Bariatric surgery risks and complications gas kansas


In order to insure safety and to maximize weight loss results, regular nutrition visits are required both before and after your weight loss surgery. The bariatric registered dietitians staff at The Miriam Hospital is available to help you through your journey.

During the weight loss period you will lose your body fat, with little change in your muscle mass. This is very important, since loss of muscle mass is a form of protein malnutrition that can have serious consequences. Some physical changes are commonly associated with weight loss: Sagging Skin

As you get thinner, you will notice you will have a lot of extra skin. The younger you are, the greater the likelihood that your skin will still have enough elasticity to shrink as you shrink. This may be helped by daily exercises. Unfortunately, the shrinkage of skin is never 100 percent and usually is very little. Thus, it should be expected that your breasts will sag, as may your upper arms, abdomen and thighs. The firmness you had when you were obese is gone.

About 15 to 20 percent of people who lose 100 pounds or more ask for procedures to reduce the abdominal apron (tummy tuck), the sagging of breasts (mammopexy) or the extra skin on the upper arms (arm reduction) or thighs (thigh reduction). These are plastic surgery procedures which are usually not covered by insurance companies. Under some medically necessary circumstances, however, insurance may cover a large part of these expenses. Hair Loss

Another frequent complaint by patients after bariatric surgery is hair loss. This is probably partly related to some decrease in protein nutrition, but other factors also appear to be important. By three months, you may feel that you are going bald. In fact, you are not going bald. Almost all patients experience significant hair loss. By six months, hair growth should be returning to normal, and by one year, there should be little or no change from what you started with prior to surgery.

Some patients who have the gastric bypass surgery may have dumping syndrome. The dumping syndrome is a condition of crampy abdominal pain, lightheadedness and diarrhea that occurs when a high concentration of foodstuff, particularly sugars, rapidly enters the small intestine.

It is essential that you change your eating behaviors in order to maximize weight loss and reduce the chance that you will develop nutritional deficiencies such as anemia, loss of bone or muscle mass from an inadequate intake of calcium or protein. Protein rich foods (low fat dairy, legumes, poultry, meat, fish, egg, and soy) should come first at a meal. You will require a protein supplement for several months.

The trade-off of having a weight loss procedure of any type is the complications associated with it. The incidence of death from the operation itself is approximately 1% or less, and 25-30% of patients will develop some form of complication after the operation. Fortunately, most of these complications are minor, consisting of wound infections, respiratory problems, hernias in the incision and vomiting. Complications of gastric bypass:

The long-term complications of this operation are related to vitamins and minerals. Approximately 50 to 60% of patients will develop iron deficiency, 75% will develop low vitamin B-12 levels and 40% will develop low folate levels. These deficiencies, either alone or in combination, result in a 30 to 40% incidence of anemia which can be serious at times. In order to correct for these problems, patients are supplemented with daily iron, multivitamins, B-12 and folate pills. The addition of these vitamins and minerals eliminate these complications for the most part. Complications of BPD (biliopancreatic diversion):