What You Gain and Lose from Gastric Bypass Surgery
Obesity is a serious health problem across the globe. That is why a number of methods, techniques, and technologies have been developed to help curb weight problems that usually lead to life-threatening diseases such as heart ailments and diabetes. One of the most popular weight loss strategies is gastric bypass surgery, a procedure that alters the digestive system (particularly the stomach) to restrain a persons food intake.
The results of the surgery are immediatea patient may lose 50 to 60 percent of his weight within two years following the surgery. With healthy lifestyle (including proper diet and regular exercise), one can expect weight loss in the long run after the surgery. Those who are overweight will experience easier mobility and better quality of life after undergoing weight loss surgery.
But theres more to this surgery than just weight loss. Aside from slashing off some figures from the weighing scale, the surgery also helps improve certain conditions that are often linked to obesity. These health problems include high blood pressure, type 2 diabetes, sleep apnea, high blood cholesterol, and gastroesophageal reflux disease. Thus, people who have gone through weight loss surgery are less likely to develop cardiovascular problems than those who have not tried the procedure. Also, the surgery can lessen a patients possibility of death due to heart ailment, diabetes, or cancer.
Now for the not-so good news. Weight loss surgery is not for the faint of hearts. As with other kinds of surgeries, weight loss surgery leads to several complications. If you will go through this procedure, you need to know the risks before you head over the clinic or hospital. Being aware of what to expect after the surgery helps a lot in your recovery process. The most common complications of the surgery include infection, bleeding, and swelling. Other complications are ulcer, low blood sugar, kidney stones, gallstones, iron deficiency anemia, and vitamin D and B-12 deficiency. After the operation, a patient may also experience vomiting, diarrhea, nausea, and dizziness especially when eating foods rich in sugar and fat. These are caused by a condition called dumping syndrome in which the contents of the stomach pass through the small intestine very fast.
There are certain postoperative risks that occur in rare cases but are severe and need immediate medical attention. The following are some of the complications and tips on how to deal with them.
1. Leak in the stomach
This is found at one of the staple lines in the stomach. The leak heals over time in most cases, though it can be treated using antibiotics. But severe cases require immediate surgery.
2. Thinning of the opening between the small intestine and stomach
This condition needs either a corrective surgery or a simple outpatient procedure wherein a tube is inserted through the mouth to make the opening wider.
3. Incision hernia or weakness in the incision
This complication happens if the surgery is an open procedure that involves a large incision on the abdomen. Incision hernia needs to be repaired through surgery depending on the severity of the condition.
4. Death
For every 200 to 300 weight loss surgeries, one case results in death. Although the risk of death has been linked to gastric bypass surgery, it still depends on many factors such as age and health and medical conditions.
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What To Eat After Gastric Bypass Surgery
Gastric bypass surgery is among the most popular bariatric surgery, with the number of those who are choosing to undergo the procedure doubling since 2001 to 2003. The American Society of Bariatric Surgery, estimates the number to be 140,000 annually. This procedure is primarily done to resolve issues of morbid obesity and the diseases associated with it.
In gastric bypass surgery, a small pouch is created in the stomach. This small pouch is stapled and the small intestines upper portion is also attached to this small pouch. The middle section of the small intestine is attached to the rest of the stomach. Food will bypass the rest of the stomach and the rest of the small intestine. Te stomach will be in smaller size which would make it full faster. Less calories will be absorbed.
This procedure would require diet change. Since the digestive system is altered or shortened, every food intake would be valuable. Some common side effects brought by the surgery is nutritional deficiency like anemia and osteoporosis. This is why it is important for patients to follow a different diet and take mineral and vitamin supplements.
The special gastric bypass diet would make sure that weight loss will be maintained over time. It would normally involve high protein food. Foods high in protein would ensure that new tissues are being built and the wounds are healing properly. Ideal high protein foods will be low in fat like red meat, chicken or turkey without skin, fish, eggs and cottage cheese.
Sugar and fat is among the foods that are avoided. Gastric bypass diet would involve food low in sugar and fat. Sugary foods are high in calories and fat. Fat is difficult to digest. Consuming too much sugar could also result to the Dumping syndrome that has nausea, dizziness, vomiting, sweating, and diarrhea as symptoms. The body could also react the same way to too much fat. Foods with too much fat and sugar, anyway, do not have sufficient nutrients that would be essential to the body.
Foods high in fiber are also limited in gastric bypass diet. Fibers could block the stomach, small intestine and would require more gastric acid to digest it. A doctors approval is needed before ingesting any laxative or fiber pills.
This change is not done immediately. There are stages in a gastric bypass diet. Clear liquids would be the first stage. For the first two days, clear liquids like water, sugar-free juice, clear broth and no fizz soda are consumed in small amounts. Within the first two weeks, low-fat, high protein liquids are ingested. It is important to also take chewable multivitamins during this stage.
Doctors would determine when would be the suitable time for the patient to progress to soft or puree diet. Some would be able to eat after two weeks, while others would have to wait longer than that. Some people who are in this stage would sometimes resort to eating strained baby foods. While others would prefer eating soft foods like scrambled eggs, low-fat cheese, blenderized lean meats, etc.
Two months after the surgery, the patient could now start eating regular diet, starting with high-protein food. Food consumed should be in small amounts. Remember that the stomach is reduced in size. After the gastric bypass, the stomach could accommodate about an ounce of food. Eventually, it could stretch and hold about 4 to 8 ounces or a cup to half a cup of food.
