Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Search the Community

Showing results for 'pureed foods'.


Didn't find what you were looking for? Try searching for:


More search options

  • Search By Tags

    Type tags separated by commas.
  • Search By Author

Content Type


Forums

  • Weight Loss Surgery Forums
    • PRE-Operation Weight Loss Surgery Q&A
    • POST-Operation Weight Loss Surgery Q&A
    • General Weight Loss Surgery Discussions
    • GLP-1 & Other Weight Loss Medications (NEW!)
    • Gastric Sleeve Surgery Forums
    • Gastric Bypass Surgery Forums
    • LAP-BAND Surgery Forums
    • Revision Weight Loss Surgery Forums (NEW!)
    • Food and Nutrition
    • Tell Your Weight Loss Surgery Story
    • Weight Loss Surgery Success Stories
    • Fitness & Exercise
    • Weight Loss Surgeons & Hospitals
    • Insurance & Financing
    • Mexico & Self-Pay Weight Loss Surgery
    • Plastic & Reconstructive Surgery
    • WLS Veteran's Forum
    • Rants & Raves
    • The Lounge
    • The Gals' Room
    • Pregnancy with Weight Loss Surgery
    • The Guys’ Room
    • Singles Forum
    • Other Types of Weight Loss Surgery & Procedures
    • Weight Loss Surgery Magazine
    • Website Assistance & Suggestions

Product Groups

  • Premium Membership
  • The BIG Book's on Weight Loss Surgery Bundle
  • Lap-Band Books
  • Gastric Sleeve Books
  • Gastric Bypass Books
  • Bariatric Surgery Books

Magazine Categories

  • Support
    • Pre-Op Support
    • Post-Op Support
  • Healthy Living
    • Food & Nutrition
    • Fitness & Exercise
  • Mental Health
    • Addiction
    • Body Image
  • LAP-BAND Surgery
  • Plateaus and Regain
  • Relationships, Dating and Sex
  • Weight Loss Surgery Heroes

Find results in...

Find results that contain...


Date Created

  • Start

    End


Last Updated

  • Start

    End


Filter by number of...

Joined

  • Start

    End


Group


Website URL


Skype


Biography


Interests


Occupation


City


State


Zip Code

Found 17,501 results

  1. Feeling proud everytime I don't finish the food on my plate :)

    1. jane13

      jane13

      me too - kinda like getting a star on your paper in elementary school

    2. lapband78

      lapband78

      haha exactly! :)

  2. Its been a week after my 2nd fill and I definitely get fuller with less food now, I can feel a little bit of more restriction but very little. I'm hoping 3rd time's the charm but we will see. I'm well aware it's different for all of us. On a side note my elliptical has made its way back into my bedroom. Hopefully I can make my way onto it :)

    1. SelyGee

      SelyGee

      @Veronica Page I know I know i'm getting to it ....eventually lol JK thanks :)

    2. Veronica Page

      Veronica Page

      I know the struggle is real. Don't worry when you are ready you'll do whatever it takes to move. I loathe exercise but I do it cause I love the rewards! Hang in there!

    3. SelyGee

      SelyGee

      I bet! Im trying to get in to hiking and stuff too but again... we'll see heheheheh. MOTIVATION WHERE ART THOU! lol

    4. Show next comments  237 more
  3. I know why now I've never chewed my food slowly or thoroughly. It's disgusting.

    1. Djmohr

      Djmohr

      LOL! I hear you on that one!

