Gastric Bypass Surgery – Knowing the Risks

Like any other type of elective surgery, gastric bypass surgery comes complete with its own set of risks. In fact, 10 to 20 percent of gastric bypass patients require follow-up surgery to correct a complication of the original weight loss surgery, according to the National Institutes of Health . The following list covers the most serious risks, and necessary treatments.

Pulmonary Embolism – Patients face a one percent chance of blood clots developing in the legs after surgery. Several techniques can prevent the formation of clots, such as using surgical compression stockings that put pressure on the legs and maintain blood flow in the days following surgery. If clots do form, they may break off and be carried into the lungs, where they can get caught. Emergency surgery is required.

Peritonitis – If a staple or suture used during surgery ruptures and allows stomach fluid to leak into the abdominal cavity, it can cause a serious infection, called peritonitis. Emergency surgery is required to seal the leak, followed by treatment with antibiotics to kill the infection.

Gallstones – More than one-third of gastric bypass surgery patients develop gallstones, which seem to be caused by rapid weight loss. If a patient has gallstones before the operation, the surgeon will remove the gall bladder during the gastric bypass operation to prevent further difficulties. If there are no signs of gall bladder problems, the doctor may prescribe medication to minimize the risk after surgery.

Chronic Vomiting – The connection between the stomach and the intestines can narrow as a result of scar tissue forming. When this occurs, food cannot pass easily through the channel, which may cause nausea and vomiting after eating. To correct the problem during follow-up surgery, the doctor will insert a balloon into the opening and stretch it. This outpatient procedure has a 90 percent success rate.

Dumping Syndrome – This problem occurs when food moves too quickly through the small intestine and causes nausea, weakness, sweating, faintness, and possibly diarrhea soon after eating. Normally, it is caused eating highly refined foods, like sugars. Proper dietary precautions can prevent or control this problem.

Nutritional Deficiencies – Approximately 30 percent of gastric bypass patients develop severe nutritional deficiencies, such as anemia, osteoporosis, and metabolic bone disorders. Taking the correct combination of dietary supplements can prevent these problems.

Stomach Ulcers – Ulcers can develop at the top part of the intestine when it is connected to the new stomach pouch. Traditional ulcer treatments are used.

Hernia – Hernias can develop in any part of the abdominal muscles where there is a weak point that allows a part of the stomach or intestines to push through. Surgery can correct this problem.

Pregnancy – Women should not get pregnant for at least two years after surgery to prevent serious post-surgical complications. Women who later become pregnant must also be careful to take the correct nutritional supplements to protect both her and the baby from developing nutritional deficiencies.

Bowel Obstruction – This problem can result when scar tissue develops where the stomach was sewn or stapled to create a smaller pouch. This requires immediate emergency medical treatment that may include surgery.

With all of the hazards involved, you need to carefully weigh the risks against the benefits of gastric bypass surgery. On the positive side, in addition to weight loss, gastric bypass surgery can dramatically reduce the chance of obesity-related heart disease, diabetes, and sleep apnea, as well as improve lower back and knee problems. Before arranging gastric bypass surgery, discuss all treatment options with your doctor to determine the course of action that is right for you.

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This article provides an overview of health issues related to gastric bypass surgery and is not intended to replace the advice of a medical practitioner. Please consult your doctor prior to making any major medical decisions.

What is a bland diet? It is a diet specially set to treat certain gastrointestinal or stomach problems such as heartburns, ulcers and gas.

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An answer to a question, what is a bland diet, is that it is a simple treatment for people suffering from any one or more gastrointestinal disorders such as chronic gastritis, ulcer, esophagitis and dyspepsia.

Bland diet is a dietary regimen for people suffering from stomach disorders. Hence, it is quite understood that ingredients of a bland diet are soft food items, which are easy to digest with a capacity to keep the acidity to low levels. Questions about diet may be asked to your physicians and he/she can suggest the diet or recommend a dietician to do it.

Diet medical questions may include the queries about the food stuffs to eat and food stuffs to avoid during the time while a person experien ces any gastrointestinal disorders. However, before a dietician could decide the bland diet for a person, he/she needs to seek answers to several medical questions related to the person such as any food allergies or irritations associated with any food items and emotions medical questions of people.

Bland Diet:

The diet prescribed as a bland diet will include food items that are easy to digest and low in fiber and acid contents. Even giving up alcohol and smoking is advised while patient is on bland diet. Also a patient is advised to have 4 to 6 light meals after regular interval to avoid heavy and large meals.

Chewing food properly and eating slowly helps in the digestion of the food. Adequate sleep, avoiding smoking and controlling anxiety are supportive treatments for the standard treatment of the problem.

Allowed Food Items:

• Dairy Products
Milk, cheese, yogurt with low-fats and other dairy products are easily digested and hence, can be included as a part of bland diet. However, there is no restriction on ice-creams and one may consume even ice creams during bland diet, but it should not have any product such as nuts that are not allowed in bland diet.

