Bariatric Surgery: do the benefits outweigh the risks?

Bariatrics, Risk vs Reward 

 

  • Obesity prevalence is the highest it has ever been. The Centers for Disease Control and Prevention (CDC) states that more that one-third of adults are affected. And with the increase in obesity comes an increase in the number of bariatric surgery procedures. But how safe are the procedures, and do the benefits outweigh the risks?
  • There is no doubt that obesity is a major cause of a number of serious and potentially life-threatening diseases.
  • The condition can lead to type 2 diabetes, heart disease, stroke, and it has also been linked to some cancers including breast cancer and colon cancer. Furthermore, the condition can severely damage a person’s quality of life, leaving them immobile and often triggering depression.
  • Based on these factors, it is not difficult to understand why overweight individuals look to various interventions in order to combat their condition. Bariatric Surgery is now one of the most common interventions to which these individuals turn.

LONG TERM LIFESTYLE CHANGE

  •  
    Before committing to bariatric surgery, understand that long-term success depends on the ability to make permanent lifestyle changes – Some of these changes include, healthy eating, regular exercise and taking supplements.
  • People who undergo bariatric surgery need to fully understand the risks that any surgery pose.  Patients who do undergo bariatric surgery can experience significant improvements in diabetes and other health measures.

Bariatric Options:                                                       Medical Form

Gastric Balloon                                                        
Lap Band
Mini Gastric Bypass
Full Gastric Bypass
Gastric Sleeve
Gastric Plication Surgery
Conversion or Revision Surgery
Duodenal Switch Surgery

dr. sergio verboonen
              Dr. Sergio Verboonen

Much success in your journey.

Respectfully,
International Patient Facilitators – Cancun and Tijuana, Mexico
On behalf of Dr. Sergio Verboonen
info@ipf-mail.com

1 800 210 5124 

Why do things taste different

Why do things taste different

Is it possible to not like bacon? If you’re a patient who’s had gastric bypass, gastric sleeve or Mini Bypass surgeries, bacon may be one of those foods you just don’t like anymore. Add dairy, sweets and fried foods to that list of dislikes and you may be wondering if the surgeons operated on your tongue as well as your stomach. 

You are not alone

Rest assured you’re not alone in this phenomenon. Changes in the way food tastes, smells or is tolerated are incredibly common following weight loss surgery. Much to the delight of dietitians everywhere, these changes in taste tend to work to the patient’s advantage! Studies indicate patients who reported food aversions had greater weight loss and reduced BMI following surgery compared to those who experienced no food aversions.

Bariatric Options:                                                       Medical Form

Gastric Balloon                                                        
Lap Band
Mini Gastric Bypass
Full Gastric Bypass
Gastric Sleeve
Gastric Plication Surgery
Conversion or Revision Surgery
Duodenal Switch Surgery

dr. sergio verboonen
              Dr. Sergio Verboonen

Much success in your journey.

Respectfully,
International Patient Facilitators – Cancun and Tijuana, Mexico
On behalf of Dr. Sergio Verboonen
info@ipf-mail.com

1 800 210 5124 

Let’s discuss a few realities post op

Make Smart Choices Please

If you are overweight, obese or morbidly obese and you believe that you eat the same foods as your naturally slim friends, it is a relatively sure bet that you are mistaken. I know this is harsh but it’s the truth. Being ‘naturally’ slim is not just by design, it’s also by the preferences they have and choices they make that sometimes seem effortless to those of us who struggle with weight. Studies show that people who are slim don’t look for reasons to indulge and keep a similar schedule by consuming moderate or lower calorie foods day in and day out. The glaring reality is that obese people DO make poor choices – some of these foods are calorie dense, while others are naturally large and hard to eat in smaller portions. Some are BOTH high in calories and difficult to consume in daintier amounts. It’s no surprise that folks who eat these foods on a regular basis, pack on and maintain heavier body weights. The solution is awareness, portion control and simply choosing foods that taste as good that are not so high in calories. We have to first see it and then work to change it.