  4. Uomograsso

    Post-OP Nutrition Guide

    This booklet I got from dietitian while I was in the hospital. It has the four stages from liquids to puree to soft foods to regular food.
  5. CocoaRNYBBCPromsFanInUS

    JenCoBu's Odyssey

    From a 'Butter-pillar' to a 'Catter-fly'! LOL! Under Reconstruction and Improved Management. The weight of my flesh has been a burden for 42 years since the age of 5 and half when my parents & I were transferred from Germany (U.S. Army Brat) to Ft. Lewis, WA the Summer of '75. That's when my pituitary glands jumped the track. Oh I was born 6lbs. 7oz, but in 1976 (by this time we were stationed in Maryland) because my mom was befuddled as to why her little Jenny was busting out all over; esp. in the chest area as well as gaining wt. So at age 6 I was diagnosed by a Captain that was a pediatrician that saw cases like mine overseas. I had PRECOCIOUS PUBERTY. Couldn't stop my inherited DNA either. So you couldn't stop this runaway freight train and the only casualty in this wreck was me. I was a physically active girl, ate about the same as any other kid & later adolescent. But my body wasn't breaking down anything. Frustrated from that along with being bullied and beaten up almost ritualistically, and humiliated by family members, I was suicidal by age 9. Only 2 dear elem. school friends kept me sane... and alive; but they never knew that. Well into teendom, young adulthood, womanhood, i was bulimic, I worked out, I starved. You name it. Desperation makes you do/ try anything. The only thing shrinking was my bank account. Long story short, it wasn't until I was 45 & practically destitute, sickly and agoraphobic after ballooning up even moreso in weight and suffering 2 very bad falls, I qualified for Medicaid/ Care Source Ins. and my first case worked pleaded with Visiting Physicians Assn. to accept me in their care, esp. since I can't drive (no license but have had a Passport since I was 10mos. old). My 1st PCP had mobile x-ray techs, and other specialist come to my apt. In the end I finally learned I not only had HYPOthyroidism, but that it was UNDER developed. My vindication & Redemption. I cried because I knew it had to be something that contributed to the maddening weight gain, the yo-yo'ing. I was never an over eater. So all of my earlier, healthy, traditional weight loss methods for decades failed because of this culprit. Add insult to injury I became type 2 diabetic at 44/45 too. I refused insulin. Telling them I'll do my damnedest to lose what I can and reduce my blood sugar through altering my food consumption & with exercise from a phys. therapist that came to my flat. I was too hvy for my frame to exercise properly, walking was chore, especially with bone loss to boot. And I was, and still am, self conscious being seen by people. Having lived in NYC you'd think I could handle masses of people. But I can't. But I'm learning. Slow & steady. With all my efforts and my necessary "surgical intervention", and those doctors, therapists, nurses & personal assistants and my BFF, I can LIVE & live better and healthier, not merely exist. Also, I no longer have type 2 diabetes, but I still test because I'm 'prone' to it. Better safe than sorry. People don't live long in, what remains of, my family. So I have to live. My nieces/ great and great-great nieces look up to & stay in touch with me always. I need to do right by my standards, give them someone to look up to, and do special things to honor my late husband whom i lost 16 yrs ago in 2003, but I couldn't at that time. I currently started at Planet Fitness & go super early to avoid crowds and will restart my aqua therapy late fall of 2019. Desperately trying to lose more & more weight so I can 1. get a receptionist job outside my apartment to earn a real paycheck and 2, have skin removal surgery w/ breast reduction & lift. Then COOL SCULPTING much later after that. Btw, the gent in the tux w/ me in pink (2010) is an ex bf, NOT my wonderful late husband, Michael. He's the one standing next to me in the dark blue denim 2 pc dress on my niece's deck outside in 2002 immediately after breakky [as you can see by his tummy. It was gone by 1pm that day]. He was the sweetest English muffin I ever met LOL! (he was a Londoner, a published author and my former boss ). And my greatest supporter of my aspirations. So that being said, enjoy my pics. Toodles!
  6. A snapshot of the past 30 days' weight loss. February 7 was the first day of my pre-op diet and surgery was Feb 21. I didn't weigh myself from the 21st thru 24th but you can see the bounce on the 25th due to continued retention of fluids from the hospital. I lost 5.6 lbs last week, but so far only 1.2 lbs this week.

    While the weight has been coming off slowly, I did have feedback from my massage therapist on Monday that my inflammation seems much improved. She immediately noticed the difference in my calves, which were always very tight and hard, to the point she would often comment on it as being unusual. This time she was able to get right into the muscle without a struggle, and it was a similar story in my arms, neck and back. Whether it's from the surgery itself or from the complete lack of grains, sugar, and processed foods in my diet for a month, something is working.

