The goal of obesity surgery is to lose 50% of excess weight within the first year. For example, let's say that an individual who is 170 cm tall weighs 170 kg before surgery. There is an ideal weight determined according to the age and gender of the individual, for example 70kg. Therefore, our patient is 170-70=100kg overweight. The goal of the surgery is to lose 50kg, which is half of this amount, in the first year.
However, the majority of our patients exceed these targets and reach normal weights. After losing the initial weight, it becomes much easier to reach normal weight by moving more easily and exercising. The patient's effort is very important to lose the remaining excess weight in the postoperative period.
If everything goes well, you can be discharged on the 3rd or 4th day after the surgery and start working at home after a 10-15 day rest period. It is dangerous for you to lift heavy loads for up to 3 months. If an undesirable problem is encountered during or after the surgery or if the normal healing process is interrupted for any reason, hospitalization and recovery periods may vary, it may be necessary to stay in the hospital for a long time until the problem is solved or to be hospitalized again after discharge.
It is recommended that you do not become pregnant for at least 2 years after the surgery. If you become pregnant in the early post-operative period, you will be away from the goal of obesity surgery and will prevent the patient from losing weight; In addition, the possibility of not being able to deliver sufficient fluid and nutrients to the fetus and of various deficiencies in the unborn child will increase. It is recommended that our patients who are planning to become pregnant receive birth control support from their family physicians in the period before the surgery.
Before undergoing obesity surgery, it is necessary to meet with a dietitian and get detailed information about the post-operative diet. You will be given a diet that you can easily follow. The anatomy and hormones changed by surgery will help you comply with this diet. It is also recommended that you do not do heavy exercises for the first 3 months. Exercises that do not strain your body too much, such as walking and swimming, will be more suitable for the first 3 months. You can participate in the exercise program you want 3 or preferably 6 months after the surgery. A more active r lifestyle is indispensable to reach the ideal weight.
It is also very important to come for regular check-ups in the post-operative period. If nothing goes wrong, you will need to come for check-ups every 3 months in the first year, every 6 months in the second year, and then annually. The medications you use for diabetes, blood pressure, cholesterol or sleep apnea will probably change, and the doses will be reduced or discontinued. In addition, no matter what type of obesity surgery is performed, some deficiencies may develop in the body due to malnutrition and malabsorption. Iron, vitamin B, calcium and other vitamin and mineral deficiencies are generally very easy to treat if they are noticed during check-ups. However, if you neglect your controls, long-term deficiencies can cause serious problems. This situation is so important that many centers do not perform surgery on patients who state that they cannot come for regular check-ups. As long as you are under control, you do not need to be afraid of any deficiency.
After obesity surgery (regardless of which surgery is performed), at least 85-90% of the patients start a new life and continue their lives without gaining weight again. However, approximately 10% of patients complain about regaining the weight they lost or not being able to lose enough weight. There may be several reasons for this situation.
In case of weight gain again, the reason for this should be determined through examinations, psychiatric and endocrinological evaluation should be performed, and revision surgery should be performed only on suitable patients. Since revision surgery is higher risk than the first obesity surgery, it should only be performed by surgeons experienced in this field.
Read: 0
