About Treatment
Life After Surgery
The following identifies areas that will be important
for patients to follow after weight loss surgery.
- Diet
- Going Back to Work
- Birth Control & Pregnancy
- Long-Term Follow-Up
- Support Groups
Diet
The modifications made to your gastrointestinal
tract will require permanent changes in your eating
habits that must be adhered to for successful
weight loss. Post-surgery dietary guidelines will
vary by surgeon. You may hear of other patients
who are given different guidelines following their
weight loss surgery. It is important to remember
that every surgeon does not perform the exact
same weight loss surgery procedure and that the
dietary guidelines will be different for each
surgeon and each type of procedure. What is most
important is that you adhere strictly to your
surgeon's recommended guidelines. The following
are some of the generally accepted dietary guidelines
a weight loss surgery patient may encounter:
- When you start eating solid food it is essential
that you chew thoroughly. You will not be able
to eat steaks or other chunks of meat if they
are not ground or chewed thoroughly.
- Don't drink fluids while eating. They will
make you feel full before you have consumed
enough food.
- Omit desserts and other items with sugar listed
as one of the first three ingredients.
- Omit carbonated drinks, high-calorie nutritional
supplements, milk shakes, high-fat foods and
foods with high fiber content.
- Avoid alcohol.
- Eat protein first.
- Limit snacking between meals.
Going Back to Work
Your ability to resume pre-surgery levels of
activity will vary according to your physical
condition, the nature of the activity and the
type of weight loss surgery you had. Many patients
return to full pre-surgery levels of activity
within six weeks of their procedure. Patients
who have had a minimally invasive laparoscopic
procedure may be able to return to these activities
within a few weeks.
Birth Control & Pregnancy
It is strongly advised that women of childbearing
age use the most effective forms of birth control
during the first 16 to 24 months after weight
loss surgery. The added demands pregnancy places
on your body and the potential for fetal damage
make this a most important requirement.
Long-Term Follow-Up
Although the short-term effects of weight loss
surgery are well understood, there are still questions
to be answered about the long-term effects on
nutrition and body systems. Nutritional deficiencies
that occur over the course of many years will
need to be studied. Over time, you will need periodic
checks for anemia (low red blood cell count) and
Vitamin B12, folate and iron levels. Follow-up
tests will initially be conducted every three
to six months or as needed, and then every one
to two years.
Support Groups
The widespread use of support groups has provided
weight loss surgery patients an excellent opportunity
to discuss their various personal and professional
issues. Most learn, for example, that weight loss
surgery will not immediately resolve existing emotional
issues or heal the years of damage that morbid obesity
might have inflicted on their emotional well-being.
Most surgeons have support groups in place to assist
you with short-term and long-term questions and
needs. Most bariatric surgeons who frequently perform
weight loss surgery will tell you that ongoing post-surgical
support helps produce the greatest level of success
for their patients. |