The Green Zone Adjustment frequency, dependent on physician evaluation
{"Image DocumentName": "The Green Zone Adjustment frequency, dependent on physician evaluation", "Image ImageDescription": "Favretti: Patient management after LAP-BAND placement. American Journal of Surgery 184 (2002) 38S\u201341S. Principles of adjustment. The level of adjustment should be sufficient to achieve a prolonged sensation of satiety in the patient. Weight loss should be steady and progressive, with the early rate of weight loss ideally being 0.5 kg but 1 kg/week. Adjustment should induce no restrictive symptoms, ie, heartburn, vomiting, discomfort, excessive difficulty with eating a normal range of food. Loss of excess weight should be planned to occur gently over a period of 18 months to 3 years, depending on initial weight. Indicators for adjustment of the LAP-BAND in the office. Consider adding fluid Adjustment not required Consider removing fluid. Inadequate weight loss Adequate rate of weight loss Vomiting, heartburn, reflux into the mouth. Rapid loss of satiety after meals Eating reasonable range of food Coughing spells, wheezing and choking, especially at night. Increased volume of meals No negative symptoms Difficulty coping with broad range of foods. Hunger between meals. Maladaptive eating behavior    Usually characterized by the consumption of high-calorie liquid or very soft foods, and is often induced by an overly tight band. Adjustment frequency, dependent on physician evaluation. Year 1: every 4 to 6 weeks Year 3: every 6 months. Year 2: every 3 to 6 months Year 5: annually. 1. Favretti F, O Brien PE, Dixon JB. Patient management after LAP-BAND placement. Am J Surg. 2002;184:38S-41S. 2. Optimizing your weight loss though adjustments Available at:  Accessed", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}