Gastric weight loss is a weight loss surgery that makes the stomach shrink thereafter, resulting in a rapid weight loss. It is estimated that a small percentage of gastric bypass patients gain a significant weight back.
This bariatric surgery is where the surgeon creates a small pouch in the patient’s stomach and connects it to the small intestines directly. This allows food particles to bypass most of the stomach processes and the first part of the small intestines. A tube-like structure known as gastric sleeve results, which is why people refer to this as gastric sleeve surgery. The newly created stomach is then reconnected to the small intestines. It is then bypassed further down the small intestines, which still provides the digestive enzymes and acids. This portion of the intestines that was removed absorbs some nutrients and calories. This further contributes to weight loss.
Gastric bypass is usually performed on overweight people and struggles with obesity when other weight loss activities such as diet and exercise weren’t enough for weight loss.
Restart weight loss after gastric bypass.
This is one of the challenges patients go through after hitting the way to weight loss. You have to understand that weight reduction after surgery won’t always be on a smooth line. It can even take weeks and months while struggling to maintain progress.
As long as you can be committed to yourself and follow the prescribed diet and exercise plan, you’ll get your desired results sooner or later.
In standard cases, weight loss after gastric surgery is rapid for the first three months. The rate will reduce to moderate after these three months as long as you adhere to the doctor’s prescriptions and precautions. At the end of 1 year after the surgery, most patients are expected to have lost more than 70% of their original body weight. The patients might free themselves from the obesity shackles after two years if they are lucky. Here are a few tips that will show you how to restart weight loss.
- Alter the number of daily meals.
Change the number of meals you usually have. If you are used to three significant meals, try to adopt the Mediterranean technique of 5 to 6 small meals daily.
- Join a weight loss support group.
This is one of the most effective ways to restart weight loss. Here you will receive emotional support and advice, which will serve as excellent motivation.
- Muscle fitness and strength training
If your exercise does not include strength exercise, try to focus on it. High-intensity training will trigger your muscles and eventually increase metabolic rate triggering weight loss.
- Re-evaluate your sources of proteins.
Change your focus on natural protein and try some other different types such as seafood, beef jerky, and chicken breasts.
- Increase your macronutrients mix. Your body needs about 60g of proteins at least. Try to increase it a bit by about 20% and reduce the cabs to restart weight loss.
How to maintain weight loss after gastric bypass
- Join a gym class.
- Avoid carbohydrates such as rice and bread.
- Exercise regularly.
- To maximize weight loss, avoid pregnancy for the first year.
- Follow-up visits to your surgeon should be maintained.
- Stay well dehydrated.
Reasons for not losing weight after the gastric bypass surgery.
- Insufficient stomach reduction.
The surgeon may not have removed the required stomach volume. You may even have a considerably large pouch even after the gastric bypass surgery. Therefore, you may find it difficult to limit your food intake. You should be aware that for weight loss, the food intake should be controlled to lower limits.
- Not following the diet plan.
Have you been following the diet plan as recommended by your gastric surgical doctor? If not, then the problem starts from here. If you eat more or less of what is recommended or choose fatty foods, they will, in turn, stretch your stomach pouch.
- Ineffective re-routing of small intestines.
If the re-routing of the intestines was not performed successfully, it might result in not losing weight after the gastric surgery. This results in a considerably larger pouch; hence, you may find it challenging to maintain a food limit. As a result, you may find that your weight is not reducing.
- Medical or genetic reasons.
Genetic factors may come in and make you struggle with slow weight loss after gastric bypass surgery. This may, in turn, result in weight gain! Patients may have co-morbidities that may pose shackles in the path to the weight loss journey after surgery.
Risks and complications of bariatric surgery.
- Develops deep vein thrombosis and pulmonary embolism.
- General anesthesia side effects.
- Post-operative pain.
- Incision infection
- Hemorrhage or loss of blood.
- Nutritional and vitamin deficiencies.
- Saggy or loose skin
- Severe diarrhea from eating quickly or dumping syndrome.
Gastric sleeve surgery complications.
- Stomach fluid leakage.
- Stenosis along with the stomach pouch.
- Acid reflux.
- Stomach obstruction.
Gastric bypass surgery complications.
- Stomach perforations.
- Stomach ulcers.
- Obstruction of the bowel.
- High sensitivity to alcohol.
- High risk of nutritional deficiency because of bypassing part of the intestines.
Guidelines to follow after your gastric bypass surgery.
- Take the recommended supplements and medicine.
- Eat at a slower rate.
- Eat small amounts of food and always stop when you are full.
- Chew the food properly to avoid complications during digestion.
- Drink enough water to stay hydrated.
- Complex foods to digest, such as tough meat and bread, should be avoided.
- Don’t drink carbonated drinks and beverages.
- Sip fluids rather than drinking quickly.
Pros and cons of gastric sleeve surgery.
- Weight of up to 65% can be lost.
- Dumping syndrome is not shared.
- Faster recovery.
- Low risk of complications if it’s a one-step procedure.
- Issues of absorbing nutrients and vitamins are minimal.
- It’s an irreversible process.
- The weight loss rate is slower.
- May result in acid flux complications.
- The weight loss is low compared to gastric bypass.
Pros and cons of gastric bypass.
- Weight loss is faster compared to gastric sleeve surgery.
- Weight of up to 80% can be lost.
- The process can be reversed, although it’s complicated.
- Results in fewer calories absorbed due to the bypassed intestines.
- It takes a lot of time for recovery compared to gastric sleeve surgery.
- Dumping syndrome cases are more common.
- May lead to deficiencies resulting from malabsorption of nutrients and vitamins due to intestinal bypass.
- Higher risk of complications since it is a two-step surgery.
Which type of surgery is perfect for you?
The type of surgery that is perfect or suits you well depends on the following factors;
- What expectations do you have?
- Your general health conditions.
- The medical history.
- The weight you have.
Restarting weight loss journey with a pouch reset.
When the stomach is empty, it is usually tiny; it expands and becomes more prominent when you eat. After gastric bypass surgery, the stomach still has the ability to stretch in response to the amount of food eaten.
Pouch reset is a way to shrink back the stomach by reducing the food intake.
When doing a pouch reset, work with a diet technician to guide you. Pouch reset diet plans include oatmeal and sweet potatoes.
Guidelines when doing a pouch reset
- Eat at a slower rate and carefully.
- Drink a lot (plenty) of water.
- You are only advised to drink liquids at least 30 minutes before and after every meal.
Pouch reset only takes about ten days, unlike gastric bypass, which takes weeks or a couple of months.
Consume clear liquids, e.g., broth, herbal teas, and water.
Consume full liquids such as yogurt, cheese, and protein shakes.
Day 4 to 6
Consume pureed foods such as pureed soup, scrambled eggs, and cottage cheese.
Day 7 to 9
Consume steamed vegetable chicken or beef stew or steamed fish, avocado, etc.
Day 10 and further.
Healthy foods are recommended as the chance to restart weight loss starts from here.
Slowly reintroduce foods to your meals (only small amounts)
Consult your bariatric surgeon.
The bottom line
To restart weight loss after gastric bypass surgery requires your efforts to get the best results. Check on your doctor regularly to get the right direction and guidance to follow.
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