Appointment Expectations

Be among the 85% who keep their resolve to get and keep the weight off!
The Gastric Band is Only a Tool.
Changing your relationship with food and addressing the underlying causes of eating patterns are the keys to success.

WHAT TO EXPECT DURING YOUR GASTRIC BAND ADJUSTMENT APPOINTMENT:

An adjustment is a simple, virtually painless in-office procedure where Dr. Kelly adjusts the amount of fluid in your band to make it tighter or looser in order to make the new stomach opening the right size to let you gradually lose weight.

An ideal “fill” level should be just tight enough to suppress the appetite for a prolonged period of time.

Band Adjustment Techniques for Swedish Band, French Mid-Band, Lap-Band, Ralize Band, Allergan Band, & Johnson &Johnson Band.

Each band adjustment requires
(1) access to the subcutaneous port and
(2) injection or removal of fluid.

Access to the subcutaneous port. In most cases, the port can be accessed after location of the port by simple palpation.

The patient should be in a relaxed, supine position with legs uncrossed and arms behind the head. Lifting the legs or the head can sometimes aid palpation of the port. In our experience, more than 95% of ports can be accessed with this palpation technique.

Each office visit lasts about 30 minutes. Your weight, physical symptoms you report, and other factors help Dr. Kelly manage any adjustments:  fills or unfills and troubleshoot to assess concerns.

Dr. Kelly refers patients for radiological assessment when necessary, a barium swallow with upper GI tract to determine proper placement, r/o slippage, prolapse, or an endoscopy to look for erosion of the esophagus.

Most placements of the port lends to easy access of the port without fluoroscopy for the gastric band adjustments. Dr. Kelly recommends an adjustment with fluoroscopy every 1-3 years for evaluation of the band.

Dr. Kelly will listen to any concerns you are having and spend time discussing proper nutritional intake (dietary/nutritional programs link) and the physical and mental changes necessary to maximize the effectiveness of the band as a weight-loss tool.

 

SERVICES: (Office numbers at bottom of page)

  • Gastric Band Adjustments or Fills without Flouroscopy:
  • Swedish Band
  • French Mid Band
  • US Band

PRICING:

  • For First Time Client for Intake and Adjustment of Gastric Band $220.00
  • Returning Clients for an Adjustment of the Gastric Band $190.00
  • Band Unfill Due to Pregnancy or Surgery or other reasons without Flouroscopy Return clients: $190.00
  • Readjustment or an Unfill of the gastric band must be done in case of too much restriction from a recent fill visit (3-5 days) at this office. The cost of supplies and a brief office visit: $85.00

PRE FILL INSTRUCTIONS:

  1. KNOW THE SIZE OF YOUR BAND. BRING THIS INFORMATION WITH YOU ALONG WITH ANY SURGICAL REPORTS.
  2.   DO NOT schedule an appointment for your fill if you are menstruating.
  3. If you are traveling from out of town, please plan to stay in the area for about 2-4 hours if not overnight in order to assure there is not TOO much restriction.
  4. DO NOT drink a cold drink prior to your fill appointment. An example would be a frozen yogurt or coffee drink.
  5. If you have x-rays or labs you wish me too review please bring them.
  6. Clients should not eat solids 3 hours prior to their appointments.

POST FILL INSTRUCTIONS:

  1. Recommended: ingest only clear liquids for 24 hours after your fill – NO DAIRY, NO CITRUS, NO ICE, NO SALTY FOODS; Soft foods the DAY 2 after a fill.
  2. Sometimes there can be swelling in the area of the band during he first 24+ hours after a fill, so best to let this swelling reduce before introducing solid foods.
  3. Recommended: the use of protein sources and foods that are filled with minerals and nutrients during this post fill time; soupls, both meat and vegetable, protein shakes are a source of protein. Juices that are not too acidic, such as apple and berry juices are recommended.
  4. If you have too much restriction and are unable to lie down without reflux, increased salivation without being able to swallow, unable to drink liquids; pressure in your chest or pain – you need to have an unfill to reduce the restriction. If you let this situation continue – YOU ARE PUTTING YOURSELF AND THE BAND AT RISK FOR INJURY AND SERIOUS COMPLICATIONS. Too much restriction IS a medical emergency. You should come to the office ASAP or your nearest emergency room.

