Tuesday, April 9, 2024

How To Prepare For Bariatric Surgery

Recognize A Food Addiction And The Importance Of Physical Activity

Preparing for Weight Loss Surgery and Recovery

If you have a food addiction, youll need to address that before surgery. A mental health care provider is often helpful to help you identify what role food is playing in your life and help you develop health alternatives. Having a smaller stomach through bariatric surgery is not going to fill the emotional needs that eating meets.

Many people use food to deal with daily stress. However, this is a short-term way to manage your problems and creates further issues down the road. Knowing this and broadening your perspective may help you to realize the value of limiting your consumption and making healthier food choices.

You have to be at the point where you want to change, feel better and have other activities take the place of eating, Schulz says.

Learning to manage food is imperative after surgery to maintain weight loss because:

  • Your food intake will be sharply restricted, particularly for the first few months.
  • You have to eat slowly a small meal should take at least 20 minutes to consume.
  • A healthy diet is important grazing on junk food will sabotage your ability to lose pounds.

Sometimes were discouraged by how much exercise it takes to burn calories.

Increased Susceptibility To Depression

People with obesity have high insulin levels because of consuming foods rich in carbohydrates . The presence of insulin stimulates and sustains serotonin secretion. Serotonin inhibits anxiety and mediates happiness, satisfaction, and optimism in the brain.

However, the post-operation diet limits carbohydrate overconsumption, reducing insulin levels drastically. Serotonin levels also plummet in the process. The drop stimulates the release of stress hormones which activate the stress response, commonly referred to as anxiety. A persisting anxious state makes the internal environment conducive for depression. Vulnerability to depression is higher for patients with a history of this mood disorder.

What About My Medications

Certain medications must also be discontinued prior to surgery. Included are:

  • Arthritis medications
  • NSAIDs, including aspirin and aspirin alternatives, such as Tylenol, Advil, Motrin, and Aleve
  • Herbal supplements
  • Anticoagulant medications

Be sure to ask your doctor for more details and if you have concerns about medication restrictions prior to surgery.

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How To Prepare For Safe Weight Loss Surgery

In any scheduled an elective procedure, it is always recommended that you familiarize yourself with the aspects you as a patient should take to contribute to both the intraoperative and postoperative evolution processes positively.

Here is some valuable advice to help your experience with weight loss surgery be smooth and confident. Whats very convenient for you put it into practice and have them as the basis for your planning and preparation for weight loss surgery.

How Do I Find A Surgeon

Prepare for the Bariatric Surgery Diet: Tips, Foods to Avoid, Things to Buy

When you’re considering bariatric surgeons, ask the following questions:

  • Are they board-certified by the American Board of Surgery?
  • Are they members of the American Society for Metabolic and Bariatric Surgery?
  • Whatââ¬â¢s their success rate?
  • How many weight loss surgeries do they perform each year?
  • How often do their patients have complications? What side effects are most common?

Look for a center or hospital that offers educational seminars, or for support groups that you can turn to before and after your operation.

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Maintain Close Contact With Your Bariatric Surgeon

Your bariatric surgeon is the person youve elected to put your life in their hands. Therefore, maintaining close contact with them either directly or through a hospital patient coordinator serves as the foundation of a successful surgery. Communication with your bariatric group will ultimately yield best results during and after your weight loss surgery and must be significantly considered as you prepare.

Ensuring close contact and also clear communication prevents misunderstandings from affecting your progress.

Thus, it is prudent that you also follow any instructions they issue out to the latter.

Diet After Your Surgery

The post-surgery diet plan consists of several stages. How long each stage lasts and what you can eat and drink will be determined by your healthcare provider or dietitian.

All stages stress the importance of controlling your portions. This habit will help you continue to lose weight and prepare you for how youll eat for the rest of your life.

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Start Making Dietary Changes

Your diet will need to change dramatically after surgery, so its best to start making those changes now. Since you wont be able to eat as much at meals, youll need to focus on proteins and nutrients first and cut out fat and empty calories. That means transitioning from fatty meats, carbs, and sweets to lean proteins, fruits, and vegetables.

