GASTRIC BAND ADJUSTMENT
GASTRIC BAND ADJUSTMENT
A clinical gastric band adjustment is a short procedure performed in clinic by an experienced Consultant Bariatric Nurse.
A sterile saline solution is either added or removed in order to increase or decrease the size of the gastric band.
Radiological X Ray gastric band adjustments are not performed at this clinic.
If you require a radiological X Ray gastric band adjustment please ask your GP to refer you to your Bariatric Surgeon or Bariatric Radiologist.
BENEFITS OF GASTRIC BAND ADJUSTMENT
- Effective weight management tool
- Short procedure
- By removing fluid from the gastric band any adverse symptoms can usually be quickly resolved
- By adding fluid, portion sizes can be reduced (when following eating guidelines)
Areas that we can treat:
All gastric band patients have a port beneath the skin of their abdomen. A special Huber needle is inserted through the skin and into this port.
HOW DOES THE TREATMENT WORK?
The gastric port is attached internally to tubing which is attached to the gastric band.
By adding fluid into the port, the fluid travels up through the tubing and into the gastric band and increases the pressure around the top of the stomach. This increased pressure reduces the portion sizes (when following eating guidelines)
When fluid is removed from the port it decreases the pressure around the top of the stomach. Fluid is usually removed if the patient feels they would like to increase their portion sizes or is having adverse symptoms. Removing fluid usually quickly resolves the adverse symptoms.
WHAT HAPPENS DURING MY CONSULTATION
- Your first appointment will take up to one hour.
- A full medical history will be taken.
- The specialist bariatric nurse will discuss with you the latest guidelines regarding how to best work with the gastric band
- The specialist bariatric nurse will assess your symptoms, portion sizes and eating behaviour and will advise accordingly
- A gastric band adjustment will be performed in clinic if clinically indicated and safe to do so.
- You will be given post adjustment eating and drinking advice.
- You will be advised to contact the nurse if you have any concerns post adjustment.
PREPARING FOR YOUR TREATMENT
On the day of your appointment please consume only liquid or very soft foods.
- The injection site will be sterilised
- A specialist Huber needle will be inserted into your port
- Sterile saline solution will be added or removed into/from the port
- You will be asked to drink water while the nurse assesses your swallowing.
HOW LONG WILL THE RESULTS LAST FOR?
Once you achieve the correct level of restriction (you are eating small meals consisting of solid food, no physical hunger between meals and you are NOT experiencing adverse symptoms) your restriction level should remain fairly stable long term.
Some people do find over time that their band becomes tighter or looser and may choose to have a little fluid added or removed.
The gastric band is a tool and much of the success is achieving the correct restriction level and following the eating guidelines.
WHO IS NOT SUITABLE FOR THIS TREATMENT?
Each patient will be assessed prior to a gastric band adjustment. The specialist nurse will only perform a gastric band adjustment if it is clinically in the patient’s best interests.
Each patient will be given specific eating and drinking advice following their gastric band adjustment.
This advice is personalised and is dependant on whether fluid has been added or removed and the amount of fluid added or removed.
Patients will be encouraged to contact the specialist nurse if they have any concerns following adjustment.