Monday, November 15, 2010

Gastric Band and Autosnacking


"Autosnacking" is a word I invented to explain one of the reasons that patients who have a gastric band are not hungry for about 3 hours after eating. This term refers to the slow release of solid food from the gastric pouch as it passed through the area of narrowing created by the adjustable gastric band.

If the band is adjusted properly solid food will be held up by the band and allowed to reach the rest of the gastrointestinal track over the next couple of hours after eating. This suppresses the patients appetite just like snacking but without eating. after the food has passed the hormone, Ghrelin, will again begin to rise making the patient feel hungry about 3 hours after eating.

We use this time interval to determine whether someone needs a fill. If the patient is feeling hungry just an hour or so after eating a meal of solid food the band may need to be adjusted with more saline injected to make the band tighter and therefore narrowing the restriction slowing release of food from the pouch.

I emphasize solid food because the band is not designed to hold back liquids.

Other indicators for needing a fill include losing less than 1 pound a week and the ability to eat foods such as bread, chicken breast and / or steak.

1 comment:

  1. what food can i eat and how. i can't eat ckn, veg, rice fruit what is left

    ReplyDelete