Approaches to Adjustments

Radiographic Adjustment

 

Permits the surgeon to ascertain immediately the status of the esophagus, pouch, and diameter of the outlet, and provides important information (anatomy and function) on the entire system.

Radiographic Criteria for Adjsutment

Consider adding fluid

• Wide outlet (>8mm)
• Inmediate passage of the barium (1 peristaltic wave)

Consider removing fluid

• Stenosis of the outlet (with maladaptive eating behavior)*
• Pouch dilatation with insufficient emptying.
• Esophageal dilatation or atony.
• Esophageal emptying of the barium swallow in >4-5 peristaltic waves or reflux.

*Usually characterized by the consumption of high-calorie liquid or very soft foods, and is often induced by an overly tight band.