8 Foods that overweight people tend to choose every day: 1/ Fancy Coffee Drinks, 2/ Bagels, 3/ Cream Cheese, 4/ Salad Dressing, 5/ Processed Carbs, 6/ High Calorie Beverages, 7/ Chips and Crackers 8/ Chinese Foods   Old habits die hard but they are just habits. Tastes can be retrained but we first have to come to terms and accept that it IS within our control and we DID cause our own obesity. Bariatric surgery is just a tool to use to help us get out from under the burden of 100 pounds or more but after that it’s up to us. After the ‘Honeymoon Period’ where weight loss is automatic, we are driving the car and need to use the surgically created tool to stay on the highway. Know what you are eating and think as to whether or not that 500 calorie creamed spinach would make you that much happier than 70 calorie grilled asparagus. Which one would your naturally slim friend choose?

Bariatric Options:                                                       Medical Form

Gastric Balloon                                                        
Lap Band
Mini Gastric Bypass
Full Gastric Bypass
Gastric Sleeve
Gastric Plication Surgery
Conversion or Revision Surgery
Duodenal Switch Surgery

dr. sergio verboonen
              Dr. Sergio Verboonen

Much success in your journey.

Respectfully,
International Patient Facilitators – Cancun and Tijuana, Mexico
On behalf of Dr. Sergio Verboonen
info@ipf-mail.com

1 800 210 5124 

How to prevent the stretch after bariatric surgery

Eating one or two large meals will not lead to a permanently stretched stomach or issues with your hunger and fullness triggers. However, doing this multiple times can lead to issues.

The list below hi-lights key points to reduce the risk of stretching your stomach after gastric surgery.

Tip 1. Limit Volume not Sweets.
Instead of totally limiting every aspect of your diet, give yourself a reward once a week with a special treat limited in size. But do not go out and eat a large meal – regardless of the type of food.

Tip 2. Do not drink when you eat
It’s better to drink your fluids an hour or two before eating and/or an hour or two after. This lets the fluids digest and they won’t increase the amount of gas that can build or limit the amount of space for nutrient dense foods. 

Tip 3. Meal Size
If you do have a bigger than normal meal, make your next meal small and make sure you don’t make larger meals a habit.

Tip 4. Do not get discouraged
If you fell off the wagon and binged one or two meals or even the entire previous week. The stomach and the mind is an amazingly resilient thing. Start over and start eating normal meals again.

So stretching your stomach after gastric sleeve surgery is not a myth. It can happen and it does happen – but the stomach will never revert to it’s original size pre.op. Be aware of it and prevent it. Remember how hard the surgery and recovery was? Remember what a big decision you made? Its never too late to change your habits and get back on the right track.

Bariatric Options:                                                       Medical Form

Gastric Balloon                                                        
Lap Band
Mini Gastric Bypass
Full Gastric Bypass
Gastric Sleeve
Gastric Plication Surgery
Conversion or Revision Surgery
Duodenal Switch Surgery

dr. sergio verboonen
              Dr. Sergio Verboonen

Much success in your journey.

Respectfully,
International Patient Facilitators – Cancun and Tijuana, Mexico
On behalf of Dr. Sergio Verboonen
info@ipf-mail.com

1 800 210 5124 

The First Food Stage Post Surgery

Bariatric Clear Liquids 

You are home from the hospital and resting uncomfortably on the sofa. All the notes you took as a pre.op are written in Greek, and you  don’t remember what to do. What you may have heard from or about other patients may not be the same for you. To be successful in maintaining weight loss, you’ll have to commit to new eating habits. You’ll also want to follow any guidelines that your physician will provide Remember though that we have been there and have lived it.

In the first stage after surgery patients should drink clear liquids; defined as liquids that one can see through. Doctors require anywhere from a few days up to even one week of clear fluids after surgery to minimize need for digestion, and lessen production of solid waste; allowing your gastrointestinal system to heal. Liquids should be sipped slowly as gulping can cause pain.

Immediately after surgery you must drink enough fluids to keep hydrated. There are a small percentage of post ops who are re-hospitalized because of dehydration, so it is important to sip fluids constantly throughout the day.

Warm drinks such as herbal tea or broth are soothing and relax the stomach or pouch. Clear proteins can be blended with Crystal Light or broth and will help your body to heal.

