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Article
Why Does Obesity Surgery Fail?
We recently see with pleasure that as of April 2014
in an official journal of surgery for Obesity
It is accepted to offer bariatric surgery to patients who are in obesity grade I
We recently see with pleasure that as of April 2014 in an official journal of Surgery for Obesity it is accepted to offer bariatric surgery to patients who are in obesity grade I, or be it with a Body Mass Index (BMI) between 30-35, which if they are taken to surgery can have very different levels of health, improving their quality of life.
Therefore, denying a patient with class I obesity the opportunity of bariatric surgery, as has been done until now, can result in suffering from a health burden related to obesity, such as glucose intolerance, hypertension, lack of control of the cholesterol or musculoskeletal disorders; and not achieving adequate weight control with nonsurgical treatment simply as unsupervised dieting is.
It is up to us, bariatric or obesity and even metabolic surgeons, to be aware of the evolution of these patients. A post-operated individual must continue control for a minimum of 2 years and ideally during the first 5 years after their surgery, those who do not do so will be condemned in the long or medium term to regain weight.
Why does this happen? The surgeon cannot just be an operator and launch his product to the
Why does this happen? The surgeon cannot only be an operator and launch his product on the street without all the information to the patient of the post-operative evolution of this type of surgery, he has to explain that the surgery is not magic, that many times we are only influencing his capacity gastric as well as hormones responsible for appetite, but the great actor from now on is the patient, who has to become an expert nutritionist, who must know how to identify each product What is going to be put in the mouth, knowing how to read the "Serving Size" of each food and establish how much you can eat of this or that product.
For example, having a reduced gastric capacity of 150ml per intake, and in that capacity, ingesting sweets or condensed milk (300gr) will have a caloric intake of 1008 Kcal. However, an 8-piece sushi roll can provide you some (300 to 600 kcal) however a bariatric operated patient generally You can eat a maximum of 4 rolls, that is, your caloric intake can be between (150 to 300 Kcal) per meal. The main problem of failure is generally in the type of drinks that are ingested in terms of the content in grams of sugar or carbohydrates and, above all, they are alcoholic beverages.
The secret is to be able to maintain a balance between the calories ingested and those burned in our daily routine, and then consider how many we burn with exercise and how far we want to go, and stay; It is a mathematical game, where at first it seems to be a bit confusing and difficult but over time it does it unconsciously, and it also allows them to give themselves those little cravings from time to time.
To conclude, the patient undergoing bariatric surgery should not abandon his doctor during the first 5 years and, failing that, visit a nutritionist who is related to this type of surgery .