Disciplined Diet Before And After Weight

Bariatric Surgery Seminar – Preparing for Weight Loss Surgery (Part 5 of 9)

The decision to undergo bariatric surgery isnt easy. People suffering from obesity and its side effects come to this decision after years of struggling and failing to lose weight through diet and exercise.

Aside from choosing to undergo surgery after consulting with a physician, your biggest requirement is commitment to a lifestyle change of eating the right foods in the right portions, losing weight and keeping the weight off for the rest of your life. And that change must begin before surgery.

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Understand The Risks Of Other Addictions

Alcohol tobacco and drug addictions also can undermine your efforts to lose weight with or without surgery.

Alcohol is high in calories and reduces your inhibitions, which makes you more susceptible to overeating. You also will feel its intoxicating effects more quickly after surgery one drink can put you over the legal blood alcohol limit to drive.

Tobacco use increases the risk of surgical complications, respiratory problems and ulcers. Patients who return to smoking after surgery can also develop a post-surgical stomach irritation. If youre having a difficult time quitting smoking, talk to your doctor about setting up a plan to stop.

The Day Of The Surgery

Know what to expect.

Surgery is always stressful, and its easy to get overwhelmed. Reduce your anxiety by knowing what to expect on the day of your procedure. Read all of the documentation your doctor provides and ask any questions you may have well in advance.

Arrive on time.

Arrive at the hospital on time in order to ensure that everything goes smoothly. If traffic or weather conditions are unpredictable, consider leaving your home earlier than you normally would.

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Weight Loss Dietary Guidelines

  • After surgery, youll need a new nutrition plan. Youll learn about the positive changes you can and need to make in your diet and lifestyle from your surgeon and dietitian. Its very important to follow your new eating and drinking instructions beginning immediately after the surgery
  • In the first few days after your weight loss surgery, you will be on a liquid diet since only thin liquids will be tolerated by your stomach at that time. As you heal, you will gradually progress to pureed foods and then soft foods . Finally, after about six weeks, you will be able to eat solid foods

What To Expect In A Psych Evaluation

Bariatric Surgery: Indications and Risks â Healthsoul

Everything shared in the clinical interview remains confidential between you and the psychologist. Your doctor and surgeon only get to know what is significant for your bariatric surgery.

The psych evaluation focuses on your behavior, psychological symptoms, and understanding of the surgery. For instance, the psychologist may ask about substance use to identify the risk of food and substance addiction post-surgery.

The psychologist may ask about your depression history or food relationship to determine what triggered your weight gain. Additionally, the psychologist also needs to know your motivation behind the surgery. Sometimes the reason is much more problematic, making the intervention dangerous.

There are different psych evaluations assessing aspects of your life linked to surgery. The psychologist wants to know if you can handle surgery, recovery, and maintain a healthy lifestyle after surgery. All these depend on your mindset, attitude, mental resilience.

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Tips To Mentally Prepare

Here are ways you can be mentally prepared, before and after weight loss surgery:

  • Have realistic expectations. The surgery is just one step in your journey. You wont wake up thin or as a new person. You will have to put in the work for your recovery and ongoing weight loss. If you like to plan, post a calendar above your scale and make notes once a month or once a week on your weight. This isnt to tell yourself you arent where you should be, its simply to remind yourself of the progress you are making.
  • Talk to your support system. You will want to have a team as you go through this journey. There will be many appointments before and after your surgery. You will want to have people who support you and who want the best for you. Beebe also offers a support group, which can help you stay motivated.
  • Talk to a therapist. Often, our weight gain is directly tied to our mental or emotional health. There is a reason we eat to feel better, and there is a reason we gained weight. Confront those reasons head on so that following surgery, you will be better equipped to say no to food and say yes to better health.
  • Understand addiction. If food was your addiction and then it is gone, you might run the risk of picking up another addiction. Be gentle on yourself, but also remind yourself that you can do this and to be your healthiest, you need to fully understand and be honest with yourself.
  • Benefits And Risks Of Bariatric Surgery

    Like with any surgery, weight loss surgery is associated with some risks, but these are typically low. Less than 1 in 20 patients have major complications and the risk of death from bariatric surgery is lower than gallbladder surgery or hip replacement. In comparison, the risks of morbid obesity are quite significant.

