Living with Bariatric Surgery: Managing your mind and your weight
FREE Shipping
Living with Bariatric Surgery: Managing your mind and your weight
- Brand: Unbranded
Description
A smaller stomach means you must make changes to the way you eat and drink for the rest of your life. You start with puree foods for 4 weeks and then gradually introduce normal textures. Within 12 weeks you will be eating 3 main meals, side plate size and 2 Although many women reported negative thoughts and health issues after weight loss surgery, none of them said they regret undergoing the procedure.
Although improvements to existing health problems were important benefits of the surgery, five participants reported developing new health problems postsurgery, including micronutrient deficiencies, menstrual problems, brittle bones, low blood pressure and cardiac issues: ‘…you give up one set of health implications but you get given another set in its place…’ (P07). Some participants still suffered with several food intolerances and/or frequent gastrointestinal symptoms many years after surgery, which they reported resulted in a poorly balanced diet: ‘I can’t eat bread or meat…That’s one of the small prices I have to pay…my intake of food is nowhere near balanced…’ (P08).
Useful guidance on primary care management of complications post-bariatric surgery for primary care is available here. Consider psychological as well as physical problems (body dysmorphia, depression, anxiety, emotional eating, new addictive behaviour). If surgery specific problems are identified refer to a psychologist or mental health practitioner experienced in helping people who have had bariatric surgery.
any risk factors assessed using lipid profile (preferably done when fasting), blood pressure measurement and HbA1c measurement Also called a vertical sleeve gastrectomy (VSG), gastric sleeve surgery is the most common type of bariatric surgery performed in the United States. It’s used to decrease the size of your stomach and reduce the amount of food you can eat at one time. Matevish LE, Hawkins AT, Bethurum AJ, et al. Change in total body water as a metric for predicting need for outpatient intravenous fluids in postoperative bariatric patients. Am Surg. 2020;3134820945271. doi:10.1177/0003134820945271 Consider sending the patient the BOMSS pre-consultation questionnaire for patients prior to their review appointment to identify potential problems. If using this questionnaire ask the patient to bring the completed form with them to the appointment.
Why it's done
All participants reported an improvement in activity and mobility levels and/or their ability to carry out ‘normal’ activities of daily living following surgery: ‘I’m more mobile, I can tie my shoelaces, shower properly…my life has changed for the better’ (P10). Participants also reported several positive changes related to physical and psychological health including a reduction in medications required (eg, for diabetes), an improvement in physical symptoms (such as joint pain), self-confidence and psychological well-being: ‘I feel healthier mentally in my head, like I want to get out there’ (P09). During the second step of the SADI-S procedure, a section of the small intestine known as the duodenum is closed off just below the new stomach sleeve. This opening below the new stomach is then connected to a part of the lower small intestine called the ileum. This is the duodeno-ileal bypass. Difficulties were described in developing new coping strategies to replace food, which had previously been a ‘comfort blanket’: ‘…all your insides are different but your brain…no different whatsoever…that for me was the hardest thing to adjust to, because my brain was still telling my stomach I was hungry but obviously I couldn’t [eat]…’ (P03). One patient described developing an alcohol dependency postsurgery (which they had eventually overcome), and two participants mentioned the need for more psychological input to help with their adjustment following surgery: ‘There was no formal counselling…and that might be a good idea to find out why we eat so much, why are we addicted to food…’ (P04). comorbidities (such as hypertension, hyperinsulinaemia, dyslipidaemia, type 2 diabetes, psychosocial dysfunction and exacerbation of conditions such as asthma)
change your diet – you'll be on a liquid or soft food diet in the weeks after surgery, but will gradually move onto a normal balanced diet that you need to stay on for lifeThis is one of the least invasive of the major types of bariatric surgery. But gastric band surgery doesn’t typically lead to significant weight loss when compared with gastric bypass surgery or a sleeve gastrectomy, according to 2017 research. Gastric bypass and other bariatric surgeries can provide long-term weight loss. The amount of weight you lose depends on the type of surgery and your change in lifestyle habits. It may be possible to lose half, or even more, of your excess weight within two years.
- Fruugo ID: 258392218-563234582
- EAN: 764486781913
-
Sold by: Fruugo