I had a gastric sleeve november 27. I have a bmi of 33 My surgery weight was 182 My current weight is 182 I dont understand this. I am exercising and following the plan I dont understand. I also dont feel my restriction is tight. What can I do?
Answer: Gastric sleeve revision surgery There are different causes why a bariatric procedure can fail, not letting reach your weight goals. The main reasons are:TECHNICAL: The surgery was not executed optimally, this is very rare, but unfortunately occurs. MECHANICAL: This could be an alteration of the procedure due to the transit of the food o pressure from the body.ADAPTATIVE: The body has adapted to the modifications made by the surgery, in the case of gastric sleeve, increase elasticity making the gastric reservoir larger. But whatever the cause, it might be pertinent to do and x-ray study (barium swallow) to assess the size and shape of your sleeve.You should seek a consult with a bariatric surgeon with experience in revision surgeries, to asses your case and look for the best option for you.
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Answer: Gastric sleeve revision surgery There are different causes why a bariatric procedure can fail, not letting reach your weight goals. The main reasons are:TECHNICAL: The surgery was not executed optimally, this is very rare, but unfortunately occurs. MECHANICAL: This could be an alteration of the procedure due to the transit of the food o pressure from the body.ADAPTATIVE: The body has adapted to the modifications made by the surgery, in the case of gastric sleeve, increase elasticity making the gastric reservoir larger. But whatever the cause, it might be pertinent to do and x-ray study (barium swallow) to assess the size and shape of your sleeve.You should seek a consult with a bariatric surgeon with experience in revision surgeries, to asses your case and look for the best option for you.
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Answer: Talk to your surgeon... I understand your concern about not seeing the desired weight loss after having a gastric sleeve procedure. It's essential to address this issue and find the best course of action to help you achieve your weight loss goals. First and foremost, it's important to note that every patient's response to bariatric surgery can vary, and there are several factors that could influence your progress. Given that you had a gastric sleeve procedure in November and have not experienced significant weight loss, there are a few potential reasons for this. One possibility is that there may be an issue with your gastric sleeve, such as stretching or complications, which could be assessed with an esophagogastroduodenoscopy (EGD) to determine its condition. However, based on the information you've provided, it's more likely that the issue lies with your diet and lifestyle habits. While you're following the recommended post-operative plan and engaging in exercise, the quality and quantity of the food you're consuming may need closer examination. It's possible that you're not adhering to the recommended dietary guidelines for your specific surgery. Portion control, nutrient intake, and food choices are critical aspects of a successful recovery and weight loss journey after a gastric sleeve. To address your concerns effectively, I would recommend scheduling an appointment with your bariatric surgeon or a registered dietitian who specializes in bariatric nutrition. They can review your dietary habits and provide guidance on making necessary adjustments. Additionally, they can determine if an EGD is warranted to assess the condition of your gastric sleeve. Remember that each patient's journey is unique, and patience and persistence are key during this process. It's essential to work closely with your medical team to tailor your plan to your specific needs and address any obstacles that may be impeding your weight loss progress.
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Answer: Talk to your surgeon... I understand your concern about not seeing the desired weight loss after having a gastric sleeve procedure. It's essential to address this issue and find the best course of action to help you achieve your weight loss goals. First and foremost, it's important to note that every patient's response to bariatric surgery can vary, and there are several factors that could influence your progress. Given that you had a gastric sleeve procedure in November and have not experienced significant weight loss, there are a few potential reasons for this. One possibility is that there may be an issue with your gastric sleeve, such as stretching or complications, which could be assessed with an esophagogastroduodenoscopy (EGD) to determine its condition. However, based on the information you've provided, it's more likely that the issue lies with your diet and lifestyle habits. While you're following the recommended post-operative plan and engaging in exercise, the quality and quantity of the food you're consuming may need closer examination. It's possible that you're not adhering to the recommended dietary guidelines for your specific surgery. Portion control, nutrient intake, and food choices are critical aspects of a successful recovery and weight loss journey after a gastric sleeve. To address your concerns effectively, I would recommend scheduling an appointment with your bariatric surgeon or a registered dietitian who specializes in bariatric nutrition. They can review your dietary habits and provide guidance on making necessary adjustments. Additionally, they can determine if an EGD is warranted to assess the condition of your gastric sleeve. Remember that each patient's journey is unique, and patience and persistence are key during this process. It's essential to work closely with your medical team to tailor your plan to your specific needs and address any obstacles that may be impeding your weight loss progress.
