Showing posts with label weight loss surgery. Show all posts
Showing posts with label weight loss surgery. Show all posts

Wednesday, July 3, 2013

Is Weight Loss Surgery An Option? Part I




Most of us who have tried to lose weight using a diet and exercise know how frustrating it can be. You might have to give up some of your favorite foods, avoid sweets, forego sugary drinks and sodas (my personal vice), exercise...the list goes on. Personally I enjoy exercise, but it can be hard for many of us to make time in our busy lives to take a walk or go to the gym. Those of us who have family members who don't care one way or another about their weight have it particularly hard because the others insist on having the other stuff around the house, making it much easier for us to 'cheat'. My husband has the aversion to vegetables that most other men I know have and, since he's the one who pays the grocery bills, we have to consider cost over nutritional value when it comes to buying (most) food items. These things mainly apply to the 'overweight' or 'lesser-obese' of us-those with a Body Mass Index of 25-30 (overweight) or 30-39 (obese).

Unfortunately, things are a bit more challenging for our friends with a BMI of over 40. Some people find it so challenging, in fact, that they've considered weight-loss surgery. This is a major decision, but some see it as their only option. If this is something you've thought about, I'd like to give you a bit of information.

As always, check with your doctor before going on any weight-loss program. I'm not qualified to give medical advice, just information.

First, let me describe the different kinds of surgeries. Gastric bypass-the one most of us think of when we hear the words 'weight-loss surgery'-consists of reducing your stomach from its normal 'football' size to about the size of an egg and attaching it to the lower part of the small intestine, allowing the food to spend less time in your body and absorb fewer calories. There are a few other types of 'reducing surgeries', but gastric bypass is the most common. Once the stomach heals, the patient is then put on a strict diet that runs in stages:

Stage 1-Liquid diet. This usually consists of things like milk, broth, 'cream' soups.

Stage 2-Pureed foods. Basically, it's solid foods such as fruits and vegetables strained and mixed with a liquid until it resembles baby food. In addition to this, you will be able to have yogurt, cottage cheese and other soft foods as recommended by your doctor.

Stage 3-Soft solids. This includes soft fruits or cooked vegetables, as well as ground or finely-cut meats. Basically, if you can smash your food with a fork, it fits.

Stage 4-Solids. You can now have 'regular' foods as long as you can tolerate them. Avoid things with a 'stringy' or 'fibrous' (celery, corn, broccoli, cauliflower etc) or a 'crunchy' (granola, cereal, popcorn, dried fruits, nuts etc) texture, as well as breads. This isn't to say that you can never have these foods again so much as that it's possible that they may irritate your still-healing stomach.

After Stage 4, you should be able to have a more 'normal' diet. Each stage lasts about four weeks, the exact duration depending on your individual tolerance and doctor's instructions.

As for drinks, avoid carbonated drinks. In other words, leave the Dr. Pepper at the store. :( Hard, I know. But the good news is that you may eventually be able to drink diet or sugar-free sodas, giving you relief from your Coke- or Pepsi-withdrawal. :) That's good news, right? :) 

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Is Weight Loss Surgery An Option? Part II


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The usual candidates for weigh-loss surgery are very obese people with weight-related health problems (Type 2 diabetes, high blood pressure, severe sleep apnea, etc) who have tried every other weight-loss option but have been unsuccessful. Furthermore, a person has to be psychologically fit and not have certain other medical conditions. Of course, it's up to the individual doctor to decide if it's right for you.

Another, much less-invasive form of weight-loss surgery is the 'Lap Band'-an adjustable band that squeezes the stomach in such a way that the upper part of the stomach is physically unable to accommodate much more than a cup or so of food before passing it on to the lower part. The stomach is still fully intact-it's just that it takes a lot longer for food to go through your body, forcing you to eat less and keeping you feel 'full' longer. The weight loss might not be as high as with the bypass, but it's much easier to recover from and causes a lot fewer complications. Best of all, it's reversible-just remove the band!

Pros and Cons

Obviously, the pro of weight-loss surgery is the weight loss! Not only can it make someone feel better about themselves, it can get rid of the asthma, heightened risk of some cancers, diabetes, blood pressure, pressure on joints and heart-related problems that come along with being obese.

Some of the possible cons are:

-It's not a 'magic bullet'. While gastric bypass and other weight-loss surgeries do cause significant weight loss, you have to do your part. I worked in a weight-loss clinic for several months when I first moved to Georgia. There was a patient once who came in after having had gastric bypass done because she had gained a lot of the weight back. This was mostly because, as her stomach stretched to accommodate more food, she went right back to her old eating habits. She was an 'emotional eater', meaning she ate to make herself feel better when she was down. If she wanted to keep the weight off, it would help to address the sources of the emotional distress over everything else. Like any other weight loss method, you have to be willing and able to commit to permanent lifestyle changes for the weight loss to 'stick'. 
-Insurance may not cover the surgery, or cover only part of it.
-There is an increased risk of gallstones. In fact, this happens with over one-third of gastric surgery patients.
-Many patients will have excess skin hanging off after the weight loss, requiring surgical removal.
-Scar tissue can develop along the stomach incisions, liver and other nearby organs. This can be very painful.
-It's possible for a person to suffer malnutrition and vitamin deficiencies, but these can usually be helped with multivitamins.

For more information, visit http://www.webmd.com/diet/weight-loss-surgery-pro-con-08/surgery_tips. Again, check with your doctor to see if weight-loss surgery of any kind is right for you.