This period will start when you are in the hospital and will consist of clear liquids. The purpose of this phase is to make sure you get the proper hydration and allow your stomach and digestive track to rest. Protein requirements and vitamins are not the focus during this phase; getting good hydration is. You will continue to focus on staying hydrated and increasing your fluids to 64 ounces along with incorporating protein, vitamin, and mineral supplementation. Remember, your intake is drastically reduced after weight-loss surgery, and you will have to be selective with the foods you choose to put in your body. The goal is to have a protein with ALL three meals. The recommendation is 4 ounces of food (by weight) per meal (3 ounces of protein and 1 ounce of something else). Eat three meals a day and at least one protein shake per day. Start with 2 to 4 ounces of solid food per meal and then slowly increase the amount of solid food per meal until you are eating at least 4 ounces per meal but no more than 6 ounces. At each meal, you want to have at least 3 ounces of protein. You may wish to get a digital pocket scale to weigh your food at the beginning, so you know what 3 ounces of protein look like as well as what 4 to 6 ounces of food is visual. You want to train yourself right at the beginning to eat protein. It is easy to get certain foods stuck, so from this phase forward, it will be crucial for you to slow down and chew your food thoroughly, pausing between bites. With all fruits, eat as part of your meal after you have had at least three bites of protein.
Gastric Band vs. How does Gastric Band compare to Gastric Sleeve Surgery? Two popular types of weight loss surgery for you to consider are laparoscopic adjustable gastric banding (LAGB), a method that involves implanting a medical device (such as the LAP-BAND or REALIZE Band) around the stomach to control eating, and laparoscopic sleeve gastrectomy (LSG), commonly referred to as gastric sleeve surgery, an operation which surgically reduces the size of the stomach to limit food intake. The following chart is a side-by-side comparison of gastric banding and gastric sleeve that briefly summarizes how these surgeries work and what to expect in terms of advantages, disadvantages, dietary guidelines, and weight loss results of these two types of weight loss surgery. Weight Loss Procedure. 800 calories per day during weight loss period (2-3 years) 1000-1200 calories per day, once goal weight is achieved. Avoid high fat and high calorie foods. 600 to 800 calories per day during weight loss period (1-2 years) Eat 3 small meals a day. Eat slowly and chew food thoroughly. Eat five small meals a day. Do not eat and drink at same time.
For example, many patients have symptoms of reflux, and we know that up to 15% of such persons may have early changes in the lining of the esophagus which could predispose to cancer. When our doctors detect GI symptoms on your preliminary evaluation, we ask that you have an evaluation before surgery, so that your surgeon can take care of them at the same time, and avoid complicating surprises at surgery. When the doctors office asks for a psychiatric evaluation, by far the most common reason is that your insurance company has required it, or they already know that they usually do, and we are trying to shorten the process for you. Very few persons are disqualified by the psych evaluation, it is usually painless, and it may be very helpful to you in defining your goals and your decision. How long do I have to stay in the hospital? Typically, the hospital stay (including the day of surgery) is 1 day for a Laparoscopic Band, 2 days for a Laparoscopic Gastric Bypass, and 3 days for an Open Gastric Bypass. This is a safety measure, and can be removed a few days after the surgery. On leaving the hospital, you will be able to care for all your personal needs, but will need help with shopping, and with transportation. This is for your own safety, and that of others on the road. You can, but you will need to be very careful, and it is recommend that you avoid it for the first several months. It can plug the outlet of your stomach pouch, and prevent anything from passing through, which is very uncomfortable.
Weight loss is slow. I am 1 month out from surgery and I really don't want to complain but I feel like maybe my weight loss is going pretty slow. Part of me is just worried that I will fail even with surgery. Re: weight loss is slow. But if you think about it this way healthy normal weight loss is 2=3 pounds a week, so that would be 8-12 in a month you have doubled that. Listen to your body, be careful, and do a little something everyday to help your weight loss! Surgery weight: 128 kgs on May 5th. I stalled after the 2nd week and am down 24.2 lbs right now, 40 days after surgery. I LOVE my sleeve and thank God I'm losing weight and the scale is going down down down instead of up up up. Take a deep breath and know that everything you are doing is right and it will pay off. ALL lose about the same amount 9-12 months out of surgery.