     

    Screenshot_20240308_154641_Renpho Health.jpg

    1. BeanitoDiego

      BeanitoDiego

      Those non-scale victories really mean a lot 💪

  7. So yeah, now I'm playing the waiting game and patiently awaiting surgery day. In the meantime, I am wondering what food aversions I will end up with. I know after having the gallbladder removal, there are already tons of foods I can't stand or just can't eat all together. So, for my recovery liquids, I decided to not go all out and buy a bunch of things and sit and wait. I suppose broth would be good to keep around and no sugary Jello mix. But beyond that I don't want to spend money on things I may not need or like after. Thinking might be best to wait to see what I can stand while in hospital. Then order or send my husband to get things? If anyone's reading, this...what do you recommend? Did you buy a bunch of things, or wait? 😀

  8. 2 weeks & 5 days post op and I'm doing great

    Gatorade w/protein makes me gag now. I think from having so much of it.

    I had the ricotta bake for a few days. I'm in the puree stage but rotisserie chicken, chicken meatballs, cold cuts, & plain tuna don't bother me.

    I had a plain old fashioned peppermint and it made me nauseous... 

  9. I may need to change my name and profile pictures. I assumed I would be struggling to drink water and protein shakes and eating tiny food portions but that's not the case. So far, no nausea. No feeling of food restriction. I guess I should be happy that I can eat comfortably with no appetite and so I'm banking on the surgery itself to do it's part changing my setpoint, metabolism, insulin resistance etc. In 10 days I will move into regular food phase. Maybe then the restriction may kick in. 

  10. Less than a week before gastric bypass surgery. I'm nervous but excited. Been lurking here for a while, reading. I'm about ready as I'm going to get. Down 20 pounds in 3 months. A ton of pre op testing done and cleared. Food/drinks, chewable vitamins, protein, meds bought. On 2-week preop diet now which includes 2 protein shakes a day along with 3 ounces lean protein and 2 1/2 C.  non starchy veggies and is totally do able for me. Clear liquid day before surgery. A full sugar Gatorade night before  and again 2 hrs before arriving at the hospital. Interesting how different everyone's diets are depending on your doctor.

    I'm optimistic all will go well. Good luck to the April surgeries happening this month and to all that are going through the process.  {{hugs}}

  11. Finally have my surgery scheduled as of a couple days ago. For 3 weeks prior to phone appointment I was on a diet of 2 meal replacement shakes and 1 lunch under 500 calories only consisting up a small portion of lean meats and green veggies. Successfully loss 23lbs. Now that my surgery is scheduled the surgeon put me on 3 meal replacements a day and 0 food consumption. Also, I officially quit smoking about 5 days prior to that appt. First day on this diet and I don't honestly know how I feel. I'm hungry but I'm also stressed about so many things with and without the surgery I don't even want to eat. I'd rather smoke if you want me to be honest. That is effecting me more than anything probably because I am stressed. This surgery is my whole life savings. Feel like I'll get all the way there and something will cause the surgery to not be able to happen. 

    Quote

     

     

  12. I just had a teaspoon of hummus with a teaspoon of avocado topped with a teaspoon of greek yogurt and it. was. GLORIOUS. I'm four days out and my surgeon gave me the greenlight to work in small amounts of pureed food. 

    1. Jordan1

      Jordan1

      That sounds amazing!!!

  13. I am 6 weeks post op as of yesterday. I had gastric sleeve. I have been unable to keep food down and have been vomiting. I am taking medication for acid reflux and something to help my stomach empty the acid. 

    I keep having this white foamy stuff come up. I am taking medication for nausea and drinking coconut water. 

     

    I am ready to feel normal.  

  14. Just deleted all of my food delivery/ordering apps and unsubscribed from several restaurant emails. I start my pre-op diet next week- unsure what that will look like until I meet with my dietician on Monday, but I want to be prepared for success. Let's go!

