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Why my Weight Loss Procedure Can Fail?

The first and most important step to minimize the chances of failure from a Bariatric Procedure and to increase your Successful Rate is to be well informed about each one of the surgeries before you choose any of them.

What should you know about the Weight Loss Surgeries?

  • The way they work
  • What you should expect from the Lap Band, the Sleeve or the Gastric Bypass in terms of weight loss and/or Type 2 Diabetes
  • Their difference in short and long term benefits
  • Their operative risks and their complication rates
  • How much follow up and support groups you need for each of them
  • How much of the Program Total Patient Care (TPC) you will need with each procedure
  • The adjustments you will need to do to the new changes in your way of life after surgery
  • The commitment expected from you
  • What you should expect from the Doctor or Bariatric Group you will choose
  • The surgical options you could have for each of the procedures in case of a failure
  • At the very end of your research you need to find the cost of each procedure.

What should  you know about the Doctor or Bariatric Group?

  • You have to be well informed about the Doctors or the Team performing the Lap Band, the Gastric Sleeve or the Gastric Bypass.
  • Check their training credentials very well if you are planning to go to a Latin Country, look for Medical Degrees in Private Colleges like Monterrey Tech, University of Monterrey, LaSalle School of Medicine rather then the Government Medical Schools (They have much lower Educational Standards to obtain a Medical degree).
  • Check where they had their Surgical Training, there is also a big difference in the treatment you will receive between doctors trained in a well known Private Hospitals than in the Social Governmental Health Care System.
  • Look if they got Diplomas by Medical Tests or only by subscription to the many Medical Societies.
  • Check the number of Revision Surgeries they have been involved with.
  • Check their Surgical Staff like the Anesthesiologist for good credentials and also is very important to check the experience they have in obesity.
  • Double-check the Ethics and Professionalism of their Promoters.
  • Finally, check the Follow Up and Support they would provide you after your surgery.

The Diet Rules you have to follow regardless the Weight Loss Procedure you choose:

  • Follow the Diet Steps recommended by your Doctor or the Nutritionist after surgery.
  • Avoid Gastric irritants as Alcohol, Coffee, Hot or Spicy, Vinegar, Soy Sauce or other Acid Beverages.
  • Chewing very well will help to maintain the pouches’ size preventing stomach stretching.
  • Have 6 small meals a day.
  • Eat slow; take your time at the table.
  • Preferably, hydrate between meals.
  • Avoid High caloric intake, don’t sabotage your surgery

Failure features characteristically observed with Bariatric Procedures:

  • Big Gastric Pouches
  • Mega- esophagus
  • Wide Gastric Sleeve
  • Excessive tightness of the Gastric Band
  • Wide outlet of the Bypass Gastro-Yeyuno
  • Very Short common limb of the Gastric Bypass

Arturo Rodríguez, MD

     

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