Approaches to Adjustments
There are 2 approaches:
- The office adjustment. Involves making adjustment decisions on the basis of weight loss and the symptoms of the pacient.
- The radiographic adjustment. Involves making decisions that also incorporate the additional information derived from barium swallow examination.
Indicators for adjustment of the LAP-BAND in the office
Consider adding fluid
- Inadecuate weight loss
- Rapid loss of safiety 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 band.
