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what's the biggest concern after weight loss surgery?

Can anyone tell me about the post-surgery? What is the biggest concern for after the surgery (Bariatric or other)?
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replied March 29th, 2014
Thank you for asking!
Bariatric surgeries are the last resorts when conservative measures are not working and that is one in thousand case. It gets troubled if it is done in contra indications where it should not be done. Contraindications to bariatric surgery include illnesses that greatly reduce life expectancy and are unlikely to be improved with weight reduction, including advanced cancer and end-stage renal, hepatic, and cardiopulmonary disease.

Patients who are unable to understand the nature of bariatric surgery or the behavioral changes required afterward, including untreated schizophrenia, active substance abuse, and noncompliance with previous medical care, are also considered contraindications to bariatric surgery.

Here are some biggest troubles and complications after this bariatric surgery procedures.

Early complications
Anastomotic leak (1-3%)
Pulmonary embolism, deep vein thrombosis (< 1%)
Wound infection (more common with open approach)
Gastrointestinal hemorrhage, bleeding (0.5-2%)
Respiratory insufficiency, pneumonia
Acute distention of the distal stomach
Injury of the stomach or esophagus
Food intolerance (most common immediate postoperative complication)
Wound infection

Late Complications:
Stomal stenosis, most common (20%)
Bowel obstruction, small bowel obstruction (1%)
Internal hernia
Micronutrient deficiencies
Marginal ulcer
Staple line disruption
Ventral hernia formation (more prevalent after open approach)
Food intolerance or noncompliance to band (13%)
Band slippage (stomach prolapse) (2.2-8%)
Pouch dilatation
Band erosion into the stomach
Port complications
Reoperation rate (2-41%)
Esophageal dilatation
Failure to lose weight
Port infection, band infection
Leakage of the balloon or tubing
Mortality rate (0.5%; 0% in some series)

The last but not the least troubles are nutritional and micronutrients deficiencies.
Fat malabsorption results in diarrhea and foul-smelling gas in approximately 30% of patients.

The potential nutritional deficiencies mandate frequent follow-up visits, with close monitoring and supplementation of multivitamins and minerals.

Malabsorption of fat soluble vitamins (vitamins A, D, E, and K)
Vitamin A deficiency, which causes night blindness
Vitamin D deficiency, which causes osteoporosis
Iron deficiency (similar incidence to Roux-en-Y gastric bypass procedure)
Protein-energy malnutrition (may require a second operation to lengthen the common channel)
I hope it helps
Take care
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replied December 19th, 2014
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My sister in laws had the lap band surgery both were failures, one because she never dealt w the mind issues, the food gets stuck so the 2nd SIL has to vomit every time she eats, while she's lost a lot of weight, she said she would reverse it if she could handle the surgery. You MUST deal with the emotional issues, before doing these surgeries.. There is NO QUICK Fix
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