MEDICAL SECOND OPINION
Obesity Surgery Before After

Which Obesity Surgery is more suitable for you?

Today, obesity surgeries can be successfully applied in many centers. There is still no consensus in the medical world on which surgery is the best choice for the surgical treatment of obesity. In this context, each patient should be evaluated individually, many factors such as how much the patient is overweight, the status of secondary health problems due to obesity, nutritional habits, whether he or she will comply with diet and exercise recommendations affect the choice of surgery.

Things to do before Obesity Surgery

If it can be done before the surgery, diet should be done and some weight should be lost. This procedure both reduces the risks associated with surgery and can facilitate the surgical procedure when it reduces the size of the liver. In preparation for surgery, all routine surgical tests are performed. Respiratory functions are evaluated. In addition, the stomach is evaluated by endoscopy before surgery for possible gastric pathologies. Apart from the relevant examinations, the opinion of the cardiology, endocrinology, chest, psychiatry and anesthesiologist is taken for the surgery. The patient is fasted the night before. The patient is told what to do for the formation of a blood clot and blood thinners are started.

Things to do after Obesity Surgery

On the first day after the surgery, liquid nutrition is started under the control of a dietitian and physician, depending on the patient's condition. The operations are performed with the closed method, that is, laparoscopically. It is made by entering the abdomen with the help of a telescope through 5-6 small incisions in the patient. Patients are started to be walked on the 4th hour after the operation. Depending on the type of surgery chosen, patients are discharged in 3-5 days. After discharge, it is recommended to drink at least 1-1.5 liters (8 glasses) of water every day and to be nutrition with watery food as determined by the dietitian for the first 2 weeks. It is recommended to take protein supplements every day. After 2 weeks, soft food is gradually started and the importance of taking bites in small sizes and swallowing after chewing well is explained. Heavy physical exercises and lifting heavy loads should be avoided for one month. For employees, they can return to work after 10-15 days, provided that they do not do heavy work. It is important that women who want to have a child after the operation are protected for one year and become pregnant after being checked by a dietitian. 

Post-Operation Weight Loss

Decreased gastric volume and gastric digestive capacity after surgery require the patient to be followed up with a special nutrition program. During the first 2 weeks after the surgery, a diet should be provided with liquid drinks with a certain calorie content per milliliter, and in the following weeks, the diet should be continued with liquid-fluid solid foods that will not create a protein deficit. The daily calorie and nutrient needs of the person should be calculated by a dietitian specialized in obesity surgery and a nutrition program should be created in a way that does not impair general health and does not cause any disease related to nutrient deficiency.

In addition, after 1 month, simple exercises can be done. In cases where exercise is done, the sagging of the body will be less and the muscle mass will be preserved. At the same time, the exercises make the person regain their self-confidence, be happier and actively return to life more quickly. Therefore, the person should carry out the weekly exercise program in coordination with the diet.

Possible Problems

Do Not Disrupt Controls.

We invite our patients for check-ups in the 1st, 3rd, 6th and 1st years after surgery. If there is redness, discharge, high fever, abdominal pain, nausea, vomiting in the wound in the days immediately after the surgery, call us immediately.

The problem may be minor or it may be serious.

Pay Attention to your Nutrition.

The most common post-operative problems are weakness and fatigue. Along with rapid weight loss, the stress of surgery can cause fatigue. In this case, fluid and protein intake should be increased and regular exercise should be done.

We should change our eating habits after surgery.

Eating fast and more than stomach capacity, taking liquids with solid foods can cause vomiting. Liquids should not be taken with solid food, but should be taken 30 minutes before or after. If vomiting continues despite taking these precautions, it is recommended to come for control. In addition, constipation may occur due to deficient fluid intake or the use of iron pills after the surgery. In this case, fluid intake should be increased and daily exercises should be done.

Dumping syndrome, which presents with symptoms such as nausea, vomiting, diarrhea, low blood pressure, fainting, sweating, and stomach cramps, can be seen in some patients, although rare, in Gastric Bypass surgeries. This syndrome is caused by ingestion of foods high in sugar and carbohydrates. Heavy desserts should be avoided before meals. Also, as recommended in our diet list, liquids should not be consumed with food.

Don't Forget your vitamins

Hair loss and leg cramps may be due to vitamin, mineral and protein deficiency. They should come to the controls regularly and if deficiencies are detected in the controls, the missing vitamin supplements should be applied. Weight loss is usually completed at the end of 1 year. Patients who do not come for regular controls or go beyond the recommendations may encounter the problem of regaining weight.

Avoid certain Drinks and Medications

Fizzy drinks after surgery may cause reflux in some people. Since the volume of the stomach is smaller than before, the food goes up with carbonated drinks, which makes people with reflux even more uncomfortable. At the same time, fizzy drinks can enlarge your stomach over time. Take a break from coffee for at least 2 months. Also, avoid alcohol for 6 months after surgery.

Don't Get Pregnant for 1 Year

The ideal period to get pregnant after surgery is 18 months. But it is necessary to avoid getting pregnant before 12 months.

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