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[D273]Diet After Bariatric Surgery
by Karinmanning, Kar
Bariatric surgical procedures are major gastrointestinal operations. It is done by securing or sealing off the stomach to reduce the amount of food one can eat, then rearrange the small intestine to reduce the calories the bodies can absorb. However it is not a quick fix method for permanent weight loss. Bariatric surgical procedures are only considered for people with severe obesity.

Conventional treatments such as diet, exercise and lifestyle counseling are cited to be relatively ineffective ways of losing weight. Many medical experts support surgical methods like bariatric surgery to help reduce morbid obesity. Since bariatric surgery for obesity has associated risks and long-term consequences, individuals considering this surgical procedure must discuss risks and possible benefits with their doctor.

Patients achieve effective weight loss after undergoing bariatric surgery for obesity. An ample number of patients with disorders like diabetes, hyperlipidemia, hypertension, and obstructive sleep apnea experienced complete improvement after bariatric surgery.

Bariatric surgery for obesity is not an instant solution for weight loss. Plus, it is not an easy option for people with obesity conditions. Bariatric surgery completely forces patients to change their eating habits radically. Bariatric surgery's after effect makes patients very ill if they overeat. In addition, patients remain at a lifelong risk of nutritional deficiencies after undergoing a bariatric surgery.

It is imperative for patients to abide strictly to the proper dietary and exercise guidelines instructed to them. They must have realistic and informed expectations about the impact of surgery not only on their weight, but on their body shape and eating habits as well. After bariatric surgery for obesity, patients should have long-term follow up with experienced doctors. Lifelong vitamin supplementation is essential to avoid life-threatening complications.

Unfortunately, many bariatric patients think that having surgery is going to solve their obesity problem without further effort. Nothing is further from the truth! It is only after having lap band or gastric bypass that the struggle begins. To begin with, it is vital for all patients to follow their post-operative dietary guidelines, about what foods to eat, how fast to eat and what types of food to avoid.

In addition, it is vital to start taking exercise and gradually raise your fitness levels in order to recover mobility and health. Lastly, patients who undergo bypass and some restrictive surgeries are required to follow a lifelong plan of nutritional supplements to maintain adequate intake of vitamins and minerals. No bariatric surgeon can guarantee weight reduction after any type of bypass or stomach banding operation without proper dietary and exercise compliance by the patient.

Bariatric is the branch of medicine that deals with the causes, prevention, and treatment of obesity. The term bariatric was created around 1965, from the Greek root baro ("weight," as in barometer), suffix -iatr ("treatment," as in pediatrics), and suffix -ic ("pertaining to"). Besides the pharmacotherapy of obesity, it is concerned with obesity surgery.
Overweight and obesity are rising medical problems of pandemic proportions. There are many detrimental health effects of obesity: heart disease, diabetes, many types of cancer, asthma, obstructive sleep apnea, chronic musculoskeletal problems, etc. There is also a clear effect of obesity on mortality, though this is not so clear for those who are overweight
Although not a direct measure of body fat, the Body Mass Index is widely adopted and promoted as a marker for excess body weight. However, it is not flawless: a very muscular person may be assessed as obese, and an elderly person with low body weight but high body fat (this can happen due to low muscle mass and bone density) may be assessed as healthy. Other markers for the evaluation of obesity include waist circumference (associated with central obesity), and a patient's risk factors for diseases and conditions associated with obesity. Besides these indirect methods, body fat can also be measured directly.
There are a number of surgical options available to treat obesity, each with their advantages and pitfalls. In general, weight reduction can be accomplished, but one must consider operative risk (including mortality) and side effects. Usually, these procedures can be carried out safely. Procedures can be grouped in three main categories:
predominantly malabsorptive procedures: although also reducing stomach size, these operations are based mainly on malabsorption.
Biliopancreatic Diversion (Scopinaro procedure - rare)
Jejuno-ileal bypass (no longer performed)
predominantly restrictive procedures: this kind of surgery primarily reduces stomach size
Vertical Banded Gastroplasty (Mason procedure, stomach stapling)
Laparoscopic Adjustable Gastric Band (LAGB)(REALIZE Band - Lap Band)
Sleeve gastrectomy
Mixed procedures: applying both techniques simultaneously
gastric bypass surgery, like Roux-en-Y gastric bypass
Sleeve gastrectomy with Duodenal Switch
Implantable Gastric Stimulation
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Reference
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Article Source : Bariatric Surgery

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