First band adjustment
The first gastric band adjustment is carried out at approximately 8 weeks after surgery at any of our nationwide clinics. The aftercare package also includes one adjustment under X-ray control should we need to assess the positioning or functionality of the band at any point.
Healthier Weight offer unlimited band fills for the first 2 years, by which time we really should have found the ideal “fill point” for you.
Patients are sometimes more anxious about the adjustment procedure than about the operation to implant the band, but their anxiety is completely unfounded. Gastric band adjustment is usually a very straight forward procedure involving only minimal discomfort, or none at all!
Gastric band adjustments will normally be carried out in the consulting room. You will be asked to lie on the clinic couch and we will locate the band access port and introduce / remove saline (salt water) with a special needle.
When the gastric band adjustment is complete you will be asked to drink some water to ensure that you are able to tolerate fluids and are safe to return home. We ask that you return to a liquid regime for 3 days (to take into account the possibility of any swelling that may occur), followed by 3 days of soft foods. You may then resume eating normal textured foods.
It is not always possible to get the correct degree of restriction at the first band adjustment. You may need a little more saline in the band, or less often, a little taking out. Any subsequent adjustments will be performed at a Healthier Weight centre by a qualified practitioner, but we ask that you allow 10-14 days between fills to allow a settling in period. Sometimes it may not seem as though the gastric band has been adjusted correctly and that it has been unsuccessful, but after a week or so you may notice that you are losing weight and that the band is working well. Remember everyone is different and you must resist the temptation to compare yourself with other patients.
Less may be more!
Patients occasionally make the mistake of thinking that ‘more is better’, that if the band is working well at one level of adjustment, it will work even better if we make it tighter. This is a mistake. Tightening the band when it is not required can cause problems and can even be dangerous. With the gastric band, less is sometimes more!