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January 17, 2022
Answer: Diet after Sleeve Hello,Thanks for your question.Your diet should be reviewed and organised.(should be 70% protein, you should exercise, drink a lot of water and solid-liquid seperation)Then it is necessary to check with Endoscopy.Have a healthy dayDr HE
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January 17, 2022
Answer: Diet after Sleeve Hello,Thanks for your question.Your diet should be reviewed and organised.(should be 70% protein, you should exercise, drink a lot of water and solid-liquid seperation)Then it is necessary to check with Endoscopy.Have a healthy dayDr HE
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November 12, 2018
Answer: I haven’t lost weight since my gastric sleeve—what can I do? Hello, Thank you for your question. Congratulations on your surgery, I am sorry you are not getting the results you expected. In my experience, patients tend to lose 20-30 pounds in the first month and average 10 a month thereafter. That said, it is not unheard of for patients to lose little weight the first month following gastric sleeve surgery. Factors that influence the rate and total weight loss include gender, age, starting BMI, and extent of lifestyle changes. The goal of the first month is to keep hydrated and focus on maintaining a healthy lifestyle. This includes following the regimented dietary guidelines that your doctor has most likely provided for you. I caution you to avoid puréed and soft foods and be careful you do not consume too many liquid calories. It is much easier for sleeve patients to consume too many calories through liquids than with solid food. This is because the liquids are digested more quickly than the solids, allowing the patient to more easily "overeat" if consuming high-calorie liquids. Excessive liquid calories can stall and even reverse weight loss. It’s also important not to consume liquids with solids since it can push the food more quickly through your stomach. I am happy to here you are committed to regular exercise. At this point the goal is 45 minutes of daily exercise. Follow up care with your surgeon and support team (ideally including a therapist and nutritionist) are essential to help you determine the underlying cause of your weight loss stalling; it's important not to feel discouraged during these times and to look to your care team and support network for guidance and encouragement. Kind regards, Dr. Moein
Helpful 1 person found this helpful
November 12, 2018
Answer: I haven’t lost weight since my gastric sleeve—what can I do? Hello, Thank you for your question. Congratulations on your surgery, I am sorry you are not getting the results you expected. In my experience, patients tend to lose 20-30 pounds in the first month and average 10 a month thereafter. That said, it is not unheard of for patients to lose little weight the first month following gastric sleeve surgery. Factors that influence the rate and total weight loss include gender, age, starting BMI, and extent of lifestyle changes. The goal of the first month is to keep hydrated and focus on maintaining a healthy lifestyle. This includes following the regimented dietary guidelines that your doctor has most likely provided for you. I caution you to avoid puréed and soft foods and be careful you do not consume too many liquid calories. It is much easier for sleeve patients to consume too many calories through liquids than with solid food. This is because the liquids are digested more quickly than the solids, allowing the patient to more easily "overeat" if consuming high-calorie liquids. Excessive liquid calories can stall and even reverse weight loss. It’s also important not to consume liquids with solids since it can push the food more quickly through your stomach. I am happy to here you are committed to regular exercise. At this point the goal is 45 minutes of daily exercise. Follow up care with your surgeon and support team (ideally including a therapist and nutritionist) are essential to help you determine the underlying cause of your weight loss stalling; it's important not to feel discouraged during these times and to look to your care team and support network for guidance and encouragement. Kind regards, Dr. Moein
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April 1, 2020
Answer: Multiple possible causes 1. Caloric intake2. Energy expenditure3. Surgical factorsCaloric intake and energy expenditure are relatively self-explanatory.Surgical factors in this situation mainly refers to how "tight" a sleeve is. Another way of looking at it is: how much stomach is left behind. A "loose" sleeve can mean reduced food portion restriction.
Helpful
April 1, 2020
Answer: Multiple possible causes 1. Caloric intake2. Energy expenditure3. Surgical factorsCaloric intake and energy expenditure are relatively self-explanatory.Surgical factors in this situation mainly refers to how "tight" a sleeve is. Another way of looking at it is: how much stomach is left behind. A "loose" sleeve can mean reduced food portion restriction.
Helpful