Bariatric Surgery Frequently Asked Questions

 When am I able to start exercising after surgery? 

Right away! you'll need to take easy and short walks while you're within the hospital. The key's to start out slow and hear your body and surgeon. If you're someone who does weightlifting or is into sports, keep it “low impact” for the primary month. 

Will I even have to exercise after the procedure? 

For many patients, exercise is vital for stress control and appetite control, also as burning off calories.

 As we age, lack of activity can cause being frail or fragile, which is sort of dangerous to overall health. Healthy bones and avoiding muscle loss partly depends on doing weekly exercise. 

Most patients also consider exercise as something that has got to be intense and painful (like “boot camp”). Regular, modest activity is way more useful in the future. Even elite athletes can’t occupy a “peak” hebdomadally of the year. Instead, work together with your surgeon’s program to seek out a spread of activities that will work for you. there's no “one-size-fits-all” plan. Expect to find out and alter as you go!

Nutrition 

Will I even have to travel on a diet before I even have surgery?

 Yes. Many insurance companies require patients to get on a weight loss program before qualifying for surgery.

 Many bariatric surgeons put their patients on a special pre-operative diet, usually 2 or 3 weeks just before surgery. the rationale for the pre-operative diet is to shrink the liver and reduce fat within the abdomen. This helps during the procedure and makes it safer.

 Some insurance companies require a physician-monitored diet three to 6 months before surgery as a part of their coverage requirement. These diets are very different from the short- term diets and typically are more about food education and showing a willingness to finish appointments and to find out.

 Will I even have to get on a diet after the surgery?

 No. most people consider a “diet” as an idea that leaves you hungry. that's not the way people feel after surgery.

Eventually, most patients get some sort of appetite back 6-18 months after surgery. Your appetite is far weaker and easier to satisfy than before.

 

This doesn't mean you'll whatever and whenever you would like. Most patients still enjoy tasty food, and even occasional treats but actually Healthier food choices are important for best results.

Do patients have serious health problems caused by vitamin deficiency after weight loss surgery?

 As long as patients take their appropriate vitamins, it's rare to possess health problems from vitamin deficiency.

 Weight loss surgery can cause reduced amounts of vitamins and minerals because people eat less and should absorb less within the intestines. Weight loss surgeries have different effects on vitamins and minerals supported what proportion change in absorption they cause. Deficiencies in vitamins, minerals, and protein can affect your health.

• fatigue (feeling tired)

• anemia (low levels of red blood cells that carry oxygen through your body)

• bone and muscle loss

• impaired night-sight

• low immunity (your body’s ability to remain healthy)

• loss of nerve function (can affect your senses like touch, taste, and smell)

• mental function deficits.

 Fortunately, nutrient deficiencies following surgery are often easily avoided with an honest diet and therefore the use of supplements including vitamins, minerals, and sometimes protein supplements. Before and after surgery, patients are advised of the acceptable diet and vitamin supplement needed. Most weight loss surgery programs also require patients to possess their vitamins and minerals checked on a daily basis after surgery. Patients should follow patients following diet and supplement recommendations for Nutrient deficiencies and any associated health problems are preventable with monitoring. Health problems thanks to deficiencies usually occur in patients who don't regularly follow-up to watch healthy vitamin and mineral levels. make certain you stay in-tuned together with your weight loss surgery team for best results! 

Mental Health 

Is obesity caused by food addiction, almost like alcoholism or drug dependency?

Although some people with obesity have eating disorders, like binge disorder syndrome, most of the people have obesity caused by many factors. When treating addiction, like alcohol and medicines, one of the primary steps is to prevent using drugs or alcohol. This doesn't work with obesity as we'd like to eat to measure. Also, there could also be other issues causing a person’s weight gain. Weight gain generally occurs when the quantity of food eaten is bigger than the number of calories burned. There are other conditions, however, that affect weight gain that doesn't involve an excessive amount of eating or a less active lifestyle including:

 

 • Poor sleeping habits

• Eating foods which will increase body fat (sugar, high fructose syrup, trans fat, processed meats, and processed grains)

• Low intake of fat-fighting foods (fruits, vegetables, legumes, nuts, seeds, quality protein)

• Stress and mental distress

• many sorts of medicines

• Pollutants 

Obesity also results in more obesity, which is one of the explanations why the disease is taken into account progressive. Weight gain causes a variety of signals (hormones) within the body that increase the danger for even greater weight gain and obesity. to form matters worse, obesity affects certain body functions that control appetite and hunger in a manner that will cause a rise in the amount of food eaten at any given meal and therefore the desire to eat more often. There are many causes for obesity and therefore the disease of obesity is way quite just an ‘addiction’ toward food. The treatment of obesity only as an addiction may help for a really small percentage of people whose only underlying cause for obesity is excessive and addictive eating but would be unlikely to profit most of the people, particularly those individuals suffering from severe obesity. 

