FROM NW FILLS:
How much fill should I get?
It is important to understand that the tissue in you gut is like the tissue in your mouth, it is very sensitive and swells very easily. Everyone is different; a good fill for one person is too tight for another person, or not enough for the next person.
The initial adjustment post operatively should occur at 6 weeks or later, and 1-2cc of Normal Saline (for the 9.75 or 10 cc band). The larger band (11CM and VG) adjustment os 3-4cc.
Regular reviews (4-6 weeks) are recommended with weight and clinical status measured. If weight loss is 1 pound per week over the period and patient is following bandster diet guidelines then another fill of normal saline is added at .2 to .5 increments.
If the weight loss average between visits is 2 plus pounds per week no fill is needed.
If the weight loss averaged between 1-2 pounds and the person feels hungry and found it difficult to comply with the dietary guideline/portions.
Fluid is removed from the system if there is symptoms of excessive restriction or obstruction, including excessive sense of fullness, heartburn, regurgitation and vomiting.
Fluoroscopy is needed for evaluation of band placement and/or port placement.
It is important know that the fluid in the band never adds up, it is always give or take 1 cc because fluid hides in the tubing or in the band.