One thing that people should be conscious of would be overeating. Gastric bypass surgery can make the stomach smaller, however this does not affect the overall attitude to eating. People could result to overeating because of genetics or emotions. Lifestyle change is important. Overeating could cause regaining the lost weight, expansion of the pouch, and in worst cases rupture of the stomach.
There are many support groups, education, and counselling available to help deal patients with these difficulties.
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Understanding Gastric Bypass
Gastric bypass surgery is done to primarily solve or treat morbid or severe obesity and other health problems associated with it. With this procedure the stomach is made smaller. The food will bypass part of the small intestine. By doing so, the patient will consume less because he feels full immediately. Getting full easily would reduce the calories taken by the body and eventually lead to weight loss.
Actually, gastric bypass is just among the many similar operations to reduce obesity. To refer all of these procedures, bariatric surgery is the term. These operations intend to reduce accumulated fatty tissues by altering the physiological and psychological attitude of a patient towards food and eating.
How does it alter normal digestion?
What normally happens is that after eating, the food would go through the stomach and then proceed to the small intestine. The nutrients are absorbed in the small intestine before it goes to the large intestine where waste is eventually pushed out of the body. The most common gastric bypass procedure, the Roux-en Y gastric bypass, alters this process.
In the Roux-en gastric bypass, a small pouch is made on the top part of the stomach. The lower part of the stomach, which is much smaller now, is connected directly to the middle part of the small intestine. The stomach was made smaller and at the same time, the intestine was cut short, the upper portion of the small intestine was bypassed. Both the upper portion of the stomach and the small intestine no longer digest food.
Statistics showed that patients would lose 60%, on the average, of their weight after the gastric bypass surgery. There are even who would say that they have lost 80% of their weight. There are studies showing that about 90% of patient who have undergone gastric surgery were able to maintain their weight loss after ten years of having the surgery performed.
Having gastric surgery is not risk-free though. People who have undergone this procedure would report more cases of gallstones, in other studies, they would also report nutritional issues like anemia or osteoporosis.
Every year there are about 140,000 gastric procedure being performed in the United States alone. The results could really be successful, with people being able to get better weight-loss results, however, about 2% of patients would find it very fatal. In the 2%, one percent could be as a result of complications during surgery. The heart in unable to support the pumping it has to do to handle the excess weight or the complication brought by it.
The other one percent cause of fatality among people who gone through the procedure, would be about not following the dietary restrictions that should be followed after the surgery. After gastric surgery, the body could no longer handle too much intake of high-sugar and high-fat food. There is a special diet that those who have just undergone the surgery should follow. Bypass diet would usually include foods that are high in protein but low in fat, fiber, calories, and sugar. There are vitamins and mineral supplements that are required to be taken to avoid health and nutritional deficiencies.
With more and more people turning to gastric bypass surgery as a weight-loss option, it is important to understand not only the procedure and the benefits. It is also important to weigh the risks and if our lifestyle and our body would be able to handle the dramatic loss of weight.
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Type of Foods to Eat After Gastric Bypass Surgery
Rapid weight loss is possible, thanks to a surgical procedure called the gastric bypass. In essence, this weight loss surgery reduces the size of a part of the stomach and connects it to the small intestine. By doing so, it prevents overeating and helps gain satisfaction after eating small meals. After the surgery, the stomach volume becomes smaller and, as a result, can contain only 1 ounce of food (which stretches to 8 ounces over time).
Have you gone through weight loss surgery? Because of the changes in your digestive system, you need to follow a diet after the surgery. You also need to consult a registered dietician to know the foods you must eat, how to eat them, and how much to eat. Your post-surgery diet must be planned carefully to avoid sudden weight gain and other complications such as vomiting. Also, the right diet helps shorten the recovery period, ease pain on the surgical areas, and adjust your body to the changes in eating habits.
For the first two days after your surgery, eating is not allowed. Then after several months, you are required to eat certain foods that vary in softness and texture. Weight loss surgery patients follow a diet progression that begins with liquids and proceeds to pureed foods and soft foods. The first phase is the liquid diet consisting of water, milk, juice, broth, and soup. It is followed by three to four weeks of puree diet that includes foods with a texture of a thick liquid or a smooth paste.
Examples are yogurt (low fat or sugar free), oatmeal, pureed meat, and pureed fruits, among others. The third phase is an eight-week soft diet that consists of foods that are easy to chew such as fresh fruits, ground meats, and cooked vegetables. Afterwards, you can move on to the last phase, which is the solid diet. Just be sure to avoid overeating and skipping meals.
Usually, every meal should include foods rich in protein such as cheese, lean meat, and eggs. You need protein because it helps in repairing and maintaining the tissues in your body after the surgery.
After the surgery, it is recommended that you start with six small meals everyday. After a few weeks, move on to four meals a day and then reduce it to three meals a day once you have started following a regular solid diet.
The rate at which your body adjusts to the new diet and eating habits determines how fast you must proceed from one diet phase to another. Most patients begin eating solid foods three months after the surgery, but for some, it can happen sooner.
When complemented with regular exercise, following the right diet leads to a 50 to 60 percent weight loss two years after the surgery. Whats more, you enjoy the weight loss benefits of the surgery for good of you consistently maintain the right diet.
Of course, theres a price to pay for not following the doctors or dieticians recommendations on diet and exercise. Weight gain is the usual result of bad health practices such as lack of exercise, overeating, and high-calorie food and beverage intake. If it happens to you, visit your doctor to discuss the possible solutions. That way, you will be able to get the most out of gastric bypass surgery.
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