You can remember losing ten, twenty, or even more pounds - over and over again. Then, before you knew it, you gained back the weight and went on to put on even more pounds than you lost in the first place. Well, starting with you reading my book, I can help you defeat the beast of obesity once and for all with the latest advance in weight loss surgery – the gastric sleeve. Weight-loss expectations can be another side effect of gastric sleeve surgery. The issue of unpleasing weight-loss occasionally arises with gastric sleeve and all other bariatric surgeries. This can be caused by not sticking to the recommended exercise and diet regimen, or it can be something unrelated. A Lighter Me works with some of the best surgeons in Mexico and already has hundreds of gastric sleeve success stories .
And you’ll know that you can’t eat anything after midnight the night before. Your circulating nurse (the nurse that will be with you in the OR) will come meet you and wheel you back to the OR. This article walks you through the details of recovery from gastric sleeve surgery. The stages below are typical recommendations after gastric sleeve surgery. For a more detailed look what you can and can’t eat after surgery, we recommend this article. You should have a good understanding of possible complications during and after your surgery. You can stretch your stomach after gastric sleeve surgery. Let your family know that this is probable, particularly in the first 2 months after surgery. You can regain weight after gastric sleeve surgery. And if you don’t have a family to cook for, most of the meals in this book are great as leftovers.
Have you noticed that you’re eating and exercising the same as you have been, but suddenly you’re no longer seeing as much progress towards your weight loss goals ? Find out more about what causes a weight loss plateau and how you can move beyond it. One of the most common reasons that you might notice your rate of weight loss slowing is because your body’s natural metabolism has adjusted to meet your new calorie and exercise habits as well as your new, lower weight. Also, your metabolism is naturally regulated to adjust to prevent ongoing weight loss, so it will gradually slow down to make up for the fact that you’re exercising on a consistent basis and eating less. How do you break through a weight loss plateau after bariatric surgery? You can kickstart your weight loss after your metabolism has adjusted. But first, you need to determine whether it’s a slowed metabolism or a return to poor habits that has caused your weight loss to slow down. Are you exercising less or getting heavy-handed with the condiments? You might also be able to increase the intensity of your workout without spending more time in the gym.
Gastric Sleeve Surgery Side Effects. Side Effects of Gastric Sleeve. Gastric sleeve surgery is a weight loss surgery procedure that typically is easier to manage and maintain than gastric bypass. However, the surgery itself contains common side effects that can be uncomfortable. Typically the hair will regrow once you’ve reached your weight loss goal. Diarrhea and loose stools can be frequent and very common with gastric sleeve surgery. However, this should only be a temporary issue though as the patient progresses to more and more solid foods – patients should see this issue will diminish. Nausea and Vomiting. Nausea may occur after surgery and can be treated with medication (ask your physician). Also, never drink while consuming a meal because it results in the patient getting full on liquids instead of nutritious food that will give them energy and promote weight loss.
Gastric bypass diet: What to eat after the surgery. Your doctor or a registered dietitian will talk with you about the diet you'll need to follow after surgery, explaining what types of food and how much you can eat at each meal. To get you used to eating the smaller amounts of food that your smaller stomach can comfortably and safely digest. Diet recommendations after gastric bypass surgery vary depending on where the surgery is performed and your individual situation. It's important that you don't eat and drink at the same time. After a few weeks of pureed foods, and with your doctor's OK, you can add soft foods — in the form of small, tender, easily chewed pieces — to your diet. After about eight weeks on the gastric bypass diet, you can gradually return to eating firmer foods. Three to four months after weight-loss surgery, you may be able to start eating a normal healthy diet, depending on your situation and any foods you may not be able to tolerate. During the diet progression, you should eat several small meals a day and sip liquids slowly throughout the day (not with meals). Immediately after your surgery, eating high-protein foods can help you heal. After surgery, certain foods may cause nausea, pain and vomiting or may block the opening of the stomach.
Gastric sleeve surgery, or vertical sleeve gastrectomy, is one of the newer types of bariatric surgery. How Gastric Sleeve Surgery Works. Who Is a Good Candidate for Gastric Sleeve Surgery? What to Do Before Gastric Sleeve Surgery. What to Expect After Gastric Sleeve Surgery. Gastric Sleeve Surgery Risks and Complications. There are several risks and complications of gastric sleeve surgery: (Read more about the risks of gastric sleeve surgery .) Take-Home Points on Gastric Sleeve Surgery. Cost of Gastric Sleeve Surgery. The cost of gastric sleeve surgery can exceed $10,000. (Read more about the cost of gastric sleeve surgery .)
