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A Well-Adjusted Band

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A Well-Adjusted Band

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    1. A Well-Adjusted Band Good weight loss Approximately 1.5-2.0 pounds per week Able to eat most solid foods Exceptions thick breads and thick meats Must thoroughly chew food and eat slowly Comfortably eat a small selected solid meal No limitations of liquids Except during meals Never recommend high calorie liquids

    4. Signs & Symptoms of an Adjustment that is Too Tight Nocturnal coughing Asthmatic symptoms Appetite has increased Patient experiences hunger all the time Drinking/eating empty calories to make up for nutritional needs Reflux Regurgitation Patient will state that they cant eat anything more than mushy foods

    5. Adjusting the LAP-BAND The Key to Success Adjustability is the most important attribute Use it freely Adjust as necessary to support gradual, steady weight loss Often 5-6 times in the first year Keep it simple - Place reservoir on anterior rectus sheath - Palpate, mark the site, no-touch technique - Office procedure, rarely needs radiology

    6. How to Handle an Obvious Obstruction (and not a real emergency) Remove all of the saline from the Band Sip ice chips progressing to clear liquids, etc. IV fluids may be necessary to keep the patient well hydrated through this complication A flat plane film (no barium) to check the angle of the Band. If it is flat or down to the right (patients left), this means there could be a big slip

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