Enjoying Dessert after Bariatric Surgery

Monday, April 9th, 2012

Many of us believe that if we have undergone a bariatric procedure, desserts of any size, shape and form are completely off-limits. While it is true that desserts are usually less nutritious and more caloric than the foods  recommended under a bariatric diet, it doesn’t mean that they have no place in a patient’s life after surgery.

In fact, one of the most difficult lifestyle changes after bariatric surgery is psychological and depriving ourselves of everything we enjoy can actually be detrimental to our psychological and physical health. While we do not suggest that patients indulge in a great deal of dessert, we do understand that once a while there is a place for a sweet treat.

Our suggestion is to set a day once a week where you allow yourself a small indulgence, whether it be a dessert or other enjoyment. Be mindful, however, that while you can indulge, it is not a reason to eat excessive amounts of dessert. For example, rather than having two scoops of ice cream in a cone, one scoop in a cup should be plenty to satisfy your sweet tooth.

Patients can work with our dietitian after surgery to determine when they can “schedule” their indulgences. It may be once a week or once a month and the dietary plan can and will change over the course of your weight loss journey.

Always remember that moderation is the key to success after bariatric surgery. Eating far too much or far too little; overindulging or under indulging are all detrimental to your long-term success. Getting just enough at just the right time is the key to enjoyment and consistent weight loss over the long-term.

Gastric Band Adjustments/Fills

Monday, April 2nd, 2012

Band adjustments are an integral part of the success of the gastric banding system. As the only bariatric surgical procedure that allows for regular adjustments after the procedure, the gastric band gives both the surgeon and patient a great deal of flexibility in determining the tightness or restriction the band provides.

During the gastric banding (Lap-Band® or Realize® Band) procedure, a small disc shaped injection port is attached to the abdominal wall right under the skin. This port is connected to the band with soft thin tubing and it acts as a vessel for injecting or removing saline into the band. Additional saline tightens the band while removal of the saline loosens the band – this allows for a greater or reduced rate of weight loss, respectively.

The amount of restriction correlates with how much food you can eat, and how quickly food passes through the band. The weight loss is a result of eating the right foods, and less of them.  Adjustments are a very simple and a necessary process to ensure optimal and safe weight loss. Band fills and adjustments are performed right in our office and they will occur approximately every few months until an ideal restriction is found. The adjustment process takes about 5 minutes and your surgeon uses specially made needle to inject or remove the saline. From a pain perspective, the procedure is only slightly uncomfortable and rarely is it painful.

In order to help us during the process, patients are encouraged to let us know when the band feels too tight or if they do not believe they are getting enough restriction. Both may be a sign that the band needs to be adjusted. Patients will receive complete post-operative instructions and guidelines on band adjustments however any questions patients have about their adjustments should be directed to our office.

Addiction Substitution after Bariatric Surgery

Monday, March 26th, 2012

Addiction substitution is an uncommon, but possible psychological byproduct of bariatric surgery. Despite the low likelihood of developing an addiction after surgery, it is a topic that must be explored in order to make sure that every patient understands the ins and outs of the surgery they’ve chosen. Food can be addictive for many of us – we eat when we are not hungry, we eat when we’re tired, bored, happy or sad. We eat alone or we sneak food even when we know we shouldn’t.

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Negative Feelings

Monday, March 19th, 2012

As weight loss surgery patients, we walk a fine line between motivation and frustration after surgery. Lifestyle changes are hard – not only in the days and weeks after surgery, but years later, too. It is hard to kick the habits that caused obesity and it seems we are in “recovery” for the rest of our lives. And while we are able to keep ourselves on track for most days of the month, it is not uncommon nor is it necessarily bad to have negative feelings or uncertainty once in a while. In fact, it would be more concerning if we never doubted ourselves at all – doubt is a natural part of the process.

Negative feelings can unravel our progress or they can be the motivation we need to keep going. It’s all in how we look at them and how we manage them. Of course it is worth noting that depression, and even addiction after weight loss surgery, can be very dangerous.

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Aftercare Programs

Wednesday, March 14th, 2012

The aftercare program that a patient chooses to follow after weight-loss surgery is critically important to their overall success. Weight loss surgery is simply a tool to help the patient lose weight. It is not a magic bullet that creates exceptional outcomes on its own. That means that, after surgery, a patient will be expected to change their lifestyle and follow a modified and restricted diet. They will also have to exercise on a regular basis. Following these aftercare protocols invariably makes the weight loss procedure more successful.  Those who chose not follow their post bariatric instructions may not see the exceptional results they hope for.

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Is the BMI Really Useful?

Tuesday, March 6th, 2012

We all know that the Body Mass Index or BMI is the standard by which we measure obesity and morbid obesity. However how useful is it, really? The general consensus is that the BMI is useful as an approximation of bariatric surgery eligibility. Further, comparing BMI numbers before and after surgery can help a patient visualize their progress through their weight loss journey.

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What is a Gastric Band?

Monday, February 27th, 2012

Undoubtedly, you have heard plenty of news reports on weight-loss surgery and many of them center on the gastric band.  A gastric band is just one of several bariatric procedures available to those who are suffering from obesity. The band comes in two forms/brands: the Lap-Band® made by Allergan and the Realize® Band made by Ethicon-Endo Surgery, a division of Johnson & Johnson.

The band has become a very popular alternative to stapled weight loss surgeries including gastric bypass, mostly because it is fully adjustable and reversible and does not require any cutting or re-routing of the stomach or small intestine. And just as it has its benefits, so too does it come with considerations including slower and lower weight loss potential.

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Adolescent Weight Loss Surgery

Wednesday, February 22nd, 2012

Adolescent weight-loss surgery has become a hot topic in recent years especially because of the staggering rise in adolescent obesity. This, in turn, has contributed to diagnoses of diabetes, high blood pressure and high cholesterol in ever younger children. Partly because of the concern about the long-term viability of performing a weight loss procedure on an adolescent, our practice does not perform surgery on those under the age of 18. However, the idea of whether or not bariatric surgery is appropriate for adolescents is certainly an idea to be explored now and in the future.

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Eating Out After Weight Loss Surgery

Friday, January 27th, 2012

We’re often asked how your lifestyle will change after bariatric surgery, especially as it relates to eating out at restaurants and other food service establishments. The limitations of eating out after surgery are certainly a consideration that has to be made as part of the decision to undergo surgery. Further, there must be an understanding that going out to lunch ad dinner cannot be as regular an occurrence as it was prior to surgery. It is also important to remember that when you do go out to eat, you should find restaurants that are able and willing to modify their dishes to reduce the fat, sugar and sodium content in their dishes. A few examples are:

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Depression after Bariatric Surgery

Thursday, January 19th, 2012

Depression after Bariatric Surgery

It is easy to automatically assume that when a post bariatric surgery patient loses up to 85% of their excess body weight, the result would be sheer ecstasy. Those who don’t understand bariatric surgery however may not realize that the lifestyle changes that are necessary after bariatric surgery are strict and difficult. Also, many don’t understand the difficulties that post bariatric patients have in adjusting their new lifestyle and maintain their new lower weight – maintenance is a challenge in and of itself.

To be sure, losing weight is a very exciting thing. However, because the patient will have enjoyed, possibly even been addicted to, certain unhealthy foods over many years, even decades the loss of that “comfort blanket” can allow depression to set in. Depression, even in its mildest forms, can interfere with the patient’s daily life after surgery. The results can be debilitating and progressive if left untreated.

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