At Home Christian Jessen 2014 - 164

| DIET SOLUTIONS|

'WITH GASTRIC
BANDING, A TYPICAL
PATIENT CAN EXPECT
TO LOSE 60% OF
THE EXTRA WEIGHT
THEY'RE CARRYING
WITHIN THREE YEARS'
Q HOW LONG DO I NEED TO RECOVER
FOLLOWING BARIATRIC SURGERY?

reaction to sugary foods. A duodenal switch shares many
of the same risks of a gastric bypass and it can also lead
to nutritional problems unless you stick to a high-protein
diet and take vitamin supplements. Additionally, too
much fatty food can lead to loose, foul-smelling stools.

A After having a gastric band fitted using keyhole
surgery, most people only need to spend one night in
hospital. A gastric bypass or duodenal switch operation,
using keyhole surgery, will usually requires a threeor four-night stay in hospital.
Q HOW CAN HAVING A WEIGHT-LOSS
OPERATION CHANGE MY LIFE?
A If you have Type 2 diabetes, gastric bypass and
duodenal switch operations give the best chance of
improvement. Around 70-90% of patients can expect
to come off all their treatment. Weight loss also improves
numerous medical conditions, including angina, high
blood pressure, high cholesterol, acid reflux, asthma,
sleep apnoea, painful joints, weight-related depression,
polycystic ovaries and infertility.
Q WHAT ARE THE RISKS ASSOCIATED WITH
WEIGHT-LOSS SURGERY?
A With gastric banding, the initial risk is minimal (there

is a low mortality rate of about one in 2,000). But after
five years, at least one in 10 gastric band patients will
have to undergo further surgery to fix a band problem.
Because a gastric bypass involves cutting and rejoining
sections of the bowel, if the joins don't heal properly,
food and gastric juices can leak out in the first three or
four days. This can lead to peritonitis (similar to a burst
ulcer or appendix). Peritonitis occurs in 2-3% of cases
and usually means further surgery followed by a stay in
hospital. Later complications can include an unpleasant
164 | JULY 2014

Q HOW WILL MY EATING HABITS CHANGE
FOLLOWING A WEIGHT-LOSS OPERATION?

DR
CHRISTIAN
SAYS

'Bariatric surgery
can be extremely
effective, even life
saving. The gastric
bypass has been
hailed as the only
known cure for
Type 2 diabetes
that we have. The
weight at which
surgery is done
varies; each patient
is an individual
case. Everything
is taken into
consideration when
planning
for surgery.'

A After gastric banding, you have to chew food
carefully and eat slowly, but you can eat most foods
in small amounts. With a gastric bypass, you also have
to eat slowly, chew food carefully and stick to small
portions. In addition, sugary foods can cause 'dumping
syndrome' (fainting, cramps and diarrhoea). Twelve
months after having a duodenal switch operation, you
should be able to eat normal-size meals, but you'll have
to stick to a high-protein diet, eating about three-quaters
of your food as protein, and consuming the protein first
when you eat a meal. It's also important to take vitamin
and mineral supplements, particularly calcium and
vitamin D, as you can develop deficiencies after surgery.
Q HOW MUCH WEIGHT CAN I EXPECT TO LOSE
AFTER HAVING BARIATRIC SURGERY?
A Gastric banding leads to gradual weight loss, but
a typical patient can expect to lose 60% of the extra
weight they're carrying within three years (mostly in
the first two years). Gastric bypass and duodenal switch
patients lose weight more rapidly - usually 70-80%
of their excess weight within the first 12 months. Of,
course, it's important to exercise regularly, too. Going
to the gym, swimming, running or walking 10,000 steps
a day will help you keep the weight off long-term.



At Home Christian Jessen 2014

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