    One of the reasons weight loss surgery has become so popular is that the benefits outweigh the risks. This is especially true for people with serious comorbidity conditions which can significantly affect their quality of life and lifespan.

    You can expect to lose a significant amount of weight after bariatric surgery along with improvement in obesity-related conditions like joint pain, sleep apnea, high cholesterol, diabetes, and high blood pressure. This will improve your overall health and life expectancy.

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    Prepare For Diet And Lifestyle Change

    Prepare to cut out toxic foods such as processed and packaged foods, artificial sweeteners, fast food restaurants, empty calories, foods laden with MSG, canola oil, saturated fat and added sugars.

    What to Avoid:

    High fat meats sausage and hot dogs

    Foods including Msg, high fat oils and added sugars Found in establishments like chain restaurants or foods with ingredients like canola, corn or soybean oil, saturated fat, and deep fried foods Chinese food, Mexican food, Italian restaurants or typical American restaurants.

    Contact Alabama Surgical Associates

    Preparing for Bariatric Surgery at RWJUH

    The team at Alabama Surgical Associates has helped many patients from the Huntsville area, as well as patients who travel here for our personalized service. We are dedicated to helping you live the life you want. If you have any questions about bariatric surgery or non-surgical weight loss procedures, were happy to help. Contact us today to schedule a consultation appointment.

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    How Should I Adapt My Diet To Prepare For Surgery

    Because most patients will need to make dietary and lifestyle changes, you will meet with our Lutfi Forward Team ahead of time. These meetings will help you to understand the procedure, plan for before and after surgery, and make sure you are fully supported to make the lifestyle changes that are right for you. Dietary recommendations will be made specifically for you based on your individual circumstances, health conditions, and upcoming procedure. However, there are some general guidelines for eating that most patients can follow prior to a bariatric procedure:

    • Reduce or eliminate foods that are high in unhealthy saturated fats, such as fried foods.
    • Reduce or eliminate foods that are high in simple carbohydrates , such as bread, pasta, and desserts.
    • Reduce or eliminate alcohol.
    • Reduce or eliminate sugary drinks, such as fruit juices, fruit smoothies, and sodas.
    • Reduce or eliminate fluid intake with meals.
    • Use portion control and avoid binge eating.

    Seek Help For Depression

    Bariatric surgery is about 80% effective, but it takes time and focus to keep weight off. Its important that your emotional energy is working to support your efforts.

    After surgery, your body is recovering and eating is physically restricted. If you suffer from depression, its even harder to stay on track, particularly if you struggle with food addiction.

    Talk to your doctor or counselor for help in developing and maintaining a positive attitude about the process. Theyre there to help in every way they can to make sure youre on the path toward a healthy lifestyle.

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    Have A Support System In Place

    A strong support system can be an important factor in weight loss success. Before your procedure, talk to your family about how your diet and habits will change after surgery and encourage them to join you in committing to healthier meals. Ask your friends to be your workout buddies or keep them involved in your healthy lifestyle by planning activities that arent focused on food or drinking. If you want to connect with people who are on a similar journey, seek out bariatric surgery support groups in your area.

    How To Prepare For Bariatric Surgery

    Pre

    The keys to successful weight loss surgeries are realistic expectations and thoughtful preparation. Before considering bariatric surgery, ask yourself these questions:

    • Have I given diet and exercise a fair attempt without success?
    • Am I ready to comply with the surgeons preoperative and postoperative dietary instructions?
    • Can I commit to making behavior and lifestyle changes to sustain weight loss and positively impact my health?