• Fresh Fruits and Vegetables
Fresh vegetables and fruits are allowed to a bland dieter. However, while carrot, squash, green peas are good to eat in a bland diet, broccoli, onions and green peeper should be avoided as it forms gas. In fruits, oranges, grapefruits, and bananas are allowed.

• Proteins
Protein requirement of the body, while on a bland diet should be met with soy products and meat. Fried chicken and greasy hamburgers are not allowed to be consumed, while grilled and baked chicken is allowed.
Low-fat peanut butter and eggs are also efficient to meet the body’s protein requirement in a bland diet.

• Carbohydrates
Carbohydrates are contained in whole grain breads, pasta, oatmeal, corn flakes, white rice and sweet potatoes. All these food items are allowed.

Bland diet is designed for treating certain medical circumstances such as gastrointestinal problems. Hence, to answer what is a bland diet, we can say that this is a diet that aims at improving the digestion with the help of a timed-routine diet and soft to digest food items. Once the problem is controlled patients can return to their normal diet.

This article gives pertinent information about Dukan Diet and its side-effects

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Pierre Dukan, a French doctor and nutritionist, challenged with the case of obesity started to look for alternative ways in curing the illness. After 20 years of thorough research he published in the year 2000, a book called, “Je ne sais pas maigrir” or translated as, “I don’t know how to get slimmer.” It gained the best-seller in France after a year it has been published.
It was made a hit in UK when Kate Middleton, now the duchess of Cambridge, tried the Dukan Diet before her marriage to the beloved Prince William, she reportedly claimed a loss of two dress sizes. It also allegedly claimed to help five million French. The book is also gaining fame in the US in the year 2011 when actress/singer, Jennifer Lopez, lost pounds after her pregnancy by following this diet.
Dukan Diet: What is it? How does this work?
Dukan Diet is similar to the famous Atkins diet. Atkins and Dukan are much alike in terms of non-intake of carbs initially and do not require portion control or counting calorie consumptions. In Atkins, it requires net carbohydrate intakes and unlike Dukan, it suggests a daily intake of oats, increase water consumption and 20 minutes of everyday brisk walking. Dukan Diet adopts four phases namely: Attack, Cruise, Consolidation and Stabilization.
Four Phases of the Dukan Diet
Attack: In this starter phase, the dieter is only allowed take protein rich foods that are exquisitely low in fat. Dr. Dukan provided 72-item list of foods to be eaten, it excludes pork, lamb, poultry products and cheeses. Food should always be cooked but without adding any fat to it, it best to cook in grilling or roasting. It also requires you to eat 1 ½ tbsp. oat bran & 1.5 liters of water per day. This phase should be followed around 2-7 days or more. Results from this initial phase within 5 days may result in 4-7 lbs. loss. This phase promotes quick loss of weight since it is strictly based on a protein-only diet.
Cruise: Cruise, the second to the fourth phase of the Dukan diet scheme. During this phase dieters who were only allowed to eat protein-only foods can now alternate a 28-items of non-starchy vegetables. They may take attack phase diet for today and take non-starchy veggie diet for tomorrow, and so this phase must go on by alternating these two types of diet each day. This phase may last long enough as much as you want by reaching your desired weight and assuring 2 pounds per week loss.
Consolidation: As one achieves the desired weight, one has to go the next phase called Consolidation, this is the maintenance phase of this diet scheme where you have to prevent putting back excess pounds. The plan in this phase is less strict compared to the first two phases. During this phase you are permitted to eat protein-only and veggie diet along with a piece of low-sugar fruit, 2 slices of whole grain bread and a portion of hard cheese. In this phase you are allowed to have 1-2 serving of starchy foods and one celebration meal per week. The phase of consolidation does not expect to loss off pounds but rather it is steadily the maintenance process.
Stabilization: Stabilization is the final phase and a life-long phase of the diet scheme. In here maintenance of the life-changing diet may be a challenging and tempting. During this portion of the scheme, one is already permitted to allow any food intake that a person wants and by also sticking to the diet rule in the consolidation phase. As Pierre Dukan suggest, that staying on the phase 1 rule once a week and eat whatever you like for the rest of the week lowers the chances of regaining weight.
Pros and Cons of Dukan Diet
Pros: The fast results of this diet scheme is beneficially rewarding and motivating. It allows you to have protein and veggie meal plan diets and does not require you to count off your calorie intakes.
Cons: It is highly restrictive and can exclude healthy foods. Dieters can experience side-effects such as symptoms of headaches, nausea, lethargy, irritable and loss of concentration. Dieters may acquire halitosis (bad breath), metallic tasting mouth and strong smell in their urines. For those people who have problems with their kidneys and liver are not advised to follow this diet plan. It is not also recommended for pregnant and nursing mothers.

Views and Opinions by Health Experts on the Dukan Diet
There are lots of critics in this diet plan. Due to the restrictive type scheme of this diet, some fruits, grains and nuts which are healthy and have high amounts of vitamins and minerals that are vital to the nutrition of the body are eliminated. Keri Gans of American Dietetic Association, said that the lost amount of multivitamins that should be acquired from those restricted foods are not compensated in the Dukan diet. Experts have also criticized that experiencing such side-effects may not be healthy at all.