Showing posts with label After. Show all posts
Showing posts with label After. Show all posts

Friday, November 19, 2010

Diet After Gastric Sleeve Surgery

As in every bariatric surgery, after gastric sleeve surgery and its recovery period, the patient's eating habits will have to change.

1.After surgery, the stomach will only have 100-150 milliliters so the subject will feel full very quick. Overeating will enlarge the stomach again.

2.For the first three to four weeks the patient is allow to eat only low caloric foods.

3.Subjects must avoid sugars, especially those contained in liquids, because they will dramatically slow the weight loss process. This kind of sugars does not represent a real nutrient for one's body.

4.Fat foods and fried foods must be avoided because they are harder to digest and have low amounts of minerals and vitamins that your body needs.

5.Patients shouldn't eat greedily; every bit must be well chewed and slowly swallowed. In the moment the person feel saturation, he/she must stop from eating. If vomiting occurs after many meals consecutively, a patient may develop a dehydrating symptom. In this case, subjects will be recommended to drink liquids containing electrolytes for a while and only when they will feel better to restart eating solid foods.

6.After gastric sleeve surgery patients must take care about every day administration of the necessary quantity of fluids, preferably water. The recommended dose is at least 1.5 liters or more, depending of each individual's stature and weight.

7.If certain symptoms occur like headache, nausea, vomiting, dark urine the patient must inform his doctor.

8.Never drinking fluids 15 minutes before having a meal or 30-40 minutes after, is recommended; these might enlarge the stomach size again and make the it's digestive juices to become to diluted for a proper digestion.

9.Subjects of gastric sleeve surgery will not eat more than three meals a day and, only if they're really hungry; will take one single snack between meals. Every food patients eat must be reach in nutrients. Usually one of the meals must be especially reach in proteins. The main foodstuffs patients have to ingest are those rich in proteins, fruits, vegetables and cereals.

10.Checking intolerance to certain foods that might appear after gastric sleeve surgery is also important. If one type of food is not well tolerated patient should take one week break before trying it again. Different types of foods must be introduced gradually and each one at a time (meal), never combined, in order to avoid indigestion.

11.For those persons who do not tolerate lactates there are supplements that will help their digestion.

Thursday, November 18, 2010

Before and After Duodenal Switch Surgery

Choosing the best technique for weight loss surgery is an individual decision for every doctor and patient due to numerous factors that could contribute to it. Usually, those persons having a BMI higher than 40 or suffering of diabetes are the most suitable patients for vertical gastrectomy. The best candidates for this procedure are those persons having a great BMI, sometimes their BMI going over 55. Statistics say that candidates with BMI over 50 will loss more weight if they have duodenal switch surgery than if they would had a Roux-en-Y gastric bypass. Most of the times, heart failure patients and sleep apnea patients are excluded for this procedure, no matter what their BMI would be. Being a candidate for vertical gastrectomy surgery you must know that most of the bariatric clinics deem it as an experimental procedure.

Pre-surgery consultations will include a meeting with a dietitian, who will fix you a program to follow before and after the surgery. You will pass through some evaluations of your health situation regarding your heart, lungs, and your mental health. Before surgery, some patients will have to undergo an upper endoscopy examination to check if they have tumors, polyps, ulcer or the bacteria that causes ulcer, in their stomach.

You will be asked about the medication, vitamins, minerals or herbal treatments you are taking or of those that you might continue with after.

Your surgeon has to know if you are a smoker or if you are capable to quit smoking for at least six months after the surgery procedure because of the increasing risks a smoker has in this specific period of time like: pneumonia and other lung problems or blood clots. Drinking alcohol is also forbidden 48 hours before surgery; so you will be asked about having alcohol problems.

You will be recommended to try to lose few percents of your body weight before the duodenal switch procedure is programmed in order to benefit of a shorter hospital stay and a more rapid weight loss after the surgery.

A patient must always know those advantages that duodenal switch surgery might have for him:

1. The stomach remain bigger than in other bariatric surgeries types so you may eat larger meals without feeling any discomfort
2. The intestinal bypass is reversible for those patients that might have malabsorptive complications
3. Smaller risk of developing ulcers
4. Greater obesity-related illnesses disappearance
5. Weight loss process will continue for a longer period of time and the possibility to restart some unwanted gain weight is smaller.