 

OFFICE HOURS AND SCHEDULING:

Tuesday-Friday and some Saturdays in Eugene for Bandster Clients.
Currently, I am seeing patients in Eugene, OR. The Milwaukie/Portland office is closed after
December, 2016.
If you have need of an emergency unfill – please contact me through my cell at – 541-510-3019 cell.
For other questions or concerns please call the office at 541-344-9658

Schedule your next adjustment with Dr. Kelly Call us at 541-344-9658.
Changing your relationship with food and address the underlying causes of eating patterns are the keys to success.
You’re committed to your health and have taken this significant step to propel you toward a healthier body and life.
Dr. Kelly is excited to be a part of your wellness team to help give you a new lease on life and live your greatest dreams to being all that you can be.
Currently, weight-loss surgery provides the only effective, lasting relief from severe obesity. Gastric banding is the least invasive of the bariatric surgeries and is completely reversible (rarely necessary) with another “keyhole” operation.
Obesity kills more than 300,000 Americans each year. On average, if following a program of good nutritional habits (dietary/nutritional program link), and exercise, up to 100 pounds can be lost in the first year.
Gastric banding has been shown to resolve or improve many health conditions exacerbated by obesity such as Type 2 diabetes, sleep apnea, high blood pressure, and high cholesterol, to name a few.

How the band helps:
The band makes you eat less and feel full in two ways:
1. Reducing the capacity of your stomach
2. Increasing the time it takes food to go through the digestive system.
When the pouch is filled with food, the nerves signal the body that it is full and hunger feelings are turned off creating a full, satisfied feeling longer. This also facilitates satiation neurologically.
In addition to eating only what the band allows, you will need to deal with other types of hunger: such as mind hunger, emotional hunger, eye hunger

Tips: for your need to chew-use sugarless gum; your urge to swallow-use water or other non-caloric beverage

Common eating errors:
1. The patient is not chewing the food adequately. Food must be reduced to mush before swallowing. If it cannot be reduced to mush, it is better for the patient to spit it out (discreetly) than to swallow it.
2. The patient is eating too quickly. Each bite of food should be completely squeezed across the band before the second bite arrives.
3. The patient is taking bites that are too big to pass through the band. Dietary and nutritional programs
Sacred Medicine Clinic offers dietary/nutritional programs for healthy and lasting weight loss.
Dr. Kelly is an avid promoter of whole foods and reducing the intake of processed

Nutrient Suggestions: consult with Dr Kelly or your physician regarding supplement and botanical usage alongside other medications.
* a high quality liquid B complex with Biotin to support metabolism, liver function, and the nervous system and to avoid anemia for those who have difficulty eating red meat

*Chromium for blood sugar regulation

*Glandulars and hormones when necessary to help nurture the appropriate metabolic organs and
support blood sugar utilization

*Alpha-Lipoic acid and Carnitine to support fat metabolism and energy production

*Fish oils, turmeric, Vitamin D to reduce chronic inflammation.

Reference:
Laparoscopic Adjustable Gastric Banding, Jessie H. Ahroni, Ph.D., A.R,N.P., 2004
LAP-BAND for Life, Ariel Lagardere, MD FACS, 2005
*The Role of Obesity in Cancer Survival and Recurrence, Institute of Medicine and
Board of Health Care
Services, 2012
The World’s Healthiest Foods, Second Ed., George Mateljan, 2015
Detox Dieting, Nicole Grimes,
Mindful Eating, A Guide to rediscovering a Healthy and Joyful Relationship with
Food, Jan Chozen Bays, MD, 2009