Does weight loss surgery increase the danger of alcohol abuse?

 There is a little group of patients after weight loss surgery who have a drag with alcoholic abuse. Most of these people, but not all, already had experiences with alcohol abuse before surgery.

 Recommended precautions after weight loss surgery: 

• Avoid alcoholic beverages during the rapid weight-loss period, then drink only rarely

• remember that even small amounts of alcohol can cause intoxication (‘being drunk’)

• Avoid driving or operating heavy equipment after drinking any alcohol

• Remember that you simply may feel less intoxicated than you're, and can not be a reliable judge of whether it's safe for you to drive after drinking.

• Seek help if drinking becomes a drag

 

If you are feeling drinking alcohol could also be a problem for you after surgery, please contact your medical care doctor or surgeon and discuss this further. they're going to be ready to assist you to identify resources available to deal with any alcohol-related issues. 

It has been found in a research project that a little percentage of weight loss surgery patients report having problems with alcohol after surgery (7-10%). many that abuse alcohol after surgery had problems with alcohol abuse at a while before surgery, but occasionally alcohol problems can arise in patients who never had such issues before their surgery. Alcohol sensitivity is increased after weight loss surgery in order that the consequences of alcohol are felt with fewer drinks than before surgery. Studies also find that with certain weight loss procedures, drinking alcohol increases blood alcohol to levels that are considerably above before surgery or as compared to the alcohol levels of people who haven't had a weight loss procedure. additionally, studies have found that alcohol takes much longer to filter out of a person’s system if they need to have weight loss surgery, which may pose safety and legal hazards for driving. Furthermore, it's been found that some patients may feel as if they're sober (‘not drunk’) even once they are over the legal blood alcohol limit for driving. For all of those reasons, weight loss surgery patients are advised to require precautions regarding alcohol. 

Does weight loss surgery increase the danger of suicide?

 After surgery, most patients have improved psychological states but there could also be a little increase in the risk of suicide. this is often why patients are required to possess a psychological state screening before surgery. 

People suffering from severe obesity who are seeking weight loss surgery are more likely to suffer from depression or anxiety and to possess lower self-esteem and overall quality of life than someone who is normal weight. Weight loss surgery leads to significant improvement in the psychological state for the bulk of patients. However, studies have found a little but significant increase in suicide following weight loss surgery. In some cases, these may are patients with undiagnosed mental disorders, and in others, patients may have experienced major life stressors that will increase the danger of suicide, but in rare cases, the suicides are unexplained. For this reason, comprehensive bariatric programs require psychological evaluations before weight loss surgery. Many programs have therapists available for patient counseling after surgery. additionally, if a patient sees a psychologist or psychiatrist before surgery, they ought to continue seeing them after surgery.

Are there any Bariatric Surgery Risks?

Is the prospect of dying from weight loss surgery quite the chance of dying from obesity? No. Weight loss surgery is extremely safe and reduces the prospect of dying from obesity. In fact,

Removing the gallbladder or having a knee replacement weight loss surgery is safer. 

A recent study of 209,116 patients found the danger of death from weight loss surgery was 0.16%, or approximately 1 in 600. This rate is considerably but most other surgeries, including gallbladder and hip replacement surgery. Large studies find that the danger of death from any cause is considerably less for patients after weight loss surgery than for those that have severe obesity and haven't had the surgery. Patients who have weight loss surgery have a discount in their risk of death by 40%. Death associated with diabetes is reduced by quite 90% and from heart disease by more than 50% for patients after weight loss surgery. the advantages of weight loss surgery far outweigh the risks. like any serious surgery, the choice to possess weight loss surgery should be discussed together with your surgeon, relations, and loved ones.

Why Chose India For Treatment/Surgery? 

Millions of men and ladies are grappling with obesity, which may be a global epidemic now. Even after following strict diets and doing regular exercises, most people complain of not losing excess pounds.

