Facts About Bariatric Surgery

Essential Facts About Bariatric Surgery: Debunking Myths and Understanding Benefits

Bariatric surgery can benefit you in innumerable ways but, myths persist about the surgery and obesity. Here are some facts you should know about weight loss surgery.

Being overweight is a health problem

In our society, many people think that being overweight is an appearance issue. Obesity is a metabolic disease. Diabetes, heart disease, joint pains, breathing issues, sleep apnea, mood swings, and low energy levels are health problems that can come from being overweight. So being overweight can devastate a person’s entire quality of life.

Bariatric Surgery health benefits go beyond weight loss

Bariatric Surgery not only helps in weight loss but often improves Type2 Diabetes, Hypertension, Sleep Apnea, Cardiac issues, Reflux, Depression, and many other medical issues as well. It can also cure newly diagnosed Type 2 Diabetes. Bariatric surgery patients can live longer and healthier lives.

Unlikely to get a big scar

The two most common Bariatric surgeries involve three to five incisions that are 5mm – 15mm (approx. ½ inch). Small incisions cause less pain and reduce the recovery time. Scars affect the patients mentally and remind them the pain they went through during surgical procedures.

The risk could be almost the same as for uterus removal surgery

The surgical risk in weight loss surgery and uterus removal surgery (Hysterectomy) could be almost the same if done in a high volume Bariatric Centre (Centre of Excellence) and by a dedicated Bariatric Surgeon. The surgical risks can always be treated and resolved. The health risks of Bariatric surgery are much lower than the health risks of obesity.

Bariatric surgery- an emotional experience

Patients need to understand that there would be certain changes in their lifestyle and eating habits after the Bariatric surgery. They slowly start coping and get habitually with the routine eventually. That’s why you get psychological as well as nutritional support before undergoing weight loss surgery.

It’s a journey, not a destination

Be realistic about the time it will take to lose healthy weight. It’s not just the weighing scale that will show you your advancement but also, notice the numbers moving down on the measuring tape and the change in your fat percentage. Don’t stop the journey even when you feel like it’s not happening because your body is perpetually changing from within.

If you’re looking for the best bariatric surgery in Delhi, then consult us at Smart Cliniqs – the clinic for bariatric surgeries.

Benefits of Losing Weight

The Comprehensive Benefits of Weight Loss: Health, Lifestyle, and Social Gains

If you are overweight or obese and planning to lose weight, it’s important to understand the benefits of losing weight. Actually, weight loss has to be pleasing or it isn’t sustainable. You are either stressed or relaxed. Anything stressful will give you a stress response. Find things that are enjoyable and use it to construct a healthier lifestyle.

Every weight loss plan falls apart at the seams at some point. Therefore, to set yourself up for favorable outcome, understanding the extended weight loss benefits that help to keep you motivated after Bariatric Surgery (Weight loss surgery) include Health benefits, lifestyle benefits, and social benefits. There are different approaches to losing weight depending on your BMI and health issues. A BMI greater than 32.5 with one or more significant obesity-related medical conditions or a BMI 35 and above can be taken up for Bariatric Surgery (Weight loss surgery).

Diet and exercise would work for people with a BMI less than 32.5 but beyond this Bariatric Surgery (Weight loss surgery) is recommended for realistic, sustainable, and long-term results. This also means that surgery is more likely to improve the health conditions connected to obesity.

Health Benefits of Losing Weight

Lowers the risk of some types of cancers
Lowers the risk of / resolves Diabetes
Decreases the risk / resolves Hypertension
Improves / resolves Lipid profile
Reduces / resolves backache
Improves Fertility
Reduces the symptoms of Arthritis (Osteoarthritis)
Lowers the risk of Cardiovascular disease
Improves breathing
Reducing the risk of Kidney disease
Decreases risk of / resolves Sleep Apnea
Reduces risk of a weak bladder (in women)
Decreases/resolves Joint pains Reduces symptoms of Gastric Reflux
Reduces the risk of Stroke
Reduces the risk of varicose vein or DVT
Improves mobility

Your doctor will inform you more information about the health benefits you can expect when you lose weight. He may also recommend a dietician and physical activity post Bariatric Surgery.

Lifestyle Benefits of Losing Weight

Better Hormonal Imbalance
Better Sleep
Clearer and brighter skin
Increased sexual performance
Improved memory
Active social life
Stress relief
More confident
Improves vitality
Better wardrobe
Less medications
Better mood
Improves energy level

For many people, their weight defines how they feel about themselves. Our body image states how we connect with others, and our confidence, and it affects how healthy we feel going about our daily lives. Apart from the medical benefits of weight loss, you will also experience an improved lifestyle.