    1. Cruzntx

      Cruzntx

      That’s the 1st thing I did on my pre-op diet as well. Eliminate all temptations

    2. TravelerBabe

      TravelerBabe

      This is such a smart idea! Doing this right now!

  15. FYI. I'm going to discuss poop! I'm a Registered Nurse x16yrs.  It's possible this might be to much information for some but I'm not gonna sugar coat my info/experience. I hope some find this much detail helpful.

    Post op gastric sleeve 8 days out. The first day/night was AWFUL. I believe the majority of discomfort was from all the gas placed in the abdomen during surgery. Day 3 I started have less pain from the gas yet the spasm/pulling/tightness in right lower quadrant of abd. continues to this day (maybe a 4 on the pain scale w/ 10 being worst). I recommend WALK, splint your abdomen w/ a small pillow to cough/sneeze/laugh/try to have a bowel movement!

    Speaking of bowel movements, my Doctor did not have me do a liquid fast 2 wks prior to surgery, only 24 hrs prior to day of. I was unable to pass gas or have a bowel movement until day 6 and that was with the help of Miralax on day 5 ( note I did take the pain med's/Lortab the first 3 days). I have no problem taking in H2O as I'm a water snob so this wasn't the issue.  FYI. Narcotics can increase constipation. I recommend the Miralax, I purchased individual dose pkg's which make it simple to take on the road/convenient. Bowel movements should return to pre surgery consistency if not discuss w/ your MD. 

     It was difficult to urinate ( minimal volume/stream) the 1st 3 days as well, I assume due to gas and swelling in the abd. cavity, 8 days out and the all things back to normal in that department. 

    No appetite, only thirst first 3 days. I started the Protein shakes my local health food store offered NutraBio 100% whey protein iso. 25 grams protein in one scoop and it tastes clean no after taste/grit. I started to notice a desire to eat on day 3. I found heating up Lipton soup mix or ckn soup from a can and straining out the solid bits extremely fulfilling. Now day 8 I want to have something of substance in my belly. I'm not sure if it's hunger or habit. I am still cooking meals for my family. I bought some ice cream last night and that made a huge difference in my attitude/energy/outlook. I've noticed many different diet recommendations throughout my research in regards to the liquid phase of the diet. My surgeon wants everything low carb, low fat, calories 700-900. That is a bit extreme for me I beleive. I've already gone back to work (day 5/modified w/ no lifting over 15 pds) and couldn't make it through the day on that limited amt of calories. I've been blending canned soups to liquid consistency the last few days, loads of yogurt, popsicles and yes protein shakes. Tonight I needed something with richer consistency so I made myself a small bowl of mashed potatoes maybe 2oz. I felt so Satisfied and afterward, the idea of another week on a Liquid diet didn't seem so disappointing/unattainable. 

    The most dramatic changes I've noticed to my body since having the surgery is the overall inflammation/bloating in my face/abdomen is 70% resolved, my skin is 90% clearer and I don't feel the need to take my bra off the second I put it on ( strange I know). I am thrilled with my choice to have this procedure thus far. I feel much better when I listen to my body and not just blindly follow the strict eating regimen ordered by my MD. I'm not encouraging anyone to go against your MD's recommendations but for me, listening to my body and making small adjustments is making this journey more positive/manageable.  

    To date I've lost 13 pds and it's only day 8 post op. 

     

     

    1. pk88

      pk88

      I was right there with you too. I HAD to have some carbs in those early days just to sustain my blood surgery and have enough energy to make it through a day. Congratulations! Sounds like you're doing fine.

  16. Hi everyone, I have been reading posts here for a while and have learned so much from all of you. My VSG takes place on 31st May and after looking forward to this for so long I am now experiencing a lot of anxiety about it.  I am worried that I could be one of the very few that will experience a leak and I'll end up having to stay in hospital for months or worse! I'm not worried about the pain or not being able to eat and drink my favourite foods (well, that's not entirely true, I do wonder how I'll cope in social situations as I am not telling anyone apart from my husband, who is also scheduled for VSG one month after me, and my grown-up children. What I am REALLY worried about it not working for me. I have yo-yo dieted my whole adult life and use to find it relatively easy to lose weight, Not any more! Over the past couple of years I have tried many VLC diets and lost nothing, or even put on weight! So,  my concern is that having the sleeve that literally forces me to controls the amount I can eat will be no different to a  VLCD. I am 56 and I know that it is harder to lose at my age. I am praying with everything I have that getting the sleeve will do something miraculous to change my sluggish metabolism that will help me lose this weight!  Any insight would be much appreciated.