UPMC | Affiliated with the University of Pittsburgh Schools of the Health Sciences. For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). You should not rely entirely on this information for your health care needs. For UPMC Mercy Patients: As a Catholic hospital, UPMC Mercy abides by the Ethical and Religious Directives for Catholic Health Care Services, as determined by the United States Conference of Catholic Bishops. As such, UPMC Mercy neither endorses nor provides medical practices and/or procedures that contradict the moral teachings of the Roman Catholic Church.
When does weight loss begin to slow down? I'm just curious how far out were you when you noticed a slow down in weight loss? Re: When does weight loss begin to slow down? After that you WL usually slows down, but you still can lose weight. Wow, I am 2 1/2 weeks post op and haven't lost anything in the past week - yay you! I don't know if I am typical, but if you look at the chart in my signature area, you can see how my weight loss has gone month by month. Weight loss is definitely slowing down now, but that's okay because I am almost at my goal! Surgery weight = 223, Oct 31, 2011. 1st goal weight (148) reached July 24, 2012. 2nd goal weight (140) reached Oct 27, 2012. You may not post new threads. You may not post replies. You may not post attachments.
What to Do and What Not to Do After Weight loss Surgery. You will be making many changes to your lifestyle after you have weight loss surgery, which will include following your surgeon's instructions to the letter. In the weeks after surgery, you should call your surgeon if: Your caloric intake will be very limited after surgery, which should help you lose weight. Don’t work against your surgery by taking in liquid calories that provide no nutrition and slow your weight loss. It is essential that you reserve the small amount of space you have in your stomach for high-quality, nutrient-rich food. Drinking before and during your meal will fill your stomach with fluid, instead of food, and drinking immediately after your surgery can “wash” food out of your stomach, making you feel hungry sooner. After surgery, your progress will be closely monitored. Many diseases can improve with surgery and weight loss, but that doesn’t mean you should stop taking your medication. It can also contribute to stomach ulcers, which you are already at risk for because of your surgery. Your body will be in high weight-loss mode for at least a year after your surgery. Learn to listen to your smaller stomach and only eat when your body wants you to.
But with the band you may need to re-learn how to eat. Even if you are not paying attention to the amount of food you are consuming, you are in less danger of overeating if you eat slowly than if you are eating fast. Taking it easy when you eat is another reminder to "slow down" and enjoy the company you are with. Most hot dogs are not in the "wise food choice" category, but if you are faced with a hot dog, take your time, and take smaller bites. Before banding, many people would eat to excess, by eating too fast, and then washing the food down with liquids. One of the hardest things to retrain your mind is that you will be able to eat smaller portions and survive and feel satisfied with those smaller portions. By eating those small portions slowly you will discover that you enjoy the food just as much. Preparation for the day - knowing what you are going to eat and when. When you become "starved" you tend to eat too fast, too much, and the wrong foods - and if your goal is to lose weight and keep it off, this behavior will not work. Enjoy some great food, and you will find that losing weight, or maintaining your goal is not the focus of mental energy.
Your gastric sleeve recovery is a lifelong process that involves short-term and long-term changes. Most people spend one or two nights in the hospital or surgical center following gastric sleeve surgery. Your abdomen will likely be sore for several days after the surgery. You will most likely be placed on a liquid-only diet for the first week after your gastric sleeve surgery. In fact, you must completely change how you eat after gastric sleeve surgery. Gastric sleeve may confer a risk for nutritional deficiencies if you consistently eat foods that lack nutritional value. Although you will absorb nutrients the same way you did prior to surgery, you will not be able to eat as much food and therefore will absorb fewer nutrients. You should also begin an exercise regimen as soon as you get the all-clear from your surgeon. Your bariatric team, which may include a surgeon, nurse practitioner or physician assistant, dietician, exercise physiologist and psychologist, will work with you to prevent and treat any physical or emotional issues that occur after your surgery. Gastric sleeve may be done as a primary weight loss procedure or as the first part of a staged approach to weight loss. In the latter scenario, gastric sleeve is performed to jumpstart your weight loss process and is then followed by another weight loss surgery, typically a duodenal switch (a type of bypass). Some people may opt for body contouring surgeries following gastric sleeve surgery to get rid of excess skin and fat, which can cause health problems as well as cosmetic concerns. Choosing a qualified bariatric surgeon with experience performing gastric sleeve surgery, carefully following his or her instructions, and knowing what gastric sleeve risks and complications to look out for are imperative to a smooth recovery and a successful weight loss journey. You may feel anxious at the prospect of placing your health and safety in the hands of someone you don't know. Start you search for the right surgeon now .