 For these reasons, many like better to undergo bariatric or weight loss surgery for future weight loss. Despite knowing the advantages, most avoid bariatric surgery thanks to prohibitive cost in the UK, USA, Canada, and a number of other European nations. The long waiting period of 6 months to 2 years, for bariatric surgery, in most of those countries is additionally a serious deterrent. 

In India, the value of bariatric surgery may be a fraction of what it costs to urge the surgery to wipe out the western world. One in every fifth Indian is diagnosed with obesity. India is completing quite 100 weight-loss surgeries each day with Mumbai, being one among the well-liked locations for patients seeking such treatment. because of medical tourism, India has become a well-liked destination for weight loss surgery. the supply of experienced surgeons, advanced equipment, competitive prices, and world-class hospital facilities gives India a foothold over other countries. However, the value of weight loss surgery in India differs with the surgery type, surgeon experience, quality of the hospital, also because the city chosen to urge the surgery done. 

In India, the bariatric surgery prices are almost 20%-25% of an equivalent surgery in the USA. the typical cost of a Sleeve Gastrectomy is around $ 25,000 in the USA whereas in India, an equivalent costs around $ 6000. Also, few bariatric surgeons are also accredited as ‘Centre of Excellence’ by international rating agencies assuring quality care at par with the simplest within the world.

 Because of the several advantages the country offers, India is taken into account as one of the simplest destinations for people getting to have safe, economical, and early weight loss surgery.

 

All you would like to understand about Bariatric Surgery! 

Severe obesity may be a future condition that's difficult to treat with diet and exercise alone. Bariatric surgery is an operation on the stomach and/or intestines that helps patients to reduce. Bariatric surgery is preferred when diet and exercise haven't worked or once you have serious medical problems due to your weight. The surgery limits food intake, which promotes weight loss and reduces the danger of type 2 diabetes. Some operations also interrupt how food is digested, preventing some calories and nutrients, like vitamins, from being absorbed. Recent studies suggest that weight loss surgeries may even lower death rates for patients with obesity (severe). the simplest results are often seen when patients follow the surgery with healthy eating habits and regular exercise. 

Are you eligible for Bariatric Surgery? 

In general, one can qualify for bariatric surgery only if: 

• Your body mass index (BMI) is 40 and above (extreme obesity) or 35 to 39.9 (obesity) 

• You have serious health problems which are weight-related, like Diabetes (Type 2), high vital signs, or severe sleep apnoea. 

• In some cases, you may qualify for only certain types of weight-loss surgery if your BMI is 30 to 34 and you've got serious weight-related health problems. 

Not everyone who is severely overweight can choose Bariatric surgery. you'll need to undergo an extensive screening process to ascertain if you qualify for the surgery. you want to even be willing to form some permanent changes to steer a healthier lifestyle.

You may be required to participate in follow-up plans for the future that has monitoring your nutrition, lifestyle, behavior, and your medical conditions. 

Obesity might cause (Symptoms): 

Severe Obesity might sometimes lead to: 

• heart condition and stroke 

• High vital sign 

• Non-alcoholic liver disease (NAFLD) 

• Non-alcoholic steatohepatitis (NASH) 

• Sleep apnoea 

• Diabetes (Type 2)  

What causes such Dreadful Obesity? 

 • Lack of physical activity 

• Overeating/ Unhealthy eating habits 

• Hormonal problems like Cushing’s syndrome and PCOS 

• Genetic reasons/ case history of obesity 

• Sedentary/Poor lifestyle.

 

More than one sort of weight loss surgeries: 

Surgeons most frequently perform three sorts of operations 

• Gastric sleeve

• Gastric bypass

• Adjustable gastric band 

There is a fourth surgery, biliopancreatic diversion with a duodenal switch which is less commonly employed by surgeons. 

I am unsure if one would really like to understand how exactly their surgery would be performed but if you would like, here it is!

Gastric sleeve 

In gastric sleeve, your stomach,  l, remove major of with staples. The surgery limits you feel satiated sooner. Remove or bacteria in the gastrointestinal.s sort of surgery is not reversible as

 Gastric bypass surgery, also called Roux-en-Y gastric bypass, is completed in three steps. First, the surgeon creates a little pouch within the upper section by stapling your stomach. These staples make your stomach much smaller, so your food intake is a smaller amount and you are feeling full sooner.

