Living with Bariatric Surgery: Managing your mind and your weight

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sleeve gastrectomy – some of your stomach is removed, so you cannot eat as much as you could before and you'll feel full sooner BMI: a measure that uses your height and weigh to work out if your weight is healthy. Living with Bariatric Surgery Eating and drinking Doble B, et al. (2017). What are the real procedural costs of bariatric surgery? A systematic literature review of published cost analyses. She notes that this was down to the development of chronic stomach and intestine problems, and one woman became so ill that she had to endure another operation because of problems with her scar tissue after the gastric bypass procedure. Bariatric surgery is designed to help promote weight loss in people with obesity. But this it is invasive procedure that carries risks.

Send annual recall letter to patients advising them to book an appointment for the recommended annual post-bariatric surgery blood tests, which should then be followed by a GP review appointment once the blood results are available – see BOMSS post-bariatric surgery nutritional guidance for GPs for more information on the recommended tests. Difficulty swallowing and/or vomiting – this may be due to stomach pouch or oesophageal dilation, gastric band problems, scarring or ulcers and needs prompt investigation. People are at risk of developing thiamine deficiency if they experience prolonged vomiting, rapid weight loss, poor dietary intake, alcohol abuse, oedema or symptoms of neuropathy. Symptoms of thiamine deficiency include ataxia, confusion, neuropathy, or cardiac insufficiency. If thiamine deficiency is suspected, either because of risk factors or clinical symptoms, oral or intravenous treatment should be initiated immediately and not delayed pending tests results and the patient should be urgently referred for medical assessment.

Contraception

Monitor patients closely for signs of withdrawal or reduced efficacy. Doses may need to be increased or may require a change in formulation (e.g. to immediate release or liquid), particularly in the first six months following bypass surgery. Each type of bariatric surgery has pros and cons. Be sure to talk to your doctor about them. Here's a look at common types of bariatric surgery: Australian Institute of Health and Welfare. Overweight & obesity. Overview. Canberra: AIHW; 2020. [cited 2022 Sep 1]

Lorico S, Colton B. Medication management and pharmacokinetic changes after bariatric surgery. Can Fam Physician 2020;66:409-16.Gastric bypass and other weight-loss surgeries don't always work as well as you might have hoped. If a weight-loss procedure doesn't work well or stops working, you may not lose weight and you may develop serious health problems. Get authorization from your insurance provider: This is to make sure your insurance will cover some or all of the cost of surgery.

Obesity, surgical management. Clinical overview. Elsevier; 2022. https://www.clinicalkey.com. Accessed June 24, 2023. Groven says that while previous research suggests that patients can avoid testing their eating limits after surgery by following dietary advice, the reality is much more complicated. It’s important to be aware of these risks — not just immediately after bariatric surgery, but also in the long term. Some of these risks are preventable, such as by taking multivitamins to help prevent nutritional deficiencies.

Consider using a post-bariatric surgery computer template to record information at annual review appointments. You’ll likely need to follow this puréed food diet for a few weeks until the doctor clears you to begin incorporating more solid foods into your diet. At this point, you can introduce some new soft foods into your diet, including: Although many women reported negative thoughts and health issues after weight loss surgery, none of them said they regret undergoing the procedure. VSG may also reduce the production of intestinal hormones that influence hunger and metabolism. One of these hormones is called GLP1. This hormone can reduce hunger signals and better regulate blood glucose (sugar) levels. As you figure out what foods your body can digest well, continue to explore solid food options and find a diet that is sustainable for you — one that lets you still enjoy your favorite foods, desserts, and drinks in moderation without resulting in pain, nausea, digestive discomfort, or vomiting.