Nutrition care after bariatric surgery – getting it right

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Nutrition care after bariatric surgery

When patients attend for their pre-surgery appointment I ask them how they see nutrition playing a role in their weight loss journey.

Why? My experience tells me patients, and at times their GPs, often downplay the role of postoperative nutrition in long-term health and yet nutritional deficiencies are a real possibility following bariatric surgery.

All bariatric surgery procedures affect nutritional intake and some procedures may affect the absorption of macronutrients and/or micronutrients.

When weight loss and improved (sometimes resolved) comorbidities are occurring, nutrition deficiencies may seem insignificant, however they are a real concern for patients following bariatric surgery.

Unmonitored deficiencies can leave patients vulnerable to both acute and chronic conditions, including changes in bone density and neurological damage (vitamin B12 deficiency).

As patients do not always attend for their follow-up care with their bariatric specialist team there is a key role for the GP to monitor and prevent nutritional deficiencies in patients following bariatric surgery.

Micronutrient deficiencies are regularly seen in morbidly obese patients prior to bariatric surgery including gastric band surgery, gastric bypass surgery and gastric sleeve surgery.

With each of the weight loss surgeries, food portions are significantly reduced, however the quality of the food and fluid consumed and dysfunctional eating patterns can continue.

I have learnt I cannot assume that all patients are eating a well-balanced diet as some struggle to comply with the dietary recommendations.
While most patients will tolerate a wide variety of foods following their first year of surgery some will form maladaptive eating behaviours, or have restricted food variety resulting in poor nutritional intake.

Since dietary intake and nutrition is compromised following bariatric surgery, patients require life-long nutrition supplementation in addition to having a balanced diet.

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Mum left with plastic tube in her stomach for a year after gastric surgery leaves her in agony

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Mum left with plastic tube in her stomach for a year after gastric band surgery leaves her in agony

A Midland mum was left in agony for more than a year after a two and a half inch tube of plastic was left in her body after gastric Band surgery.

Helen Reynolds, from Rugeley, was admitted to Manchester Spire Hospital for gastric bypass surgery in January 2014 following unsuccessful gastric band surgery the previous year.

Two months after the operation the 50-year-old started to suffer from excruciating pain in her abdomen, which left her practically house bound.

After months of debilitating pain Helen was left shocked after scans at Spire Hospital in Little Aston revealed that a foreign object had been left inside her.

“I am flabbergasted at how this has happened to me,” said Helen, a Mum-of-one.

“I suffered for months and months with excruciating pain in my stomach, which I can only describe as like labour pains.

“My husband was extremely worried as I became very pale and looked ill.”

Helen suffers from a condition called autoimmune condition called Sjogren’s disease.

She decided to have weight loss surgery as she was concerned about her health and the arthritis in her knees.

But after surgery, she needed a further operation in May 2015 – a full 16 months later- to remove the object which turned out to be a plastic tube left inside of her when she had a gastric bypass.

Helen added: “I finally went to see a consultant at Spire Little Aston Hospital as my GP thought that I might have cysts on my ovaries and would need to have them removed.

“I had a CT scan which revealed that there was a foreign body near my right pelvis bone – I was completely shocked.”

Surgeon Professor Basil Ammori, at Manchester Spire Hospital, has since admitted his mistake and apologised for leaving the foreign body inside.

But Helen has since instructed lawyers at Irwin Mitchell to investigate the matter further, to see how this oculd have happened.

Raman Dhillon, a specialist medical negligence lawyer at Irwin Mitchell’s Birmingham office, said: “This is a devastating case that shows the lasting damage which simple avoidable errors can cause.

“For two and a half inches of plastic tubing to be left inside Helen for an entire year is completely unacceptable.

“This constitutes a ‘never event’ according to national Patient Safety Guidelines which recognises that such occurrences are unacceptable and completely preventable if the appropriate procedures have been implemented.”

A spokeswoman from Spire Healthcare told the Mail: “At Spire Healthcare, our top priority is always the welfare and safety of our patients. We take this responsibility very seriously and set extremely high standards across every aspect of our hospitals.

