Bariatric Weight-Loss Surgery

Gastric Band Adjustment Procedure: What to Expect

Dr. Jason F. Moy
Dr. Brian T. Chin
Daniel Roman
July 12, 2024
Gastric Band Adjustment Procedure: What to Expect

If you've undergone laparoscopic adjustable gastric banding (LAGB) for weight loss, you're likely wondering about the adjustment process. Regular adjustments are crucial for maintaining the effectiveness of your gastric band and optimizing your weight-loss journey. Here's a comprehensive guide to what you can expect during a gastric band adjustment procedure.

Understanding Gastric Band Adjustments

The gastric band, also known as a lap band, is an inflatable silicone ring placed around the upper portion of your stomach during bariatric surgery. This band creates a smaller pouch that restricts food intake, promoting feelings of fullness sooner and helping you eat less. Gastric band adjustments require injecting saline solution into a port located under your skin to change the band's tightness. This allows for personalized control over the level of restriction, ensuring optimal weight-loss results.

The Minimally Invasive Adjustment Procedure

The gastric band adjustment's beauty lies in its minimally invasive nature. Unlike the initial surgery, adjustments are performed using fluoroscopy, a type of real-time X-ray imaging. During the procedure, a small needle is inserted through your abdomen into the access port connected to the band. Fluoroscopy helps visualize the port and ensures accurate placement of the needle. We then inject a sterile saline solution into the band to inflate it and increase the restriction on your stomach pouch. This process is typically quick and comfortable, often taking less than 30 minutes.

What to Expect Before the Procedure

In the days leading up to your adjustment, your doctor may schedule a consultation to discuss your progress, weight loss goals, and any potential adjustments needed. They might also advise dietary restrictions, such as clear liquids, for a day or two before the procedure. Additionally, you may need to adjust or temporarily stop some medications. Following your doctor's pre-procedure instructions is crucial for a smooth and safe adjustment.

What to Expect During the Procedure

The gastric band adjustment is typically performed on an outpatient basis, meaning you won't need to stay overnight in the hospital. During the procedure, you'll likely be positioned comfortably on an examination table. The doctor will locate the access port under your skin and use fluoroscopy to ensure precise needle placement. After accessing the port, the doctor will slowly inject sterile saline solution into the band, monitoring the inflation process with fluoroscopy. The doctor will carefully adjust the amount of saline based on your individual needs and weight-loss goals.

What to Expect After the Procedure

After the adjustment, you can expect a short recovery period. You might experience some mild discomfort or tightness in your abdomen, which is usually temporary and manageable with over-the-counter pain medication. Most patients are able to resume normal activities within a day or two. Your doctor will provide specific post-procedure instructions regarding diet and activity. Initially, you'll likely need to stick to a soft or liquid diet for a few days to allow your stomach to adjust to the new restriction.

Long-Term Considerations

Following your initial adjustment, regular follow-up appointments with your doctor are essential. These appointments allow your doctor to monitor your weight loss progress, assess the effectiveness of the band, and potentially make further adjustments as needed. Remember, the gastric band is a tool to aid weight loss, but it's not a magic solution. Maintaining a healthy lifestyle with a balanced diet and regular exercise is crucial for long-term success with this weight-loss procedure.

Conclusion

Gastric band adjustments are a safe and effective way to personalize your lap band's effectiveness and optimize your weight-loss journey. Understanding what to expect before, during, and after the procedure can help alleviate any anxiety and ensure a smooth experience. If you're considering gastric band surgery, discuss the adjustment process with your doctor to learn more about how this can help you achieve your weight loss goals.

Are you ready to take the next step? Fine-Tune Your Weight Loss Journey: Schedule a Gastric Band Adjustment Consultation at BASS Bariatric Center Today! Call us at 925-281-3711

About The Author

Daniel Roman, Content Writer

Daniel Roman is a Digital Content Writer at BASS Medical Group. He received his Masters in Journalism from UC Berkeley in 2021. Daniel has published multiple newspaper articles covering public health issues. His latest was a magazine cover story on pandemics and diseases that he co-wrote with Dr. Elena Conis, a historian of medicine, public health, and the environment.

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Ozempic vs. Bariatric Surgery: Key Differences

Feature
Ozempic (Semaglutide)
Bariatric Surgery
Mechanism of Action
Appetite suppression, slowed gastric emptying
Restriction, malabsorption, hormonal changes
Invasive/Non-Invasive
Non-invasive (injection)
Invasive (surgery)
Expected Weight Loss
15-20% of body weight
40-70% of excess weight
Duration of Treatment
Ongoing (weekly injection)
One-time procedure
Reversibility
Yes
Varies (some procedures reversible)
Cost
Lower initial cost, ongoing medication expense
Higher initial cost, potential long-term savings
Side Effects
Nausea, vomiting, diarrhea, constipation
Surgical risks, nutritional deficiencies, digestive issues

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