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Weight Loss Surgery

your surgery. For example, you should choose foods high in protein and low in fat and calories. You should also avoid liquid foods that are high in calories, such as ice cream. If you eat the wrong things, you could hurt your chances of losing weight. � �
If you have gastric bypass, you will need to avoid certain foods that could make you sick. Plus you will probably need to take special multivitamins with minerals. Thats because gastric bypass surgery can make it hard for your body to get all the nutrition it needs. You must keep taking the vitamins for the rest of your life. Your body will always need them to stay healthy. � �
All topics are updated as new evidence becomes available and our peer review process is complete. � �
This topic retrieved from UpToDate on: Nov 04, 2014. � �
Topic 16640 Version 6.0 � �
Release: 22.8 - C22.206 � �
� � 2014 UpToDate, Inc. All rights reserved. � �


figure 1

Your body mass index (BMI)

Find your height (in feet and inches) in the top row. Then find your weight (in pounds) in the first column. Now find where the column for your height and the row for your weight meet. That is your BMI. For example, if you are 5-feet-9-inches tall and you weigh 260 pounds, your BMI is 38. You can also go online to www.uptodate.com/patients and search for "BMI. " � There you will find a calculator that will tell you what your BMI is if you type in your height and weight.

Graphic 62886 Version 2.0

View Originalfigure 1

Your body mass index (BMI)

Find your height (in feet and inches) in the top row. Then find your weight (in pounds) in the first column. Now find where the column for your height and the row for your weight meet. That is your BMI. For example, if you are 5-feet-9-inches tall and you weigh 260 pounds, your BMI is 38. You can also go online to www.uptodate.com/patients and search for "BMI. " � There you will find a calculator that will tell you what your BMI is if you type in your height and weight.

Graphic 62886 Version 2.0

View Original
figure 2

Most common weight loss surgery options

These drawings show how the most common types of weight loss surgery reduce the size of the stomach.

Graphic 89547 Version 1.0

View Originalfigure 2

Most common weight loss surgery options

These drawings show how the most common types of weight loss surgery reduce the size of the stomach.

Graphic 89547 Version 1.0

View Original
� �
table 1Comparison of weight loss surgeriesView Largetable 1Comparison of weight loss surgeries

Gastric band

Roux-en-Y gastric bypass

Gastric sleeve

How high must my BMI be?

Higher than 35

Higher than 35

Higher than 35

How quickly will I lose weight?

Gradually

Usually quickly

Less quickly

Can it be done through a scope?

Yes

Yes

Yes

Will my intestines be re-routed?

No

Yes

No

Will a device stay in my body?

Yes

No

No

Will I be able to return to my normal activities after surgery?

Yes

Yes

Yes

How often will I have follow-up visits?

Often in first year

Less often

Less often

Will I need regular follow up with a nutritionist?

Yes

Yes

Yes

About what percentage of my extra weight can I expect to lose after 1 year?

40 to 53

62 to 68

33

About what percentage of my extra weight can I expect to lose after 2 to 3 years?

45 to 75

50 to 75

66

Should I expect my other medical problems to improve?*

Yes

Yes

Yes

Will I have trouble absorbing nutrients and medicines?

No

Some

Minimal if any

Will it be possible to adjust the size of my stomach or how much I can eat?

Yes

No

No

What are the chances I will need more surgery?

Higher

Lower

Unknown

Will it affect my heartburn symptoms?

May make heartburn worse depending on cause

May help

May help with symptoms in the long term

Other concerns

Requires frequent needle adjustments

Patients may develop dumping syndrome -

Insurance coverage can be an issue for some patients

Graphic 73045 Version 8.0


Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you.The use of UpToDate content is governed by the UpToDate Terms of Use. � �2014 UpToDate, Inc. All rights reserved. � �

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