Everything will taste too sweet – use more water or add crushed ice to dilute it to your taste.  Focus on your exciting new future, drink your liquids, and pull yourself through this initial period.

Your choices are purposely very limited – hang on and do not progress to the next stage until you are told to.

Bariatric Options:                                                       Medical Form

Gastric Balloon                                                        
Lap Band
Mini Gastric Bypass
Full Gastric Bypass
Gastric Sleeve
Gastric Plication Surgery
Conversion or Revision Surgery
Duodenal Switch Surgery

dr. sergio verboonen
              Dr. Sergio Verboonen

Much success in your journey.

Respectfully,
International Patient Facilitators – Cancun and Tijuana, Mexico
On behalf of Dr. Sergio Verboonen
info@ipf-mail.com

1 800 210 5124 

Exercise that’s not hard on the knees. Excuse Gone. Poof.

our dirty little secret ?

I get that we all thought that if we had weight loss surgery it would fix things and we would never need to worry again. That’s just not true. 

Surgery Gave us a pass to get out from under the weight but now it’s up to us to preserve that gift.

We cannot expect to maintain our new body weights for the rest of a long life without exercise. The dirty little bariatric secret. I know we aren’t supposed to admit it, but I get it and it’s just between us.

Own It.

Too many post ops use the excuse that they have bad legs, knees, ankles… and because of this they CANNOT exercise. Fact is, it’s an excuse. It’s from the same group of excuses we all used for years as to why we were 255 pounds. I DONT UNDERSTAND IT, I DONT EAT THAT MUCH, I MUST JUST HAVE A BAD METABOLISM. Psssst… it is bs. I ate very high calorie food, took in way more calories than I burned, and didn’t burn any sitting on the sofa. I own it.

Just a LITTLE exercise you can do – I promise that it will make a big

difference!

Bariatric Options:                                                       Medical Form

Gastric Balloon                                                        
Lap Band
Mini Gastric Bypass
Full Gastric Bypass
Gastric Sleeve
Gastric Plication Surgery
Conversion or Revision Surgery
Duodenal Switch Surgery

dr. sergio verboonen
              Dr. Sergio Verboonen

Much success in your journey.

Respectfully,
International Patient Facilitators – Cancun and Tijuana, Mexico
On behalf of Dr. Sergio Verboonen
info@ipf-mail.com

1 800 210 5124 

 

Dining out after bariatric surgery

Spring is here, and for many this is the season when a lot of time will be spent dining out. However, this can be challenging after weight-loss surgery and many people avoid going to restaurants to prevent overeating or eating the wrong foods.

But since dining out is a normal part of life for many, we recommend that you not avoid eating out but instead educate yourself and choose your foods wisely.

.The following strategies will assist you in making the healthiest food decisions so you can leave the restaurant feeling light and satisfied rather than heavy and guilty.

• Check the calories of every meal. Most restaurants can provide you with the calorie content of every dish they serve.

• Ask that bread and butter not be served at your table. 

• Choose a dish with lean protein such as fish, chicken or turkey.

• Choose a side of complex carbohydrate such as yams or whole wheat pasta, with a side green salad or steamed or grilled vegetables. 

• Ask how the food is prepared and avoid items that are fried, pan-fried or breaded. 

• Choose foods that are baked, broiled, grilled or roasted.

• Share your main course or request a to-go container with your food and, before you begin eating, portion out your food to approximately: 3 oz protein, ¼ cup complex carbohydrate and ½ cup vegetables. If this portion is too much, eat until you feel satisfied and add the leftovers to your to-go container. 

• Eat slowly and chew your food to a liquid consistency. To help you accomplish this, it is best to set your utensils down between bites. 

Bariatric Options:                                                       Medical Form

Gastric Balloon                                                        
Lap Band
Mini Gastric Bypass
Full Gastric Bypass
Gastric Sleeve
Gastric Plication Surgery
Conversion or Revision Surgery
Duodenal Switch Surgery

dr. sergio verboonen
              Dr. Sergio Verboonen

Much success in your journey.

Respectfully,
International Patient Facilitators – Cancun and Tijuana, Mexico
On behalf of Dr. Sergio Verboonen
info@ipf-mail.com

1 800 210 5124 

• Don’t drink with your meals since liquids may push food down and allow you to fit more food in your pouch. It is best to avoid liquids 15 minutes before and 30 minutes after a meal.

