Band Adjustment Procedure
The port is located, antiseptic solution is used to clean, access the port with a 1.5
inch Huber needle; Sterile 9% sodium chloride is used to increase restriction of the band
Sterile 9% sodium chloride
When you are eating bigger portions, when you’re feeling hungrier sooner, or when your weight has not changed but you continue to make all the right choices.
You can eat a small portion of food and feel full.
You are on a clear of soft diet, you have pain (heartburn, chest pain) or you are not able to lie down without having reflux. You cannot tolerate solid foods, or you feel uneasy.
When you are eating bigger portions, when you get hungrier sooner, and when you are not losing weight. You lack the sense of restriction.
If you can’t swallow your spit, or other liquids
If you can’t eat regular food
If you are having heartburn or reflux
If you are having frequent vomiting
Drink clear liquids for the first 24 hours, then soft foods for the next 24 hours.
You may resume consuming regular foods after that.
Eating with a Gastric Band
After 6-8 weeks: recommend making dietary choices to have weight loss. The band is only a tool. You
still need to commit to eating mindfully. Protein, vegetables, some fruit, small portions of grains,
hearty soups. Solid, protein, fat…not carbohydrates or sweet foods or processed foods.
Yes. Split meals with friends and family. Order off the appetizer menu. Eat half
of the order.
Caution when drinking alcohol, muscles relax making it easier for you to eat more without necessarily being aware of it.
To optimize your weight loss, eat whole foods, reduce carbohydrate and alcohol consumption, eat lean
protein, plenty of vegetables and greens. A meal should include protein, vegetables, low glycemic fruits, very few carbohydrates and processed foods, and no sugar.
Health and Lifestyle
Two pounds per week; 100 pounds in the first year
Yes. Eat from the recommended diet and exercise a minimum of 30 minutes per
Perhaps, with lateral bending; doing certain weights might pull on the port.
Yes, but Dr. Kelly advises use of liquid form whenever possible.
Sometimes for assistance with weight loss and to help with additional stressors of life. Please speak to
Dr. Kelly for individualized recommendations for nutrients. There are tests to review: hormones,
thyroid, and nutrient levels.
Yes, especially with correction of PCOS (Polycystic Ovary Syndrome). It is advisable to have the band
released during the pregnancy for proper fetal development and the ability to eat well.
Vomiting can be painful to the stomach and might misplace the band slightly. If
chronic, you might need to release the band for the duration of the illness.
- If you are experiencing harsh vomiting (unable to swallow saliva or any fluid;
vomiting blood) go to the emergency room. Tell them you have a gastric band. You may need IV
fluids to hydrate you.
- You may also need to have fluoroscopy to see if your band has slipped or you
are closed off due to swelling. Call your surgeon with any concerns.
- If you are having surgery, please have the band unfilled to avoid problems during
surgery and to be able to eat well for healing after the surgery.