“Spire Healthcare has an obligation to protect patient confidentiality and is unable to comment on individual patient cases.”

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How To Lower Your Bad Cholesterol

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How To Lower Your Bad Cholesterol

Lowering your cholesterol level need not be something that only medication can do.

Not all cholesterol is bad.

You have two types in your blood; one is considered good and the other is considered to be bad. The two types are known as Low-density lipoprotein (LDL) and High-density lipoprotein (HDL). It is the LDL levels that you need to be most concerned about. When your LDL levels are too high, the cholesterol builds up on the walls of your arteries.

Your arteries harden over time and reduce the flow of oxygen and blood to your heart. If left unchecked, your arteries can become completely blocked and cause a heart attack. How can you avoid a heart attack and lower your cholesterol levels at the same time? Follow these few simple rules:

Change Your Diet:

Foods that are high in saturated and trans fats can increase your cholesterol levels. You need to reduce your intake of food that these fats. This includes fried foods and fatty meats. You also need to reduce how much sugar you eat. Sugar can convert to carbohydrates when not burned off. Carbohydrate then turns to fat and increases your cholesterol levels.

Eat a healthy diet that is made up of fresh vegetables, fruit, whole grains and lean meats.

Lose Weight:

Being overweight can increase your cholesterol levels and the risk of suffering from a heart attack. Losing weight can raise your HDL levels and reduce your LDL levels. Exercise Regularly: Exercise for at least 30 minutes a day. It will help you lose weight, give you more energy and make you feel better. Brisk walking, weight lifting and yoga are all beneficial for your health.

Change The Way You Cook:

Instead of frying your food, bake, grill or broil it. You can add flavor to your food using a range of herbs, spices and a little salt. You will get the tasty meal you desire, without all the extra calories and fats you don’t need.

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Emrah Mevsimler whose gastric band was removed, fears he’ll regain the weight

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A 21-year-old who became the youngest person in Britain to be fitted with a gastric band is now adapting to life without it after the operation was reversed last week to save his life.

Emrah Mevsimler, from Chelmsford, Essex, was 13 and 17 stone when he had the surgery and admitted on today’s This Morning that he can barely remember a time before it.

The young man, who is now 10st 3lb, hopes his story will discourage others from having a gastric band – but admits he is ‘worried’ about regaining the weight.

The young man had the band removed in a lifesaving operation after it started strangling his internal organs.

Speaking of what it’s like to now be without the band, he said: ‘It’s so strange, I don’t remember how my body was before I was 13. All I remember is having this band since I was 13, it’s now like I am starting fresh.’

He explained how after years of discomfort he was rushed to hospital last week after suffering from abdominal pain.

‘My sister took me straight to A&E as I couldn’t bare the pain. I had some scans done and they took me for emergency surgery. They said if I had gone to hospital any later, it could have killed me because the band was strangling my organs,’ he said.

The decision for Emrah to be fitted with a gastric band when he was still so young caused controversy back in 2007.

However Emrah said he was ‘desperate’ at the time to have it done. He was being bullied at school and thought surgery was his only hope.

‘It was horrible being overweight, I was bullied every day and that created a vicious circle as I then went home and ate for comfort.

‘It got so bad I thought about suicide as I didn’t want to be here and suffering. Every time I looked in the mirror I hated my body and myself,’ he told Eamonn Holmes and Ruth Langsford.

Emrah regularly ate more than 4,000 calories a day, gorging on sweets and fizzy drinks on the way to school before filling up on pizza for dinner.

He said he had tried endless dieting and exercise, but when that failed he thought surgery was his ‘last option’.

After having the band – which reduces the size of the stomach so a person can only consume small portions of food – he lost seven stone.

The schoolboy was left only able to swallow liquids such as soup, and soft food, including mince meat and mash. Some days were so bad he could not even hold down water.

However he admits that he should have explored other options to lose weight, and urges others to do the same.

Now he weighs 10st 3lb and with the band removed, he must learn how to control his appetite without it and continue to eat healthily.