    Once those questions have been answered honestly, you may be ready to move forward, and start preparing for bariatric surgery.

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    Pack Your Hospital Bag

    Before packing, remember that this isnt a vacation its surgery. Patients do not need to bring a lot, and everything needed should easily fit in a small carry-on size bag. Do not bring jewelry because all metals or piercings will be removed before surgery. Also, take off acrylic nails and remove any nail polish.

    Packing checklist

    • Loose-fitting outfit, robe, jumper, or dress to wear home
    • Clean Underwear, Socks, Slippers, and Flip-flops to wear in the shower
    • Personal toiletries
    • Laptop/Tablet, Smartphone, Phone Charger/Extension Cords, Books, Magazines, or other reading material

    Other useful products: Earplugs/Sleep masks, Chapstick for dry lips, Throat lozenges for dry mouth, Gas X Strips suggested for gas relief medication.

    And After The Surgery

    Now you are totally prepared for your weightloss journey. But after the surgery, whats next? Losing weight and changing your lifestyle is the easy part. Whats hard is keeping these changes and following up on your new ways. We highly recommend paying regular visits to your bariatric surgeon, this helps build a strong relationship with them and allows you to share challenges. Following up with your expert also provides the opportunity to make sure you are on track and your body is keeping itself healthy.

    Were sharing a secret with you that will allow you to maintain healthy habits: keep yourself accountable. Your decisions are yours only, most of your success will come from your persistence and hard work, dont give up on yourself, big changes often take longer time and once you get there you will be satisfied with the decisions youve made. And our final tip, keep a diary of these changes, this will help you stay honest with yourself and track your progress.

    For more questions about weight loss surgery, contact one of our bariatric expertes at CER Bariatrics. They will guide you through the whole process and will encourage you to make the changes you want to see in yourself.

    References:

    N.H.S. . Weight loss surgery. NHS. https://www.nhs.uk/conditions/weight-loss-surgery/

    Preparing for Bariatric Surgery. . UPMC. https://www.upmc.com/services/bariatrics/surgery-process/presurgical-program

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    How Do I Survive A Liquid Diet Before Bariatric Surgery

    The Bariatric Pre-Op Liquid Diet Meal Plan

    The pre-op liquid diet will consist of approved protein shakes, sugar-free beverages, sugar-free gelatin, sugar-free popsicles, and broth. We always recommend that our patients consume five protein shakes a day and consume at least 64 ounces of sugar-free liquids.

    How Long Is The Gastric Sleeve Pre

    Pre-Operative Nutrition Class

    The duration of your pre-op diet is determined by your current BMI. Like we learned a moment ago, the lower your BMI, the lower your chances of complications happening. So it stands to reason that the higher your BMI, the longer youll be on the pre-op diet.

    Specifically, heres how the diet-duration relates to BMI values:

    • BMI < 38: Exempt from the diet, but you will follow the 2 days of liquids prior to surgery*
    • BMI 38 39.9: Youre on the diet for One Week
    • BMI 40 44.9: Youre on the diet for Two Weeks
    • BMI 50 49.9: Youre on the diet for Three Weeks
    • BMI > 50: Youre on the diet for Four Weeks

    Heres a simple calculator to see how long you will likely be on the pre op diet.

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    Lifestyle Changes After Your Surgery

    You may feel motivated to begin or resume an exercise program. Right after surgery, you need to let your body heal. Go slowly.

    Low-impact exercises are a good option for the first month. These include walking and swimming. You may also benefit from simple yoga poses, stretching, and deep breathing exercises.

    Over the next several months, you can slowly build up to strength training and cardio workouts.

    Think in terms of movement as well as exercise. Simple lifestyle changes can be physical fitness boosters, such as:

    • walking instead of riding the bus
    • parking farther away from your destination
    • taking the stairs instead of the elevator

    Following the proper pre- and post-surgery diets can help you avoid complications, such as dehydration, nausea, and constipation.

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