    1. Christina Mansfield

      Christina Mansfield

      Hi I quite understand your anxiety. I had it too just three days before my Op which was on Thursday. I am now out the other side and SO glad that I did not lose my nerve. I am at home again and just taking it easy. I was so nervous but my Friends and Family have been so supportive. One tip take loose pyjamas into the Hospital with you. I am so glad I took mine. Makes you a lot more comfortable. Good luck and just start imagining the new post op you. I also if it helps had a supply of protein drinks at home ready for the first couple of weeks. I have protein lemon water and also bought some spray vitamins which have been so good as I cannot go back to my gummy vitamins for a couple of weeks. I am on day three and made myself a yogurt and semi skimmed milk smoothie with liquidised blue berries strained through a sieve. I have made enough for two portions . Dead easy and so much nicer than some of those flavoured low fat yogurts. We are all thinking of you . Honestly I have had worse operations xx

    2. aussiescot

      aussiescot

      Ah, you are a treasure to respond to my rambling anxieties! I'm new to this forum and only just found your reply! I'm so glad you got on ok and are out the other end! I have protein powder and protein water powder in a couple of flavours at the ready. I must try and fins spray vitamins. I've never heard of that before but it sounds like a great idea, especially when you can't eat your gummies. I have chewable multivitamins so I wonder if I'll be allowed to take them? Ou, thank you also for the advice about tge loose jammies, I will definitely take them. Take care and keep in touch. x

  17. I am now 52 years old and I have had a Lapband in Monterrey, Mexico in 2009  and a Bariatric Sleeve in Tijuana in 2017.  With the Lapband I lost maybe 2-35 pounds and gained it right back and then some. It was not an adjustable band it was just a ring around my stomach according to the surgeon (who had a hard time removing it) when I did my Gastric Sleeve.  When i decided to do the Bariatric Sleeve in 2017 my weight was 348 pounds and I was struggling with walking, breathing, no energy, buying/finding clothes and I was put on 2 blood pressure pills and a cholesterol pill. My Sleeve surgery went great and I was feeling so good down to 321 and loving it (I didn't even mind the liquid diet I was still on) and then I started to feel sick 2 weeks out of my Sleeve surgery and it ended up being a stomach leak on the staple line.  I struggled with drains for about 2 years and finally in December of 2019 i was drain and leak free.  After all that I was down 100 pounds and was weighing 248.  When I had the drain I never exercised I would just walk a bit with friends every other day maybe until we didn't because life got busy or I got sick again.  At the hospital I found that I was now lactose intolerant and I have not found any protein shakes I can drink without feeling sick to my stomach.  I have regained about 26 pounds and i just want input on how to lose weight since i am not on any particular diet and eat all kind of bad food until I am full ( i would love some recipes or a daily menu).  I have been considering the Gastric Bypass since I have horrible reflux and have been researching the pros and cons and would appreciate any input. 

    1. melvin5ft2

      melvin5ft2

      You might try the Thrive Lifestyle Mix. Its a protein shake but it does have some carbs. I have a problem with protein shakes. They make my stomach hurt. I recently started the Thrive 3 step which is a vitamin (in capsules) and a skin patch and a shake mix. The shake works for me and I think the reason why is because it has digestive enzymes in it. This makes it a lot easier for your stomach to break it down. It has amylase, bromelain, cellulase, protease, lipase, papain, and protease. Its like taking a whole digestive enzyme capsule with your protein shake, but its all in an individual serving envelop and you mix it with whatever you want. I mix mine with either water or almond milk, but you could mix it with soy milk if you wanted to do that. It is the easiest to digest nutrition shake I've ever done. If you decide you want to try it. I know a gal who will probably send you a sample or two. I actually have enough packets of this that I could send you a couple packets to try if you message me your address.

