Gastric Band Management

The gastric band is connected to a small port under the skin, allowing it to be adjusted by adding or removing fluid. This changes the tightness of the band, which can affect hunger, fullness, and comfort. 

Adjustments are performed in clinic using a fine needle to access the port. You may need several adjustments after the initial surgery to find the right balance. 

You may benefit from an adjustment if you: 

• Feel overly hungry or not satisfied after eating 

• Experience reflux, vomiting, or discomfort when eating 

• Have plateaued in weight loss 

• Struggle with portion control or snacking 

Band adjustments are quick and usually well-tolerated. Your care team will help guide decisions based on symptoms, weight loss progress, and nutritional intake. 

In some cases, the gastric band may need to be removed. This may be due to: 

• Poor tolerance of the band or ongoing discomfort 

• Slippage, erosion, or infection of the band or port 

• Failure to achieve sufficient weight loss 

• Personal preference to explore other options 

Band removal is typically a day surgery performed under general anaesthesia. Most people recover quickly and comfortably. Some may regain weight after band removal unless it is followed by a structured plan - including support from the integrated team or a revisional procedure. 

If the gastric band has not provided the desired outcomes, or if it has caused complications, your surgeon may recommend revision to gastric bypass. This procedure offers more reliable weight loss and fewer long-term issues for many patients. 

The revision may be done as a single operation (band removal and bypass in one surgery), or in two stages depending on your health, anatomy, and the condition of the band. 

Roux-en-Y gastric bypass is the most common option. It involves creating a small stomach pouch and rerouting the small intestine, which helps reduce appetite, portion sizes, and absorption of calories. The procedure is typically performed laparoscopically and includes a short hospital stay. 

Revision to bypass is more complex than first-time surgery and should be performed by an experienced weight loss team. It offers an excellent opportunity to reset your weight loss journey with the benefit of a more modern, reliable surgical approach.