When patients make exercise and muscle building a priority, they often have more energy, lose weight faster and get better results from their surgery. With the right diet and exercise regimen, patients can achieve the weight loss and muscle building results they want after a sleeve gastrectomy . Building muscle after weight loss surgery will give you more energy, help you lose more weight, and make physical activity easier. Not only will patients reach their weight loss goals faster as a result of exercise and muscle building, they’ll feel better too. If you want to increase your muscle mass after a sleeve gastrectomy so you can get the most out of your surgery, you’ll need to adjust your diet and exercise routine. Exercise is the most important aspect of building muscle after a sleeve gastrectomy . Cardiovascular exercises (like running or swimming) will benefit your heart, lungs and circulation while strength building exercise is where most of the muscle building happens. While exercise can give you excellent weight loss and muscle building results, your body still needs time to recover from surgery. Bariatric surgery increases your ability to lose weight and create the fit, strong body you want to achieve. If you want to improve your health while losing weight after a sleeve gastrectomy , building muscle should be one of your top priorities.
You can accomplish your target weight by following a pre-surgery diet plan as instructed by your physician and exercising. Low-fat and low-carb foods. * Your surgeon may request you to start adopting a clear liquid diet about a week before the gastric sleeve surgery. Consult with your doctor and ask approval before progressing to the next diet stage. You are allowed to eat cooked meat and vegetables under the caveat that all the foods have to be soft, high in protein, low in sugar, and low in fat. Your diet consists of low-fat, low-carb, low-sugar, and high protein foods. Chew thoroughly and swallow your food slowly. Choose high protein sources such as lean meat, poultry, and fish. Don’t eat and drink at the same time. Your physician or dietitian will assist you on how much food and calories you can intake daily. What is the difference between skim milk and nonfat milk?
Dumping Syndrome After Gastric Bypass Surgery. What is dumping syndrome after gastric bypass surgery? What causes dumping syndrome after gastric bypass surgery? What are the risk factors for dumping syndrome after gastric bypass surgery? The majority of people with dumping syndrome have early dumping symptoms. What are the symptoms of dumping syndrome after gastric bypass surgery? How is dumping syndrome after gastric bypass surgery diagnosed? How is dumping syndrome after gastric bypass surgery treated? Can dumping syndrome after gastric bypass surgery be prevented? Dumping syndrome after gastric bypass surgery happens when the solid parts of a meal get “dumped” directly from your stomach into your small intestine without being digested.
Losing Too Much Weight After Bariatric Surgery – Video. Have you had Gastric Sleeve or Bypass surgery and fearful of losing too much weight? Maybe you get comments from friends and family members telling you not to lose too much weight (which is another video all in itself!) It’s not the normal situation, but I want you to have peace of mind that very simple and healthy additions to your diet can help your weight to level off where you are most comfortable. If you’re preparing to have a weight loss procedure yourself, or you’ve already had one and you are a little fearful that you’ll lose too much weight- I have some encouraging news for you: That being said, If your weight is leveling off and you want to keep losing more than either A) we need to revisit your weight loss goal or B) it’s time to get honest and back to the basics on your food choices. This would help the weight loss to slow down so the patient doesn’t overshoot their goal. More often than not, the weight loss is right on track (as long as the diet is on track) and weight levels off to a healthy range.
Indeed, a large part of adjusting to life after having weight loss surgery in NJ (regardless of the type of bariatric operation) is developing abdominal symptoms after eating too much. Note that these are common abdominal symptoms. There are a variety of abdominal symptoms that can occur after bariatric operations that are of great concern. Several of these more troublesome or “red flag” symptoms are mentioned below in association with the different types of bariatric surgery . Consult your surgeon immediately if you experience the following symptoms after having LAP-Band surgery in NJ : At a minimum, these symptoms suggest that the band should be deflated immediately. Consult your surgeon immediately if you experience the following symptoms after having gastric sleeve in NJ : These types of leaks can develop “late” after a gastric sleeve and require emergency admission to the hospital. Consult your surgeon immediately if you experience the following symptoms after having gastric bypass surgery in NJ : In the case of intermittent nausea, vomiting, cramps, and abdominal bloating, frequently these symptoms are followed by loose stool/diarrhea. The most important take-away message regarding stomach pain after bariatric surgery is that these symptoms should be evaluated by a bariatric surgeon.