    2. Mixfex

      Mixfex

      https://lbwic.com/

  18. Anxiety is through the roof right now and I vacillate between "I want to eat and self-medicate with food!" and "I'm too hyper and nauseous to eat right now! Btw, where is the caffeine, b*tch?!"

    This seems to cancel itself out calorie-wise. Two more weeks of this crap. Then I'm going to sleep for three days straight I guess. Or maybe not.

    1. tb03830

      tb03830

      Pre Surgery. I now the feeling. Hang in there it will get better. After surgery you will change day to day and in my case my hunger went away. Weird.

    2. summerset

      summerset

      Oh, this is not about any surgery whatsoever.

  19. I am having a very fast heart rate after my surgery post op surgery (sleeve) my rest heart rate is around 94-110 - sometimes even when i walk it goes up to 145! 
     

    it’s literally killing me - i just had the heart mointer placed but I’m not sure what to do about it . I’m post op 6 months i was 230 and now I’m 189 and at a stand still!

     

    probably my fault i still have a healed time eating food especially protein - i do workout but i know food is important (previous body builder ) 

    1. XtinaDoesIt

      XtinaDoesIt

      My heart rate and blood pressure were extremely high after surgery. They were going to keep me an additional night because of it but ultimately let me go. I think it was just because my body was in pain... I was fine a few days later. Congrats on your surgery!!!

