Frequently Asked Questions
How much weight can I expect to lose?
It depends on:
- type of surgery
- BMI/starting weight
- your compliance
Average expected weight loss is about 5 to 30 pounds per month, slowing down over time as you approach goal weight. The anticipated successful result is greater than 50% excess weight loss for greater than five years.
How does bariatric surgery work?
It works by either restriction or malabsorption or a combination of the two. Restrictive procedures decrease food intake by creating a smaller stomach. Malabsorptive procedures alter the digestive process, causing sweets/fats to be incompletely absorbed.
Will my activities be limited after surgery?
Your activities are limited only by your physical problems. Otherwise, you can do anything you want to do and are physically capable of doing. You are encouraged to become physically active as soon as possible after surgery.
What lifestyle changes are required of me in order to be successful?
Some general guidelines for success are:
- Have a good relationship with your surgeon and his office staff
- eat 3 meals a day
- avoid carbonated beverages, high calorie nutritional supplements, high-fat foods, and foods with a high sugar content- i.e., more than 5 grams of sugar per serving
- when eating solid foods, chew each bite 25 to 30 times
- do not drink fluids while eating; wait 30 minutes after eating to drink fluids
- start a regular exercise program
- take vitamins and supplements as recommended
- attend bariatric support groups regularly
- avoid complacency and remember that obesity never takes a day off or a vacation
What will happen the day of surgery?
The day of your surgery, you will:
- arrive in Day Surgery on the second floor of Building A at the time specified by your surgeon’s office scheduler
- you will meet with a nurse who will take your vital signs, ask a few questions, and give you a gown to change into
- when your surgeon is ready, an orderly will bring you on a stretcher to the Pre-operative Holding Area where you will meet your surgical nurse and your anesthesiologist
- you will be given some warm blankets, you will be asked some questions, and your IV will be started
- next, your anesthesiologist and your nurse will wheel you to the operating room where you will be asked to move over to the OR bed
- a safety strap (seat belt) will be placed across your body and some sleeves will be placed on your lower legs which will compress and release your legs to keep the blood flowing while you are asleep
- you will be asked to breathe some oxygen via a mask and then you will drift off to sleep with the help of general anesthesia
- your surgery will be performed and, afterwards, you will be awakened and transported to the Recovery Room
- you will stay in the Recovery Room until you are more awake and your pain is controlled
- you will then be transported to the bariatric nursing floor and taken to your room where you will meet your nurse who will go over your plan of care with you and your family
- you will be expected to walk within 4 hours of arriving on the bariatric nursing floor
- you will need to call for assistance before walking for the first time
- when your surgeon gives the order, you will start a bariatric clear liquid diet
- when you are tolerating liquids, your pain is under control, and you are able to urinate adequately, your surgeon will write your discharge order and you can go home