled. The term “adjustment” means adding or removing fluid to the band. At the 3-4 week visit the “filling phase” typically begins. Adjustments are done in the office through a needle stick on the skin to the band port. Sterile saline travels up the tubing to the inner surface of the band to exert slight pressure on the stomach wall, starting the process of restriction.
Lap Band adjustments are done at our office by generally by one of our experienced Physician Assistants using a fluoroscopy machine for better visualization.
The decision to “fill” is always based on a person’s weight loss, food and fluid intake, hunger level, adherence to new eating and drinking techniques, absence of symptoms related to the band, and the manufacturer’s fill adjustments guidelines.