Adjustments or fills to the gastric band are painless and take just a few minutes to perform. Some people are actually able to make it to their goal weight with no adjustments but they far and few. Most patients require 3 to 5 adjustments before they are losing weight at an expected pace. So again don’t worry if you require 6 adjustments to get it right. Gastric banding is unique for this reason that we can adjust the band to our requirements against other surgeries wheres there is no option.

How are the adjustments performed?
The area on top of the port is cleaned with betadine and then lidocaine is injected into the skin using a small needle to numb the skin. After this a larger needle is then placed through the skin and into the port. Fluid is then injected into the port at amounts decided on by the surgeon.

How Do I Know If I Need An Adjustment?
You will know if your weight loss is not averaging 1-2 pounds a week. We all want immediate results now but gastric banding doesn’t work in this way. Graph out your weight loss so you can actually chart your weight on a weekly basis, but don’t weigh yourself more than once a week. Remember they are just numbers, guidelines of how you are doing but not definitive of success.

Rules for Adjustments
No matter how much fluid you have in your band there are only three kinds of fills, too little, too much and just right, the actual number of cc’s is totally irrelevant.

If you are following the rules stated below and still are feeling very hungry or not losing weight, perhaps it is time to consult your surgeon for an adjustment.

Are you drinking a minimum of 2 liters of water per day?
Actually the recommendation is to take your body weight, divide in half and that is how many ounces of water you need to drink per day to keep your cells flushed and everything in working order.  Please remember to stop drinking liquids 30 minutes prior to a meal and no drinking during the meal as you will wash food though the gastric band and end up eating more than you should.

Are you engaging in some type of exercise or physical activity on a daily basis?
Raking your yard, walking your dog, weeding the garden all count as do walking to shops nstead of driving.  Swimming is also a great form of physical activity for those with joint problems, and it is something one can do with children or families. Exercise after gastric surgery is important and is cumulative and it all adds up so every little bit counts!

Are you eating 60 grams of protein per day?
60 grams is not so much really, thats approx 3 ounces servings each meal what works out to be around 21 grams of chicken. Protein is an essential building block for tissues and cells and protein helps turn off hunger and carbohydrates seem to turn it on. Try fitday they will help you track your diet. You may want look at healthy eating after gastric banding surgery.

Now you have greater understanding on Adjusting your Gastric Banding.

Slippage
In order for the band to function properly it must be correctly positioned on the stomach. Gastric banding can slip that is twist out of position. Typically the band does not slip but actually the stomach slips above the band. A slip typically occurs in about 2% of all operations.

Slippage can occur for a variety of reasons like over filling resulting in vomiting can be a cause. Slippage can cause reflux and difficultly with foods and weight loss can be affected. You may require a X-ray to obtain if the gastric banding has slipped. Some slippages if caught early enough can be corrected by removing all saline from the band and allowing the stomach to heal and then gradually re-filling. Slippage may require re-operation to reposition the band and in extreme cases gastric band removal. If a band is removed for slippage it generally can be replaced after a healing period.

Band Erosion
Gastric banding has been known to erode into the stomach. Erosion is a rare complication and is typically known in the older types of bands. This occurs again occurs in about 2% percent of patients. It occurs when the stomach tissue over-growing around the band until the band is on the inside of the stomach instead of the outside. Erosion will involves gastric band removal, sometimes surgical, although it rarely is a life-threatening situation.

Infection
With all surgical procedure there is always the slight risk of infection. Infections can usually be treated with antibiotics and in rare cases may necessitate removal. Always make sure you are in top health prior to your surgery or adjustments without colds or drugs that may compromise your immune system. Notify your doctor immediately if you suspect you may have an infection of any type.

Stretched Pouch
This is a complication that can be avoided by simply not overeating. Learn to stop eating the moment you feel satisfied and avoid continuous packing food into your stomach when full. As this willcause it to stretch and food may back up into your esophagus causing you future discomfort and problems.

Gastric Band Hardware Difficulties
Ports have been broken and tubing punctured usually during the filling process and this risk is reduced by using experienced practitioners and using fluoroscope to locate the port before hand. However, broken ports and punctured tubing are relatively simple matters to fix but can be frustrating for the patient. The problem has been addressed with newer port designs.

Reflux
Reflux is associated with a too tight gastric band causing stomach fluids to back up into the esophagus and damage the delicate tissues not strong enough to cater for acidic stomach juices. If you are experiencing mild reflux talk to your doctor about preventative measures such as diets for after gastric banding surgery or medications. If your reflux is a persistent problem speak to him immediately, don’t complicate the issue by waiting hoping it will get better without intervention.

These are the main risks related with Gastric Banding.

Here’s some of the reasons why Gastric Banding has became the one of the best forms of weight loss by surgery:

Minimally Invasive Approach

During the gastric banding procedure, surgeons usually use laparoscopic techniques by using small incisions and long instruments), they will implant an inflatable silicone gastric band some thing like a wrist watch around the upper stomach area to form a small pouch that will control the quantity of food you can consume. The effect from the band is the patient will feel a sense of fullness on a small amount of food.

Least Traumatic Gastric Procedure
As the Gastric banding system does not involve cutting and stapling or stomach re-routing its considered the less traumatic form of gastric surgery. As its a laparoscopic approach it offers the bonus of reduced post-operative pain, shortened hospital stay and quicker recovery, if in future the gastric banding is reservable and can be removed and the stomach will generally return to its usual form.

Adjustable Treatment

All other gastric surgeries are not adjustable where as gastric banding the band can be easily adjusted to the patients needs. The diameter of the band is adjustable for a customized weight-loss rate o suit you. Your individual needs can change as you lose weight. Example, for a pregnant patients they can expand their adjust the gastric banding to accommodate a growing baby, where as a patients who aren’t experiencing significant weight loss can have their bands tightened.

Adjustable Gastric Band

To modify or adjust the size of the band, by adding a saline solution the band will expand or contract. The gastric band is connected by tubing to an access port, which is placed under the skin during surgery. After the operation, the surgeon can control the amount of saline in the band by entering the port with a fine needle through the skin.

Fewer Risks and Side Effects

With a significantly lower mortality risk than other obesity surgery procedures gastric banding has become a popular form of surgery.  Low risk of nutritional deficiencies associated with gastric bypass as the stomach is not altered at all which results in no dumping syndrome related to our dietary intake.

Gastric Banding is an Effective Long-Term Weight Loss Solution

Todate over 180,000 cases of gastric banding have been preformed and with academic publications with up to 7 years of follow-up shows that gastric banding is one of the best methods for long term weight loss.

• You are aged 18 or over.
• You have tried all conventional methods of weight loss, like exercise and diet, but have failed to lose any significant amount of weight.
• You don’t have any medical or psychological reasons for not carrying out the procedure.
• You understand the long-term commitment to having a gastric band fitted, for example you continue to reduce your food intake and maintain a regular exercise regime.

Funding for the cost of the operation for gastric banding will vary across the UK and will depend on your local PCT. PCTs can only set aside an amount of money for this type of gastric banding surgery. If you are recommended for surgery, as a treatment for obesity. Typically gastric banding usually costs around £7,000 if you do it privately.

If you feel you qualify for gastric banding in the UK and would like to have the operation on the NHS, as all your attempts you have used to lose weight have failed you will need to discuss all possible options with your GP or surgeon.