 In the next step, the surgeon divides your intestine into two parts and re-attaches the lower part to the tiny stomach pouch created earlier. Food will bypass most of your stomach and therefore the upper part of your intestine, so your body absorbs fewer calories. 

The surgeon then reconnects the upper part of "> a part of the tiny intestine to a replacement location farther down on the lower part of the tiny intestine. this enables digestive juices within the stomach to be due the bypassed a part of "> a part of the tiny intestine to the lower part of the tiny intestine, in order that food is often fully digested. The bypass creates changes in hormones, bacteria, and other substances in the gastrointestinal tract that may affect appetite and metabolism. Gastric bypass isn't reversible, although a surgeon may roll in the hay if medically necessary. 

Adjustable gastric band 

 

In this sort of surgery, the surgeon places a hoop with an inner inflatable band around the top of your stomach to make a little pouch. Like gastric sleeve and gastric bypass surgery, the gastric band causes you to feel full after eating a little amount of food. The inner band features a circular balloon inside that's crammed with saline. The surgeon can adjust the inner band to resize the opening from the pouch to the remainder of your stomach by injecting or removing the saline through a little device, called a port, which is placed under your skin.

 After surgery, you'll need several follow-up visits to regulate the dimensions of the band opening. If the band causes problems or isn't helping you lose enough weight, the surgeon may remove it.

Biliopancreatic diversion with duodenal switch 

A surgery called biliopancreatic diversion with duodenal switch, or “mixed surgery,” involves two separate procedures. the primary procedure is analogous to gastric sleeve surgery. A second surgery divides the tiny intestine into two different tracts. Food moves through one tract, bypassing most of the small intestine. This reduces the number of calories and amount of nutrients absorbed. Digestive juices are due to the stomach through the opposite intestinal tract and blend with food because it enters the colon. 

This type of surgery allows you to lose more weight compared with the opposite three operations described above. However, it's also the foremost likely to cause surgery-related problems and a shortage of vitamins, minerals, and proteins in your body. For these reasons, surgeons don't commonly perform this procedure. However, some surgeons may recommend it for patients who have severe obesity plus other health conditions. 

What to expect Before Procedure?

If you qualify for bariatric surgery, your health care team gives you instructions on the way to steel yourself against your specific sort of surgery. you'll get to have various lab tests and exams before surgery. you'll have restrictions on eating and drinking and which medications you'll take. you'll be required to start out a physical activity program and to prevent any tobacco use.

 After surgery, you need to prepare and plan ahead for your recovery. As an example, arrange for help reception if you think that you will need it.

Bariatric surgery is completed within the hospital using general anesthesia. this suggests you're unconscious during the procedure.

 The specifics of your surgery depend upon your individual situation, the sort of weight-loss surgery you've got, and therefore the hospital's or doctor's practices. Some weight-loss surgeries are through with traditional large, or open, incisions in your abdomen.

 Today, most sorts of bariatric surgery are performed laparoscopically. A laparoscope may be a small, tubular instrument with a camera attached. The laparoscope is inserted through small incisions within the abdomen. the small camera on the tip of the laparoscope allows the surgeon to ascertain and operate inside your abdomen without making the normal large incisions. Laparoscopic surgery can make your recovery faster and shorter, but it isn't suitable for everybody.

 Surgery usually takes several hours. After surgery, you awaken in a hospital room, where medical staff monitors you for any complications. counting on your procedure, you'll get to stay a couple of days within the hospital.

 What to expect after surgery?

 After weight-loss surgery, you generally won't be allowed to eat for one to 2 days in order that your stomach and the gastrointestinal system can heal. Then, you'll follow a selected diet for a couple of weeks. The diet begins with liquids only, then progresses to pureed, very soft foods, and eventually to regular foods. you'll have many restrictions or limits on what proportion and what you'll eat and drink.

 You'll also have frequent medical check-ups to monitor your health in the first several months after weight-loss surgery. you'll need laboratory testing, blood work, and various exams.

 What Will the Recovery Be Like?

 Don’t Worry! Most gastric bypass surgery is laparoscopic, which suggests the surgeon makes small cuts. that creates for shorter recovery time.

 Most people stay within the hospital for two to three days and obtain back to normal activities in 3 to five weeks. 

If the surgery must be "open," meaning the surgeon has got to make a bigger cut, healing takes longer.