How and When to Do an Adjustment

First adjustment can be done 4 to 8 weeks
   post-op (1-2 ml)
According to weight evolution
0.4 ml = 0.5 mm adjusted
Always use Huber tip
Use sterile saline
Check volume before adjustments
Use a 3-5 ml Syringe
Maximum fill is 4 cc

X-ray of abdomen
Barium swallow
Patient standing up
Check passage and pouch size
Patient in decubitus, place Access Port needle
   under flouroscopic control
Check volume inside the band before adjusting

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