  20. {{$title = \IPS\Output::i()->title;}} {$title} This diet is the same as the pre-surgery liquid diet. The goal is to prevent dehydration. The same clear liquids as before surgery are allowed, and no foods are permitted. Keep drinking as much as you can in the hospital or if you're already at home after an outpatient procedure or one-night hospital stay. Foods List Water Broth Popsicles Gelatin Tea Coffee Sports drinks Pulp-free fruit juices Tips and Guidelines for the Clear Liquid Diet Aim for at least 1.5 liters (6 8-ounce cups) of fluid per day. More is better. Drink 4 to 6 ounces per hour Avoid very hot and very cold beverages. They can irritate surgery wounds.
  21. {{$title = \IPS\Output::i()->title;}} {$title} Weight loss surgery is quite expensive. As you gather estimates and figure out the costs, you might start to wonder whether you can afford it. When you consider the expense of weight loss surgery, weigh it against the costs of being obese. High cost of food from eating a lot, especially eating out or getting convenience foods Cost of diet plans: how much money have you spent on diet programs that haven't worked for you? Cost of diet food: bars, meal replacements, supplements and special foods all add up Cost of yo-yo dieting: how many times have you replaced your wardrobe as your weight goes up or down? Healthcare: even if you have good insurance, you may have extra copays for frequent doctor visits and prescription medications Life's not just about money. What about the non-financial "costs" of obesity? Lower quality of life—more difficulty moving, working and participating in activities Missed days of work from being sick, and fewer vacation days because you used them for sick days Embarrassment at work, at home, with your friends Missed activities because you can't keep up with your friends and family
  22. {{$title = \IPS\Output::i()->title;}} {$title} Roux-en-Y gastric bypass (RYGB) is the most common type of gastric bypass weight loss surgery.1 It is usually laparoscopic. It is reversible if necessary, but is designed to be permanent. The surgeon first divides your stomach, leaving a smaller upper portion and stitching shut the larger remainder of your stomach so that it can't be used any more.2 Normally, food in your stomach empties to the upper portion of the small intestine. In RYGB, the surgeon attaches the small stomach pouch to a place lower down on the small intestine, thus "bypassing" the majority of your stomach, the duodenum (upper portion of your small intestine) and at least part of the jejunum (middle portion of your small intestine). A long-limb RYGB procedure bypasses more of your intestine; in this case, the surgeon attaches your newly formed small stomach pouch to a place even lower on your small intestine. The long-limbed RYGB procedure can lead to faster weight loss because of greater nutrient malabsorption (fewer nutrients absorbed). Why is the procedure called "Roux-en-Y?" The gastric pouch is called the "roux limb," and the "Y" shape is formed by the three arms coming together at a junction. The three parts are: The small stomach pouch that holds food The large stomach pouch that secretes digestive juices The far portion of the small intestine that the two portions of the stomach are connected to Buchwald H. ASBS 2004 consensus conference statement: bariatric surgery for morbid obesity: health implications for patients, health professionals and third-party payers. Surgery for obesity and related diseases, 2005;371-381 Ibid. Advantages and Disadvantages of the Gastric Bypass Advantages of the Roux-en-Y Gastric Bypass No bands, staples or other foreign objects in your body An established procedure with more research on safety and effectiveness than the vertical sleeve gastrectomy and sleeve plication More weight loss in the first year than the gastric sleeve and the adjustable gastric band (lap-band)1 Reversible if necessary (but not easily) Can be revised to a longer-limb Roux-en-Y gastric bypass if an initial short-limb procedure does not lead to expected weight loss. Quick improvements in your health, especially in your blood sugar control with better insulin resistance, lower blood sugar levels and possible resolution of diabetes May be a good choice for individuals with a sweet tooth because sweet foods are not typically tolerated Jackson TD, Hutter MM. Morbidity and effectiveness of laporscopic sleeve gastrectomy, adjustable gastric band and gastric bypass for morbid obesity. Advances in Surgery, 2012;46:255-68. Disadvantages of the Roux-en-Y Gastric Bypass Higher risk of nutritional deficiencies due to malabsorption than the lap-band, sleeve plication and vertical gastric sleeve Weight regain can occur after a couple of years if appetite levels increase and/or the stomach pouch is stretched High-sugar and high-fat foods can cause dumping syndrome, with symptoms of shakiness, nausea, vomiting and diarrhea Stomach pouch can be stretched if patient overeats, leading to less restriction and less effectiveness Complications are less frequent, but are more likely to be serious Possible Complications/Risks of the Gastric Bypass Intolerance to certain foods Gastroesophageal reflux disease, or GERD, with severe heartburn Nutritional deficiencies due to low food intake and nutrient malabsorption Dumping syndrome Staple line leaks from the stomach and intestines where they were cut and stitched during the procedure Vomiting, nausea, diarrhea Strictures Weight Loss and the Roux-en-Y (RYGB) Rapid weight loss in first 6 to 12 months About 65 to 70% of excess weight loss (EWL) within 2 years Often more than 100 pounds lost Many RYGB patients regain about 20 or more pounds after the first two years of weight loss The RYGB is restrictive and malabsorptive and it affects your appetite hormones. Restrictive: Right after surgery, the top portion can hold only about one ounce, or two tablespoons, of food. This forces you to have smaller meals you fill up faster Malabsorptive: With RYGB, food doesn't go into your duodenum, which is where a lot of nutrient absorption usually occurs. Absorbing less protein, fat and carbohydrate leads to fewer calories and faster weight loss. Hormonal:1 2 changes in your hormones after RYGB can decrease hunger. Ghrelin: a hormone that causes hunger and whose levels decrease after RYGB PYY: (neuropeptide YY) a hormone that reduces hunger and whose levels increase after RYGB GLP-1: (glucagon-like peptide 1) a hormone that reduces hunger and whose levels increase after RYGB Mechanick MD, Kushner RF…Dixon J. American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Obesity, 2009;17(S1):S3-72. Morinigo R, Moize V, Musri M, Lacy AM, Navarro S, Marin JL…Vidal J. Glucagon-like peptide-1, peptide YY, hunger and satiety after gastric bypass surgery for morbid obese subjects. JCEM, 2006;91(5):1735.
