Patient Information Book For Gastric Bypass Surgery - permanente.net

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BAND vs RYGB vs Sleeve Lap Band Lap RYGB Lap Sleeve Reoperation 1 in 6 over 5 years, 10 year results unknown. Due to slippage, infection, erosion, break or leak, port site pain, heartburn, failure to lose weight. 1 in 30 reoperation over 5 to 10 years, 30 year results may be higher. Due to internal hernia, bowel blockage, scar tissue, adhesions, ulcers, abdominal wall hernia. At 3 years, reoperations due to leak (1%). Long term reoperation rate unknown, but should be very low. Weight loss Weight loss occurs over 2 to 5 years, and then stabilizes. On average, 40- 70% excess weight is lost. Some patients do not lose any weight. Wt loss and low weight maintenance require daily lifelong mindful eating and exercise. Weight loss occurs over 1 year, and then stabilizes. On average, 50-80% excess weight is lost. Wt loss and low weight maintenance require daily lifelong mindful eating and exercise. 70% of patients maintain good weight loss over 10 to 30 years. Weight loss occurs over 1 year, and then stabilizes. On average, 50-80% excess weight is lost. Wt loss and low weight maintenance require daily lifelong mindful eating and exercise. Wt loss beyond 3 years still unknown.
GOALS AND PREPARATION BEFORE SURGERY Who is the ideal candidate for surgery? The ideal candidate for surgery is the person who has seriously tried to lose weight in the past, understands the risks and benefits of surgery, understands the lifelong changes in lifestyle required for success, and has the support of family and friends to help him or her through the process. For the Fremont Bariatric Program, we will ask each candidate to meet the following criteria prior to the actual surgery (not necessarily prior to entry in the program): • learn how to estimate the number of calories in different foods and learn how to count the total number of daily calories • quit smoking for 3 months. Compared to surgery, quitting smoking is an easier and much less risky way to improve ones health. In addition, smokers have more chances of complications with surgery. • attend a support group session to meet people who have undergone the surgery. • start a regular exercise program • demonstrate a 10% weight loss during the period approaching surgery • understand the need to avoid pregnancy for the first two years (if you are a woman of child bearing age). Why do you need to lose weight BEFORE surgery? Surgery is only one step in the battle to lose weight. Patients who cannot change their eating habits and start an exercise program will eventually gain all their weight back despite the surgery. This may occur even if the pouch does not stretch to a larger size. It is believed that the hormones responsible for feelings of fullness and appetite may start to adapt over time. Thus, many of the cravings and desires that seem to disappear right after surgery start to return one or two years after surgery. It does not make sense to accept the risk of surgery if it will not be helpful in the long run. Losing weight before surgery • allows you to learn the lifestyle that you must continue after the surgery and for the remainder of your life, making post operative adjustment much easier. • proves to yourself that you can change your lifestyle • improves control of pre-operative medical conditions • improves the safety of surgery by decreasing the complication rate How do you you lose weight BEFORE surgery? 1. RECORD YOUR WEIGHT NOW. Try to record your weight in the presence of a health or medical professional when possible. Try to check your weight every week at the same time of day. Some offices may not have the correct scales, but usually there is at least one place in each hospital or clinic where you can get an accurate weight. Sometimes it will be up to you to find a good scale and a medical professional willing to witness your measurements. Use a chart to keep track. 2. Attend the nutrition and weight management classes offered by Kaiser or other organizations. Learn to eat slowly and without distractions. Studies show that people tend to eat more when watching television or participating in other passive activities. By choosing food wisely and enjoying it slowly,
Page 1 and 2: Fremont Medical Center Bariatric Pr
Page 3 and 4: • Pre-op Meal Plan (Before Surger
Page 5 and 6: Introduction to the Kaiser Northern
Page 7 and 8: Section 2 Overview of Obesity, Weig
Page 9 and 10: Like all mammals, humans eat food t
Page 11 and 12: Weight Loss After Surgery After an
Page 13 and 14: Medications for depression and othe
Page 15 and 16: TYPES OF WEIGHT LOSS SURGERY The di
Page 17 and 18: Patients with prior abdominal opera
Page 19 and 20: Anatomy of the Stomach and Intestin
Page 21 and 22: Anatomy of the Roux Y Gastric Bypas
Page 23 and 24: Before your surgery your stomach is
Page 25 and 26: few patients may develop deficienci
Page 27 and 28: VERTICAL SLEEVE GASTRECTOMY Intro T
Page 29 and 30: prohibited. However NSAIDs, steroid
Page 31 and 32: Short Term Side Effects and Complic
Page 33 and 34: 6. After every fill you will be on
Page 35 and 36: This is also known as prolapse and
Page 37: COMPARISON OF THE DIFFERENT OPERATI
Page 41 and 42: The expected hospital course is as
Page 43 and 44: • Many patients will be able to s
Page 45 and 46: YOU, the Patient Despite the growin

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