Regarding Bariatric Surgery You Need to Know

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If regular diet and exercise do not make you lose weight, obese people will usually be offered bariatric surgery. This operation can help you cut fat in the body. However, not all fat people can undergo this medical procedure. There are several conditions that must be met beforehand.

What is bariatric surgery?

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Bariatric surgery is a special medical action aimed at overcoming obesity. Usually, postoperative weight loss can reach 40-68% at intervals of 2 years.

This operation is also performed with several procedures, depending on each patient's condition. The main goal of bariatric surgery is to lose weight in a fast time and prevent various chronic diseases that lurk.

If it sounds promising, not all obese people can undergo this operation. There are a number of conditions that must be met, namely:

  • Having a body mass index of more than 35 with comorbid disease (co-morbidities)
  • Experiencing two or more chronic diseases
  • Weight loss does not go down despite diet and lifestyle healthy
  • Not taking drugs that can conflict with bariatric surgery
  • Having strong motivation.

Even if you experience these things, you still cannot undergo this operation if:

  • is pregnant [19659008] experienced a hormonal abnormality that made him obese
  • being addicted to drugs
  • Having uncontrolled psychiatric illness was not permitted to carry out this operation.

What are bariatric surgery procedures?

 Causes of risk factors for surgical wound infections [19659005] To make patients reach their ideal weight, this medical procedure is carried out in several different procedures.

Limiting gastric space [19659021] This procedure is done so that the food that enters the stomach is not too much, so it can cut the body's calories. Some procedures that can make the space in the stomach narrow are the stomach binding procedure (vertical banded gastroplasty).

Manipulating the stomach

This medical procedure was carried out by the sleeve gastrectomy (SV), which was to remove several parts of the digestive organ. The goal is again to limit the food that enters and is digested. In addition, Roux-ex Y gastric bypass (RYGB) is also done, by dividing the digestive organ area into smaller ones. So, the stomach is full fast and the feeling of fullness lasts longer.

Combined procedure

This procedure will make malabsorption of macro nutrients and micronutrients that enter the body, this method is done to limit absorption of incoming food. Examples of these procedures are biliopancreatic diversion (BPD) and BPD with the duodenal switch 1945 (BPD DS).

What should be prepared for successful bariatric surgery?

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Before undergoing bariatric surgery, the patient will be examined and see his condition. The patient will also be given knowledge regarding dietary changes that must be done after surgery, side effects, and the risks of this medical action.

The medical team will also explain how much chance the success of bariatric surgery will be. In addition, there are additional examinations that need to be done before the procedure, namely:

  • Lung function and tests sleep apnoer syndrome
  • Examination of metabolic and endocrine disorders, blood lipids, TSH
  • Examination of abnormalities gastro-esophageal (Helicobacter pylory etc.)
  • Measuring bone density
  • Body composition
  • Resting energy expenditure

Is there a special diet to do before surgery?

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During 2 to 4 weeks before surgery, patients are advised to adopt a low-calorie diet (1000-1200 calories per day) or a very low-calorie diet (± 800 daily calories).

Usually, patients will also check the amount of vitamins in the body. If there is one vitamin that is less than normal, a special diet will be given to increase the levels of the vitamin before surgery.

Foods that must be avoided altogether, namely:

  • Sugar, foods containing hidden sugars
  • Juice packaged fruit
  • High-fat food
  • Fried
  • Alcohol

Meanwhile, you should also limit the following foods: foods to be limited:

  • Dairy products
  • Flour
  • Some types fruits and vegetables (celery, raw vegetables, dried fruit, fruit with skin)
  • Hard meat
  • Soda

Then, do you still have to go on a diet after bariatric surgery?

 eat porridge [19659005] Of course you must continue to undergo a special diet, so that the results of surgery are maximized. Generally, the given diet will be adjusted to the texture and shape of food. Patients who have just undergone surgery will be given liquid food until they eventually return to solid food.

Application of this gradual diet is carried out for approximately 4 to 6 weeks, according to the conditions of each patient.

Liquid food [19659021] While in the hospital you will be given clear liquid sugar-free food, 2-4 times after surgery. The liquid you need to drink is around 14-30 ml per 20 minutes and you should not use a straw

Pure food

After the food is liquid, the patient can begin to be given low-fat, sugar-free pulverized food. Usually, this food will be given until the patient is discharged from the hospital.

Soft food

After 3-4 weeks of discharge from the hospital, patients are encouraged to eat soft foods. Slightly different from puree, this food already has a texture in it.

Solid food

Over time, the patient's stomach and digestive organs become stronger and more normal, so they can be given solid food. Well, usually the type of food given depends on the diet that must be lived.

If confused, you should ask and consult a doctor, what kind of diet should you do postoperatively.

Giving vitamins and minerals

Apart from the form of food which must be regulated in stages, usually given also special supplements containing iron, vitamin B12, vitamin D, and folic acid.

Meanwhile, foods high in sugar and fat also need to be challenged after undergoing bariatric surgery. Foods that must be avoided and limited postoperatively, the same as before you underwent surgery.

Are there side effects after doing this operation?

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Side effects can be mild to severe, depending with the type of procedure performed. However, the most common side effects are:

  • Digestive problems, such as difficulty swallowing, constipation, diarrhea, nausea, intolerance in some foods
  • Sagging skin in the former surgery area
  • Lack of vitamins and minerals
  • Formation of gallstones (due to a rapid drop in BB)
  • Hair loss, which usually occurs temporarily

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