Crozer Keytone Health System's Dr. Tohamy will be joining us at 12 p.m. today. Until then, feel free to leave your questions for him here.
The most common risks are diabetes, high blood pressur, high cholesterol, the three diseases will cause what is known as metabolic syndrome that can lead to heart attack
The recommendation by the NIH is to try non surgical weight loss initially for one to two years prior to trying surgical weight loss
There is no specific recomendation regarding fat in specific areas of the body. The general rule is to eat healthy less processed food and minimize the carbohydrates.
There are three bariatric surgeries that are mostly done in the US. In order of popularity they are Laparoscopic Gastric Bypass, Laparoscopic Sleeve gastrectomy and Laparoscopic gastric banding. Each procedure has its benefits and its indications. Each patient has different medical condition that might benefit from certain surgery over the other
Based on the history, you still qualify for the surgery. The contraindication for bariatric surgery is not a lot, and all the medical problems you mentioned are actually indication for the surgery.
Excess skin is a problem with sudden weight loss over the short period of time, but this is depends on how much you will lose and over how long. Gradual weight loss has less of excess skin problem compared to rapid weight loss. And also, the age of the patient plays an important role in the results of the excess skin.
According to the NHI crieteria there is an equation called Body Mass Index (BMI) and the person has to have BMI of 40 or more to qualify for the surgery, or BMI of 35 or more with medical problem like Diabetes, high cholesterol, high blood pressure, arthritis, sleep apnea...etc to qualify for the surgery.
Risks of Bariatric surgery are minimal. Bariatric surgery nowaday is considered safer than heart bypass, hip surgery or even than some of the commonest surgery being done routinely in the US like the gall bladder surgery. Some of the risks are bleeding, infection which are 1% or less, leak from the staple line 2-4%, blockage of the bowel, hernia, blood clot in the leg or the lung < 0.5%
My recommendation for my patients is to eat three small meals high in protein and low in fat and salt and in between the meals take healthy snacks high in protein
Most of the research studies have showen that people who are overweight can manage their weight non surgically to acheive healthy body weight by diet and exercise as long as they have comit to lifestyle change and behavior modification. The grey area of the obese population (BMI between 30-35)is still a debate
The surgery if being done laparoscopic or Robotic the recovery is fast between 3-4 weeks, the stay in the hospital usually between 1-3 days. The pain is different from one patient to another, but being laparoscopic surgery the pain is much less than open surgery and usually the pain gets better gradually over the period of 3-4 days
It depends on the surgery, over one year:
Gastric bypass usually you lose 70-80% of the excess weight you are carrying, Gastric sleeve 60-70% of the excess weight, gastric band 50-60% of the excess weight
After the surgery the type of the food will be gradually advanced from liquid food to solid over a period of 4-5 weeks, the amount of food will start with 3 Onz and gradually reach 6-7 onz over a period of 6 months
The commercial diet is a tool that last for a short period of time. The only proven longterm successful weight loss tool so far is the surgery
The goal after surgery is to avoid junk food and food high in carbohydrates and focus more on healthy high protein diet. The goal of the surgery is to make you lose weight, lose your medical problems but enjoy your normal life and social activities
There is a percentage of weight gain in 5 to 10 years after the surgery. Usually it is 5 %. But some of the patients gain more if they don't continue their healthy lifestyle
You need to attend our free seminar for weight loss surgery, we are having our seminars in three locations Delaware County Memorial Hospital, Crozer Chester Hospital and Brington Lake
Yes, pregnancy is healthier after weight loss surgery based on multiple studies. Less complications during pregnancy and delivery for morbidely obese females who lose weight prior to getting pregnant compared to who don't. We recommend to wait for 12 months after the weight loss surgery prior to get pregnant to maximize your weight loss.
You should be able to drink water as you normally do prior to the surgery. There is no limitation regarding fluid intake after the surgery. Some of the medications like, Aspirin, Motrin, Advil, Excederin you can not take after the surgery.
Yes, pregnancy is healthier after weight loss surgery based on multiple studies. Less complications during pregnancy and delivery for morbidely obese females who lose weight prior to getting pregnant compared to who don't. We recommend to wait for 12 months after the weight loss surgery prior to get pregnant to maximize your weight loss.
You should be able to drink water as you normally do prior to the surgery. There is no limitation regarding fluid intake after the surgery. Some of the medications like, Aspirin, Motrin, Advil, Excederin you can not take after the surgery. Vitamins are really important after bariatric surgery