• Prior to choosing the restaurant it is always a good idea to look up the menu and nutrition facts on-line

We hope that you find these strategies helpful and that you enjoy your next dining-out experience. And remember, it is best to do everything in moderation. 

Fake Fried Zucchini

Print Recipe
Fake Fried Zucchini
Fake Fried Zucchini
Prep Time 10 minutes
Cook Time 15 minutes
Servings
people
Ingredients
Prep Time 10 minutes
Cook Time 15 minutes
Servings
people
Ingredients
Instructions
  1. preheat oven to 400'
  2. spray cookie sheet with canola spray
  3. mix dry ingredients in a flat pan or dish
  4. mix milk and egg white in another dish
  5. slice zucchini
  6. dredge in milk then breadcrumb mix
  7. spray top of zucchini
  8. bake until brown and crispy turning once
Recipe Notes

serving size -1/2 an entire zucchini

Number of Servings: 4

Learning to add food back to your diet after surgery.

What is “normal food”?

Once released to go on your merry way and eat ‘real’ or ‘normal’ foods proceed with caution.  Many post ops live in the Soft Food Zone forever – not purees or baby food, but just softer moister foods. Foods will need to have a softer texture in the beginning in order to comfortably eat them. Dry or dense foods will not work for a Lap Band, RNY, or Gastric Sleeve after your surgery. We also need to move away from processed foods as well. If a food has been changed from it’s original state and boxed or packaged where it does not go bad, leave it on the supermarket shelf.

Welcome to the real world of bariatric surgery. Protein foods such as chicken or fish need to be cooked so they are not dried out and then often need to be further moistened with salsa’s sauces, low fat vegetable gravies, salad dressing, low or no sugar sauces, or yogurt based dips so that they chew up into a moist mouthful. We must always practice mindful eating in regards to choices and textures.

Tuna, chicken, shrimp, and egg salads are very good first foods and make nice lunches for work. Paired with a few bites of tender baby greens or chopped tossed salad, they are super easy to eat and healthy too.

Positive Changes for the Entire Family

It is not a good idea to get into the habit of cooking separate meals as it can emotionally separate you from your family. We are often responsible for the care and feeding of the household and they probably benefit from the positive change as well.

Always eat your moist protein first, followed by a couple of bites of the accompanying vegetables. Three bites protein for every one bite of vegetables is a good start – later on it will be a more balanced one for one bite.

When you have a feeling of satisfaction and do not care about eating another bite of food, stop. Do not eat past a point of satisfaction or fullness. As time progresses you will learn to recognize this point.

Bariatric Options:                                                       Medical Form

Gastric Balloon                                                        
Lap Band
Mini Gastric Bypass
Full Gastric Bypass
Gastric Sleeve
Gastric Plication Surgery
Conversion or Revision Surgery
Duodenal Switch Surgery

dr. sergio verboonen
              Dr. Sergio Verboonen

Much success in your journey.

Respectfully,
International Patient Facilitators – Cancun and Tijuana, Mexico
On behalf of Dr. Sergio Verboonen
info@ipf-mail.com

1 800 210 5124 

Stuffed Green Peppers

Print Recipe
Stuffed Green Peppers
Stuffed Green Peppers
Prep Time 20 minutes
Cook Time 30 minutes
Servings
people
Ingredients
Prep Time 20 minutes
Cook Time 30 minutes
Servings
people
Ingredients
Instructions
  1. Combine 1/2 cup rice with 1 cup of water. Cook per directions on rice package.
  2. Wash and Core The Green Peppers - set aside
  3. Heat Oven to 400C
  4. While rice is cooking, in large skillet, brown ground beef. Drain. Set meat aside on paper towels to continue to drain.
  5. Place diced tomatoes, onion, garlic powder, and basil in skillet. Cook on low heat for 15-20 minutes. Add ground beef and cooked rice into mixture. Salt and pepper to taste.
  6. Stuff Peppers with the mixture and bake in oven for 30 minutes
Recipe Notes

Makes 4 servings.