Life after bariatric surgery

Life after bariatric surgery involves a series of adjustments and changes that are crucial to maintaining weight loss and improving overall health. Bariatric surgery is not just a quick fix for obesity; it requires a commitment to a new lifestyle, including changes in diet, exercise, and psychological support.

Leading consultant laparoscopic (keyhole), upper gastrointestinal and bariatric (weight loss) surgeon Mr Sherif Awad provides an overview of what to expect after the procedure.

What dietary changes are involved after bariatric surgery?

After bariatric surgery, your diet will go through several stages as your body heals and adjusts to the changes:

• Immediate post-surgery diet: Initially, you will be on a liquid diet for about one to two weeks. This phase helps your stomach heal without being stretched by food.
• Transition to soft foods: Gradually, you'll transition to pureed and soft foods over the next few weeks. Foods like yoghurt, mashed potatoes and scrambled eggs are typically allowed during this phase.
• Long-term diet: Eventually, you'll reintroduce solid foods, focusing on high-protein, low-fat, and low-sugar options. Portion control becomes critical, as your stomach can only hold small amounts of food.

What kind of physical activity do I have to do?

Regular physical activity is essential for long-term success after bariatric surgery:

• Early activity: Shortly after surgery, light activities like walking are encouraged to promote circulation and aid in recovery.
• Gradual increase: As you heal, you can gradually increase the intensity of your exercise routine. The goal is to incorporate at least 150 minutes of moderate exercise each week.
• Strength training: Incorporating strength training exercises is also beneficial as it helps build muscle, which can boost your metabolism and aid in weight loss maintenance.

Are psychological and emotional adjustments part of recovery?

Bariatric surgery can bring about significant psychological and emotional changes:

• Body image: As your body changes, you may experience shifts in how you perceive yourself, which can be both positive and challenging.
• Support systems: Engaging with support groups, whether in person or online, can be very helpful. These groups provide a space to share experiences, challenges, and successes.
• Professional help: Some patients may benefit from ongoing counselling or therapy to address emotional eating, body image issues, or other psychological factors that may arise after surgery.

What monitoring and follow-up care is involved after bariatric surgery?

Regular follow-up appointments with your healthcare team are essential:

• Nutritional monitoring: Vitamin and mineral deficiencies are common after bariatric surgery due to reduced food intake and absorption. Regular blood tests will monitor levels, and you may need to take supplements.
• Weight monitoring: Your weight will be closely monitored to ensure that you are losing weight at a healthy rate and maintaining it over the long term.
• Medical check-ups: Regular visits to your surgeon and dietitian will help address any complications, such as nutrient deficiencies or gastrointestinal issues, and ensure that you are on track with your health goals.

Are there challenges?

While bariatric surgery can be life-changing, it is not without potential challenges:

• Dumping syndrome: Eating foods high in sugar or fat can lead to symptoms like nausea, diarrhoea and dizziness. This is known as dumping syndrome and is common after gastric bypass surgery.
• Plateaus: Weight loss may plateau at times, which can be frustrating. This is normal and can often be overcome with dietary adjustments and increased physical activity.
• Loose skin: Significant weight loss can result in excess skin, which some patients choose to have removed through plastic surgery.

What is involved in achieving long-term success?

Achieving and maintaining long-term success after bariatric surgery depends on:

• Commitment to lifestyle changes: The surgery is a tool, but long-term success requires a commitment to healthy eating, regular physical activity and psychological well-being.
• Ongoing education: Staying informed about your health, nutrition, and exercise is vital. Regularly consulting with healthcare providers can help keep you on track.
• Positive mindset: Maintaining a positive and realistic outlook on your progress is crucial. Celebrate your successes and seek help when challenges arise.

Life after bariatric surgery is a journey that involves significant changes in various aspects of your life. With the right support and commitment, it can lead to a healthier, more fulfilling life.

Looking for gold-standard bariatric surgery? Arrange a consultation with Mr Awad via his Top Doctors profile.