Gastric Sleeve Surgery, aka Vertical Sleeve Gastrectomy, is the best surgical option for weight loss, and is the most recommended procedure by bariatric surgeons. One does not have to be morbidly obese, to benefit from the gastric sleeve surgery. Although there are other bariatric surgeries, such as gastric banding, gastric balloon, and gastric by-pass, the gastric sleeve surgery does have several advantages such as: • Should the required weight loss percentage not be achieved, the patient can undergo gastric bypass surgery. How the Gastric Sleeve Works. Because this surgery drastically reduces the volume of food that can enter the stomach at a time, the patient cannot eat very large amounts. The greatest advantage of gastric sleeve surgery, compared to dieting, is that with dieting, you are constantly fighting the urge to eat, because your ghrelin levels are high, the stomach is constantly sending hunger signals to the brain. But with the gastric sleeve surgery, you don’t feel out of control urges to eat, your metabolism doesn’t slow down, and you don’t feel weak and tired so easily. This was because the body was no longer producing the ghrelin hormones that enter into the blood stream and informs the brain that the body needs to eat. With gastric sleeve surgery, the patient will be able to lose weight permanently due to the reduction of the stomach’s capacity and less production of the ghrelin hormones that are directly responsible for increasing appetite.
How does a Sleeve Gastrectomy cause weight loss? How much weight can I expect to lose after a Sleeve Gastrectomy? What are the potential benefits of choosing a Sleeve Gastrectomy? Patients lose more weight after a Sleeve Gastrectomy, than after a Gastric Band. After a Sleeve Gastrectomy, people typically lose 65-70% of their excess weight. A Sleeve Gastrectomy has fewer potential post-operative problems than a Gastric Bypass and therefore requires fewer follow up appointments during the first few months after surgery. Fewer patients develop complications after a Sleeve Gastrectomy than after a Gastric Bypass. A Sleeve Gastrectomy is a relatively new weight loss procedure. Weight regain after a Sleeve Gastrectomy seems to be same as with after a Gastric Bypass. Fortunately, after a Gastric Sleeve or Bypass, the patients’ weight does not return to previous levels. A Sleeve Gastrectomy is the primary weight loss procedure of choice for most patients. For these reason, the Sleeve Gastrectomy has become the most frequent weight loss operation currently performed in Australia.
However, and this is the second key point, while a gastric sleeve procedure is a great help in a weight loss program, it’s still up to the individual to work at the weight loss. It’s tempting to think of the gastric sleeve surgery as ‘the solution’ but in a sense, it’s just a tool, something to help you with a lifelong diet and lifestyle change. This is an important part of preparing the food for digestion and when you have a stomach altered by a gastric sleeve operation; it becomes even more important. That means, for example, if you don’t chew enough and large chunks of food pass down the esophagus to the stomach, those chunks could cause problems in the radically smaller stomach of a gastric sleeve. For one thing, the stomach obviously holds less food and liquid. The downsized stomach is one reason that a gastric sleeve is effective in helping weight loss. Managing your digestion to make the most of a gastric sleeve. The management of liquid and food becomes a relatively significant issue for people with a gastric sleeve. Too much liquid, especially with food, fills the stomach sleeve too quickly and reduces the time the food has in the stomach to mix with stomach acids, which are very important in the digestive process. While a gastric sleeve requires less adjustment to the type of foods you eat than other forms of bariatric surgery, there are still some useful guidelines. The idea is not to send big, hard chunks of food into the narrow and limited space of a gastric sleeve. Some experimentation is a good idea, for as usual, experience is among the best teachers of what you can and can’t eat to keep the gastric sleeve comfortable. They believe there are several contributing factors including a pattern of eating too much of the wrong foods that force the gastric sleeve to stretch and accommodate ever more food, changes in the digestive processes of the intestines, and a psychological desire to eat more.