Dr Dawn Harper explained that Emrah had to have the band removed following ‘rare’ complications.

She said: ‘I suspect what happened is the band, which is supposed to go round the stomach, had slipped and got caught so it was squeezing the bowels and obstructing that. This can cause acute abdominal pain. This can then cut off blood supply to the gut which is a life-threatening emergency.’

Asked whether Emrah should have been fitted with the band in the first place when he was 13, Dr Dawn said it was a ‘difficult debate’.

However she admitted that she could understand the decision given that he had been suicidal.

Emrah said he now regrets having the band and hopes his story will serve as a lesson to others.

He said: ‘I would recommend trying to manage being overweight in another way, I wouldn’t want kids going through what I went through.

‘I am feeling so much better now. Someone had to go through it to learn it’s not a great thing to have done, there are a lot of complications. Hopefully now young people will look at me and think twice about having it done.’

Days ago Emrah told MailOnline that the weight loss aids should not be an option for young people.

He said: ‘I think there should be a ban for under 18s. They shouldn’t be offered bands, there should be other things before you get to that stage like exercise.’

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Friday Feedback: Expanding Options to Treat Obesity

Compare Affordable Gastric Banding Surgery In Europe Best Price gastric bypass surgery Friday Feedback: Expanding Options to Treat ObesityThey can also be good to consider for those that are not comfortable or ready for weight loss surgery. Even bariatric surgery is a tool. If we don’t learn

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Diet, Support, And More: How to Prepare for Weight Loss Surgery

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Diet, Support, And More: How to Prepare for Weight Loss Surgery

After scheduling weight loss surgery, patients often have questions and concerns about the impending procedure. Your team of healthcare providers will give you specific instructions about what to do to prepare for the operation. Follow physician recommendations carefully to minimize the risk of complications and to ensure that you get the best results possible.

Losing Weight

To slim down after gastric band surgery, or indeed gastric baypass surgery or gastric sleeve surgery, you will need a strong resolve to stop unhealthy eating habits. Many physicians recommend that patients drop a few pounds prior to surgery. This directive can be an effective way for health care providers to gauge overall commitment to a lifestyle change that will result in improved health. Your doctor may suggest that you lose between 15 and 30 pounds before scheduling your procedure. People who lose weight preoperatively often lose more during the post-op period. Weight loss prior to the procedure often shortens the time you will spend in the operating room, also, because surgeons can perform the procedure more easily. Losing weight also reduces the risk of complications.

Quitting Smoking

Doctors will urge smokers to quit prior to surgery. Smoking cigarettes not only causes serious long-term health issues such as emphysema and cancer, but it also makes it more likely that complications will occur. Patients who smoke are more likely to develop pneumonia after undergoing an operation.

Improving Diet

Health care providers typically refer patients to a nutritionist for dietary counseling. You will learn information about making healthier food choices, serving yourself smaller portions, and taking your time to eat. Making dietary changes prior to the procedure can make it easier to adapt to healthier eating after it is finished.

Psychological Evaluation

Overeating and compulsive eating usually leads to obesity. People who engage in these behaviors often have psychological issues connected with them. To make permanent and positive dietary changes, you may need to explore what led you to overeat in the first place. If you do not understand and resolve these psychological issues, you may not be able to overcome the behaviors after surgery. A psychological evaluation can help you learn about what motivates your behavior so you can make positive changes.

Seminars and Support

Many surgeons offer seminars designed to educate patients about what to expect from weight loss surgery. Attend these seminars so you know your options, and you are ready for typical issues. Your physician may also provide opportunities for participation in support groups with other patients. Sometimes seminars and other educational opportunities are required for preapproval from the surgeon and insurance plans.

Learning about Liquids

After weight loss surgery, you will have stringent rules about drinking liquids with your meals. You will not be able to drink beverages until at least one hour after you finish a meal. If you drink with a meal, the liquids could cause food to move through your stomach too quickly, which may cause excessive hunger. Drinking may also fill up your stomach too much, causing you to become malnourished or dehydrated because you are not eating and drinking correctly. Therefore, learn the rules about liquids and begin getting used to waiting to drink after meals.

