Instruction for use: Band adjustment

Postoperatively, the surgeon may adjust the stoma size percutaneously by injecting or aspirating saline with the access port needle via the self-sealing access port.

The following are general guidelines for LAP-BAnd System adjustments:

1. The initial postoperative adjustment should occurr 4-6 weeks after the operation. In most cases, you will add 1-2cc of saline to the 9.75 and 10 cm Lap-Band, 2-3 cc to the VG Lap-Band and 4 cc to the 11cm Lap-Band.

2. The patient should be reviewed regularly (every 4-6 weeks) and weight and clinical status measured. If the weight loss has averaged less than 1lb per week over the period and the patient indicates there is not excessive restriction to eating, a further increment of Fluid should be added (usually 0.3-0.5ml).

3. Where the average weight loss between visits has been greater than 2lbs per week, normally no additional fluid would be added.

4. If the weight loss has averaged between 1 and 2lbs per week, additional fluid would be indicated if the patient feels he/she can eat too freely or finds difficulty in complying with the dietary rules.

5. Fluid would be removed from the system if there were symptoms of excessive restrction or obstruction, including excessive sense of fulness, heartburn, regurgitation and vomiting. If symptoms are not relieved by removal of the fluid, barium meal should be used to evaluate the anatomy.

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by Inamed Health