Follow Up Clinic

Laparoscopic Adjustable Gastric Band (LapBand®, Realize® Band)

Follow Up Plan of Care

2 weeks	Physical exam, vital signs, weight and wound check; evaluation by surgeon
6 weeks	Physical exam, vital signs, weight and wound check; advance diet, exercise program, initial laparoscopic adjustable gastric band fill
2 months	Physical exam, vital signs, Evaluation for laparoscopic adjustable gastric band adjustment, nutritional counseling
3 months	Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, Quality of Life, Evaluation for laparoscopic adjustable gastric band adjustment
4 months	Physical exam, vital signs, weight, evaluation for laparoscopic adjustable gastric band adjustment
5 months	Physical exam, vital signs, weight, evaluation for laparoscopic adjustable gastric band adjustment
6 months	Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, Quality of Life, evaluation for laparoscopic adjustable gastric band adjustment
7-11 months	Visits are as needed for adjustments and nutritional counseling
12 months	Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, Quality of Life, evaluation for laparoscopic adjustable gastric band adjustment
12-18 months	Visits are as needed for adjustments and nutritional counseling
18 months	Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, Quality of Life, evaluation for laparoscopic adjustable gastric band adjustment
24 months	Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, Quality of Life, evaluation for laparoscopic adjustable gastric band adjustment
Beyond	Visits are done on an as needed basis, routine labs performed annually. If there is no contact with our clinic for 6 months, patients are contacted for a status check

Patients are evaluated by the nurse practitioner at every visit. Assessments include: nutritional and diet compliance, adherence to exercise program, hydration, medication requirements, and nutritional and metabolic complications. Educational needs are assessed, instructions provided, and referrals to our dietitian or psychologist are made if indicated. Repeat sleep study will be ordered when symptoms of sleep apnea resolve.

Date: Nov. 29, 2011

Online Editor(s): Richard Petre