How much weight can you expect to lose and what long term changes can you expect following your bariatric weight-loss surgery? Read on to learn more about expected weight loss, lifestyle changes, maintaining your weight, the 8 rules of weight loss, expected changes and reconstructive / plastic surgery options. Lap-Band procedure patients will have progressive weight loss for the first 2-3 years following surgery. The goal of the obesity surgery is to allow you to lose weight with the fewest possible restrictions to your diet. How you use the tool will affect your weight loss. By eating only at mealtime and only until you feel full, your daily food intake will be decreased enough to provide weight loss. The weight loss will vary from week to week and may plateau for days and up to two weeks at a time. Gradually, the rate of weight loss will decrease and your weight will stabilize. The bariatric surgeons will be glad to guide, support and motivate you. Between-meal snacking or “grazing” on small amounts of food throughout the day will sabotage your weight loss and result in the inability to lose an adequate amount of weight. They will help you stay focused and motivated and help you work through the changes that weight loss brings. You may notice excess skin folds and wrinkles where the greatest weight loss has occurred.
| By Marcy Brinkley. While the surgery helps to limit your intake, you must also follow your doctor’s instructions about your diet, nutrition and eating behavior. Poor eating habits after gastric sleeve surgery can slow weight loss and, in some cases, lead to regaining whatever weight you may have lost during the early months after the procedure. Your body needs about 3 months to heal, so after surgery you will begin by drinking small amounts of water and gradually progress to solid foods. Over the next about 4 weeks, you will slowly add blended or pureed foods such as protein shakes, thinned mashed potatoes and sugar-free yogurt. After that stage, you will add semisolid foods and, finally, low-fat solid foods.
Your surgeon may not be able to reach the access port to tighten or loosen the band (you would need minor surgery to fix this problem) If this happens the band cannot be tightened (you would need minor surgery to fix this problem) Your surgeon will ask you to have tests and visits with your other health care providers before you have this surgery. You must be able to make major changes in your lifestyle after surgery. During the week before your surgery: Ask which drugs to take on the day of your surgery. On the day of your surgery: DO NOT eat or drink anything after midnight the night before your surgery. Your provider will tell you when to arrive at the hospital. You will probably go home the day of surgery. Your surgeon can make the band tighter or looser any time after you have this surgery.
Overview of the Gastric Sleeve Procedure. Gastric Sleeve Surgery is one of the newest types of weight loss surgery to be used in the treatment of severe obesity. The procedure is a restrictive type of weight loss surgery that surgically reduces the size of the stomach to limit food intake and lessen the sensation of hunger. The gastric sleeve procedure, also known as Sleeve Gastrectomy, Gastric Sleeve Resection or Vertical Sleeve Gastrectomy (VSG), promotes weight loss by restricting food intake (a restrictive bariatric procedure) rather than altering food absorption (a malabsorptive bariatric procedure). The stomach reduction is permanent and the gastric sleeve procedure is not reversible. Although the gastric sleeve procedure has been gaining attention in recent years, it is not a completely new type of surgery for weight loss . Originally, the gastric sleeve surgery was designed to be followed up by a second procedure, either gastric bypass or duodenal switch surgery , at a later date. It has only been in recent years that bariatric surgeons have begun to perform gastric sleeve surgery as a stand-alone weight loss procedure. Dumping syndrome not likely to occur as the stomach outlet (pyloric valve) remains intact, unlike gastric bypass surgery. Less complicated procedure than gastric bypass or duodenal switch surgery. Although the gastric sleeve helps control hunger and limit amount of food that can be eaten at any one time, weight loss will not occur without a healthy, low-calorie diet and regular exercise (same as with other purely restrictive procedures such as LAP-BAND and REALIZE Band)
Expected Monthly Weight Loss With the Gastric Sleeve. And, while your doctor can estimate the amount of weight you are likely to lose altogether, you can expect to lose more weight during the first few months and less as you get closer to your target weight. Your excess body weight is the difference between your ideal weight and your current weight. So, if you weigh 100 lbs more than your ideal weight, your excess weight is 100 lbs. In this example, if you lost 50 percent of your excess weight - or 50 lbs - over the 12 to 18 months after the surgery, that would be a reasonable result. Since weight loss is reported as a percentage, the number of pounds you shed per month depends on where you started. Findings in the October-December 2013 issue of the "Journal of the Society of Laparoendoscopic Surgeons" suggested that people having sleeve gastrectomy lost more of their excess weight in the first few months after surgery. In this study of 100 patients, on average, subjects lost about 18 percent of their excess weight in the first month. Average weight loss by the end of 6 months was 50 percent of the excess body weight, and by the end of the first year, they had lost about 63 percent of their excess weight. The amount of weight lost after gastric sleeve depends on several factors.