  23. {{$title = \IPS\Output::i()->title;}} {$title} Several types of weight loss surgeries are commonly performed and can lead to successful weight loss. How do you choose the one that is right for you? Patient needs to consider and discuss their individual situations with their surgeons before deciding on the procedure that they feel is best for them. This page has some of the factors to consider when you're deciding on which weight loss surgery to get. You'll notice that Cost is not on this list. It should not affect this life-changing decision about your health! Speed of Weight Loss: The gastric bypass and biliopancreatic diversion with duodenal switch (BPD-DS) have the fastest initial weight loss. Some patients can lose 5 to 7 pounds per week shortly after surgery. That can be good for patients who are in severe discomfort from joint pain. Fast initial weight loss may also be easier mentally for patients who need to see results quickly to stay motivated. Starting Weight and Health: The adjustable gastric band (lap-band or Realize band) is a more common choice for patients who have a lower starting BMI. The vertical sleeve gastrectomy (gastric sleeve) is an increasingly common choice for higher BMI patients. The gastric bypass is known for improving blood sugar control quickly, and many patients with type 2 diabetes choose this procedure. Long-Term Results: The gastric bypass and lap-band have been used for years and are well established. The gastric sleeve and sleeve plication are newer procedures. Clinical trials are still gathering scientific data on their long-term results and complications, although it looks so far as though weight loss from those surgeries is similar to that of lap-band or gastric bypass. The gastric sleeve can be converted to a BPD-DS if weight loss isn't satisfactory, but it cannot be reversed. The gastric bypass can be redone or a band can be added ("band over bypass"). The gastric band is reversible if necessary, so any of the other weight loss surgeries can be tried if the band doesn't work. Adjustability: The adjustable gastric band is the only option that's easily adjustable. Filling the band increases restriction to help speed weight loss, and decreasing the fill volume of the band reduces restriction to let your esophagus heal if you get esophagitis or to let you increase your nutrient intake when needed, such as during pregnancy or when you're sick. The other surgeries are not adjustable. Maintenance: The adjustable gastric band requires more attention. You need to visit your surgeon each time you want an adjustment (fill or unfill). This can happen several times in the first year. If you have trouble getting time off work to see your surgeon, the lap-band may not be for you. Fear of Needles: Adjustments require your surgeon to stick a needle in your access port near your belly button. You might feel a small prick or have topical local anesthesia applied so you don't feel anything. However, if you have a fear of needles, the gastric band may not be for you. Fear of Implanted Medical Devices: The gastric band, connection tubing and access port are all permanently inside of you if you get the lap-band. The gastric sleeve or gastric bypass don't require permanent medical devices, and may be better choices if you worry about malfunctioning parts. Restriction and Malabsorption: All of the surgeries are restrictive; they reduce your stomach size so you fill up faster and can't eat as much. The gastric bypass and BPD-DS are also malabsorptive. They reduce the calories that you absorb from food to help you lose weight faster. They also prevent you from eating sweets because high-sugar foods can cause shakiness, nausea, vomiting and diarrhea from dumping syndrome after these surgeries. If your sweet tooth caused your obesity, gastric bypass and BPD-DS might be better choices for you.
  24. {{$title = \IPS\Output::i()->title;}} {$title} Side effects and complications more specific to bariatric surgery may appear soon after surgery or months after surgery. These are some of the common ones. Nausea and/or vomiting Diarrhea and/or constipation Gastroesophageal reflux disease (GERD) Leakage from stomach staple or suture lines (RYGB, vertical sleeve gastrectomy, sleeve plication, BPD-DS) Leakage from gastric band or connection tubing (lap-band) Band slippage or erosion (lap-band) Bowel obstruction Infection at the access port site (lap-band) Hernia Ulcers Weight regain Nutrient deficiencies Osteoporosis (low bone mineral density and increased risk for fractures) Anemia Gallstones from rapid weight loss Dumping syndrome Psychological concerns, such as addiction swapping or depression Many of the above complications are caused or made worse by going off of the proper diet. Choosing the appropriate foods for your stage of weight loss during the postoperative recovery diet progression or longer-term weight loss diet, chewing slowly, separating fluids from solids and taking nutritional supplements as recommended can prevent or reduce many of these complications.

PatchAid Vitamin Patches

×