Bariatric surgery is an operation that is carried out in order to remove excess weight and prevent its re-gain. To do this, surgeons reduce the size of the patient’s stomach or small intestine. After surgery, a person needs less food to feel full. After the operation, the patient’s hormonal background changes, which also helps to lose weight. With a diet and a healthy lifestyle, this will help him maintain a stable weight.
Before the operation, the patient needs to consult with a nutritionist, psychologist and bariatric surgeon. This is necessary to weigh the benefits and risks of the operation, as well as to make sure that the person is morally prepared for the consequences of the operation. A complete physical examination and blood tests are a must before weight loss surgery.
During a bypass, the stomach is divided into 2 unequal parts. The small intestine is attached to the small stomach. This is how the effect is achieved when a person does not want to eat a lot.
Sleeve gastroplasty is considered the gold standard in bariatrics. It involves the removal of 80% of the volume of the stomach. The operation is performed laparoscopically, that is, through small incisions.
Biliopancreatic shunting requires the removal of part of the stomach and small intestine. Intervention is recommended in severe stages of obesity.
After surgery, the patient may spend 3 to 7 days in the hospital. The time of inpatient observation depends on the method of bariatrics. Within 2-3 years after discharge, the patient will need to visit a doctor. During these examinations, the doctor notes progress after bariatrics, may adjust the diet plan, exercise, supplements or medications.
For the first time after surgery, the patient may be given medication to prevent stomach ulcers or gallstones. Your doctor will also suggest medications to help reduce side effects.
In the first 3-5 weeks after surgery, the nutritionist prescribes a special diet for the patient. It contains liquid and soft foods, as well as supplements of Ca, Fe and vitamins D, B12. In the future, the patient will be able to eat solid food. During this period, a person should drink at least 2 liters of water per day. However, caffeine consumption should be avoided in the first month after surgery.
In addition to the type of operation, the rate of weight loss is affected by how a person adheres to the recommendations of a nutritionist. According to the observations of the National Institutes of Health, patients lose 4-5 kilograms every month in the first time after surgery.
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