Deenanath Mangeshkar Hospital
& Research Center
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Before surgery your surgeon requires to know your physiological status and asses your co morbid conditions. Hence you are required to do few investigations
Pre Operative Investigations :
BLOOD : Hemogram Blood sugar levels, both fasting and after lunch Blood urea levels & S. creatine Lipid profile Liver function tests Thyroid function tests
URINE : Routine and Microscopic Abdominal sonography, X ray chest ECG Pulmonary function tests Upper GI endoscopy
Visit to a Nutritionist :
Your nutritionist is one of the important part of your team who will be guiding you towards weight reduction. Preoperatively she will instruct about a suitable diet to reduce the size of your liver. She will also brief you about post operative diet modifications.
Visit to a Psychiatrist :
To make your life comfortable after surgery, psychiatrist also is a important part of the team. He will advise you about lie style modifications as well as behavioral modifications.
Visit to a Anaesthetist :
Obesity surgery is a major surgery. It requires general anaesthesia during the procedure. To make yourself safe for surgery, anaesthetist will evaluate before surgery with respect to general anaesthesia. During this visit anaesthetist will go through all your investigations allready done. He may advise you according to your physiological status.
Is it safe :
Obesity surgery carries risks not more than any other major surgery .By doing various tests and your evaluations before surgery it reduces the disease related risk.
What do I expect from Surgery :
Obesity surgery is a tool and not a complete treatment for obesity. It is important to have a regular follow up, controlled supervised diet, and regular exercise for weight loss. It is possible that your diabetes as well as hypertension may get partially or even completely resolved
Will obesity surgery work for me ?
Nothing can be guaranteed. However, obesity surgery has proven track record of success in achieving sustained weight loss over long period of time. Lapband will cause wt loss at average of about 55 % of excess body weight over long period of time. The incidence of failure of obesity surgery is rare.
How much weight will I loose ?
It is not predictable. But after lapband one looses 60% of excess weight in 18 months.
Types of Surgery :
Adjustable gastric banding
Gastric by pass procedure
Advantages of laproscopic surgery :
It causes less discomfort
Requires a very short stay after surgery
Early resumption of work
What will be my diet after surgery :
On a day after surgery, if your swallow study is ok you will begin sips of water. However you will Not use straws or carbonated beverages. You will start only with small amount of water to avoid over filling of the gastric pouch. If you tolerate clear water, you may be allowed to have lime water or electral water. On the third day when you tolerate clear lyquids without vomiting you will be shifted to caloric dense liquids and with clear lyquids. Gradually over the period of days you will drink more quantity of calric dense liquid with water.
Your first priority will be to drink enough fluid to prevent dehydration. Protein rich fluid is your second priority supplementing with appropriate vitamins and minerals. However always avoid food stuff that is high in fat, fibre (fruits & vegetable) and sugar.
Success to adopt to this modified food lies only with you. Always eat slowly and avoid over eating. Chew well your food & avoid drinking fluids 30 minutes before and with meals. Avoid sticky foods like cheese, pasta or bread. Also avoid any hard to digest food. Never have airated beverages and foods at extremes of temperature. And lastly try one new food at a time.