How long will I have to stay in hospital after surgery? Will I have to take any medication after surgery? All sleeve gastrectomy patients will need to take medication to protect the stomach for a short period after surgery (six weeks). There is no evidence to suggest that nutritional supplements are required but many patients choose to take a good quality multivitamin for the first few weeks after surgery. How will my diet change after surgery? In the first few weeks after surgery your diet will be restricted but it is important to protect against nutritional deficiencies. It is vital that you inform the specialist nurse and your doctors of any investigations or treatments you are receiving to ensure all tests and investigations are completed before proceeding as this will best ensure your safety and reduce the risks associated with surgery. Will I be able to drink alcohol after surgery? We would suggest that alcohol is avoided for the first six to eight weeks of the ‘weaning’ period immediately following your surgery. Can the surgery be reversed?
Alternative procedures to the sleeve gastrectomy include the laparoscopic adjustable band and the laparoscopic gastric bypass. The laparoscopic gastric band is the simplest and safest weight loss procedure currently performed. Weight loss with this procedure is in the region of approximately 65%. There is no "dumping" with the sleeve gastrectomy as seen with the gastric bypass, and significant dietary change is not required as compared to the gastric band. Weight loss with the laparoscopic sleeve gastrectomy can be very rapid. The more weight you have to start with, the more weight you will probably lose with surgery and our recommended dietary and exercise regime. If your liver is excessively large at the time of surgery, your procedure may be aborted and rescheduled for a later date. It increases your risk of pulmonary complication and blood clots regardless of the procedure you have performed. If this is the case your surgery will have to be postponed until these tests have been completed and evaluated by your anaesthetist. These can occur after any type of surgery, and the risk persists after surgery for up to three weeks. If this was to happen you may require conversion to an open procedure and removal of the spleen. Although the procedure is carried out with keyhole surgery it is still major surgery and you and your family should realise that any complications of this procedure could result in death. The risk of a leak is less than 5% but should it occur, it will require further surgery and the placement of drains. As has been discussed previously, as this is a restrictive procedure it is possible to cheat the operation and not lose weight.
It is my opinion that EACH of the most common weight-loss operations done today (gastric bypass, adjustable gastric banding and sleeve gastrectomy) are effective when: In general, gastric bypass patients will lose around 70 percent of their excess weight, sleeve gastrectomy patients will lose around 60 percent, and gastric banding patients will lose around 50 percent. Gastric bypass and sleeve gastrectomy patients almost always achieve the expected weight-loss outlined above. This will occur if they do not make the necessary lifestyle changes in the first year after their weight-loss operation. You see, with a band, if patients are not following-up and working on lifestyle change IMMEDIATELY, they just will not lose weight. The good news is that when a gastric banding patient loses weight, they almost always keep it off because they had to make lifestyle changes to take off the weight and that is what keeps it off for ANY weight-loss operation. Gastric bypass and sleeve patients will typically lose five to seven pounds a week early on and will reach their expected weight-loss 12-15 months after their operation. Some patients say, “I am having this operation to lose weight and I want it off NOW!” That is more of a gastric bypass/sleeve type of weight-loss. In the first year after surgery, gastric banding patients are typically seen more frequently than gastric bypass or sleeve patients, so it is important that a gastric banding patient be able to make these follow-up appointments in order to achieve maximum weight-loss. Some patients like the idea of knowing that if they “cheat” on their operation the operation will punish them for it. Gastric band patients need to be VERY comfortable with having the band in you for the rest of your life. If a band is removed or a bypass is reversed, a patient almost always begins regaining weight as they no longer have the “tool” that controlled their hunger and portion size. While it is true that a gastric bypass and a sleeve gastrectomy are bigger operations, when we look at the complication rates of all three operations, they are the same: 10-15 percent of patients will experience a complication related to their operation at some point. If a gastric band patient, a sleeve patient and a gastric bypass patient all lose 150 lbs, they will ALL have some degree of loose skin. Ultimately it comes down to you knowing you, and I am convinced that patients are the best decision makers on which operation is right for them.