Follow recommendations for weight loss surgery to ensure that your recovery is fast and successful.

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Spire Yale Hospital’s spotless infection record helps owners gain national award

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Spire Yale Hospital’s Consulting Rooms on the North Wales Business Park, in Abergele, has doubled in size.

They have taking over the first floor of the building where they have been based on the ground floor since 2009.

The expansion has enabled the healthcare group to introduce a wide range of new services, including non-surgical cosmetic and beauty treatments. Also on offer are acupuncture, sports massage and chiropody.

The new Spire North Wales Cosmetic Suite in Abergele was officially opened by former TV Gladiator Diane Youdale aka Jet who qualified as a psychotherapist and pilates instructor after leaving the hit show.

Diane and a team of specialist teachers are running the exercise side of the operation, providing classes in pilates, zumba and yoga.

She is also working alongside one of the private hospital’s consultants to help patients tackle obesity and other health issues through her “Core Philosphy” workshops.

Rob Roger, Chief Executive of Spire Healthcare, said: “2014 was a transformational year for Spire Healthcare and a landmark in the company’s history.

“As well as listing on the London Stock Exchange in one of the most successful Initial Public Offerings of the year, 2014 saw Spire deliver a strong year in both trading and development, whilst progressing its mission to bring together the best people, dedicated to developing excellent clinical environments and delivering the highest quality patient care.

“I am very proud to be leading the people who make Spire so successful.”

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Balloon in the belly: New weight-loss device offers non-surgical option

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Medical Loans for Weight Loss surgery Balloon in the belly:

Balloons can make you smile. They can be used to present your thoughts and they can carry you up, up and away.

Now they can also help you lose weight.

Thanks to recent approval from the Food and Drug Administration, doctors have the option of a bariatric balloon, a non-surgical, non-chemical way to help people drop pounds. The balloon, shaped like a dumbbell, is inserted through a tube in the mouth into the stomach, where it takes up space.

Only adults with a body mass index of 30 to 40 are eligible for the balloon. But there are between 45 million to 50 million in the U.S. with a BMI in that range, which works out to about 40 pounds to 100 pounds overweight, according to the American Society for Metabolic and Bariatric Surgery.

The stomach-balloon procedure has been available in Europe for several years. The FDA reviewed the procedure last year via testing done through eight centers around the country. Chattanooga Bariatrics was one of those centers and they are the only facilities approved to do the procedure.

Dr. Jaime Ponce, bariatric surgeon at Chattanooga Bariatrics, stresses that, while “this is not a magic bullet, what is exciting about this method is that we now have a non-surgical way to help people lose weight.”

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Sheila L Loses 59 lbs in 8 Months after Gastric Sleeve Surgery

UpdateTestimonial for Gastric Sleeve Surgery in France

Sheila L had gastric Sleeve Surgery on 4th February 2015

Updated 20 October 2015

sheila before and after October 2015

Sheila L in October 2015

sheila_before_after_october-2105-2It is now over 8 months since having Gastric Sleeve surgery in Le Havre, France on 4th February 2015 and I have now lost 27 kilos.

Although this might be slower than some, I am more than happy with my weight loss.

I am feeling fantastic and am able to do so much more. Just walking around has been made so much easier.

I have now taken up swimming and hoping to soon start a zumba class.

I have been getting lots of compliments from people at work about how much weight I have lost, which feels fantastic.

Having gastric sleeve surgery is one of the best decisions I have ever made. It is completely changing my life for the better 🙂 I am feeling full of life instead of being lethargic all the time.

I am now getting into a comfortable size 18 although some clothes I am getting into are 16. I am also feeling more confident being out in public instead of hiding behind baggy clothes.

Sheila L
Full name and Address supplied

Sheila’s previous post and update can be found by following the Link below

https://gastricbandfrance.co.uk/testimonials/sheila-loses-20-4-months-gastric-sleeve-surgery-france.html/

*“Results for gastric sleeve surgery are not guaranteed and will vary from person to person

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