Social Benefits of Weight Loss

More comfortable in your body
Moving around is easier
Satisfaction of knowing you look your best
You can focus on improving yourself in other ways
Decreases the perspiration levels
Being confident in a group

The social benefits of weight loss are mostly very substantial short-term motivators. However, these incline to be less potent at sustaining long-term lifestyle change because they often are geared towards short-lived events, such as some social function. Positive changes in lifestyle that are not externally imposed may more likely be able to sustain themselves over time.

Enjoying the Benefits of Weight Loss

If you decide that there are significant reasons for you to lose weight, then there’s no time like the present to start your weight loss journey. Our physique dictates how we feel about ourselves and that lightens up our confidence. Your first step should be to set a reasonable goal. Then make small changes to your daily routine and eating habits.

Suffering from being overweight and wanna lose weight through bariatric surgery? consult us at Smart Cliniqs as we have the team of the best bariatric surgeons in Delhi.

Do I qualify for bariatric surgery?

Growing Importance of Bariatric Surgery: How to Qualify for Bariatric Surgery

Growing Importance of Bariatric Surgery

Since, progressive generations are growing heavier with increased association with other metabolic disorders – diabetes, hypertension, and dyslipidemia. There has been an increasing role of bariatric surgery in the management of obesity and its associated co-morbidities. Technological leaps in the field of Laparoscopic Bariatric Surgery as well as Robotic Bariatric Surgery have led to the evolution of bariatric surgery from a major, uncommon, and often dangerous surgery with doubtful outcomes to a much safer, routine procedure with assured results.

Evolution of Bariatric Surgery Criteria

Initially, it was a difficult task to elect candidates who could undergo bariatric surgery. In 1991 the National Institutes of Health (NIH) consensus statement for the first time defined clear universally acceptable criteria for patient selection. This statement was revised and re-defined as more and more data began to be analysed subsequently. The cut-off BMI to undergo surgery was lowered over a period of time.

Types of Bariatric Surgery

Starting with Gastric Bypass surgery, in which Roux-en-Y gastric Bypass being the gold standard, nowadays Gastric Sleeve Surgery is becoming more and more popular among surgeons since it is relatively simple to perform with similar post-operative outcomes.

Shift from Weight Loss to Metabolic Surgery

With the understanding of the metabolic syndrome, of which obesity was just one part, there was increasing interest in the role of surgery in the resolution of co-morbidities, particularly diabetes and dyslipidemia.

The increasing incidence of diabetes and cardiovascular disease even at lower BMIs, particularly in specific populations such as Asians led to a demand to consider these surgeries for selected candidates with low BMIs also. The emphasis shifted from ‘weight loss’ surgery to ‘metabolic’ surgery. It was suggested that perhaps action points for Asians should be 2.5 BMI points lower i.e. at 32.5 and 37.5.

New Eligibility Criteria and Recommendations

With this background, the International Diabetes Federation (IDF) released a position statement on 28^th March 2011 supporting surgery to treat Type II diabetes in obese patients. It defined new lower BMI criteria for patient selection as explained in the table below.

Eligibility and prioritization for bariatric surgery based on failed non-surgical weight loss therapy ⁺, BMI, ethnicity ⁺⁺, and disease control.

BMI range	Eligible for surgery	Prioritised for surgery
< 30	No	No
30 – 35	YES – Conditional ⁺⁺⁺	No
35 – 40	YES	YES – Conditional ⁺⁺⁺
> 40	YES	YES

+ In all cases, patients should have failed to lose weight and sustain significant weight loss through non-surgical means, and have type II diabetes that has not responded adequately to lifestyle measures (+/- metformin) with HbA1c < 7%.

++ Action points should be lowered by 2.5 BMI points for Asians.

+++ HbA1c > 7.5 despite fully optimized conventional therapy, especially if weight is increasing, or other weight-responsive co-morbidities not achieving targets on conventional therapies.

Impact and Endorsements

The new recommendations significantly lowered cut-off BMIs making many more patients eligible for surgery. Theoretically, an Asian patient with a BMI as low as 27.5 could be a candidate for metabolic surgery, provided other conditions are met. This is a significant shift from the previously recommended cut-offs.

These have received widespread attention in the medical community and have been endorsed by several medical bodies – The American Heart Foundation (AHA), the American Medical Association (AMA), The American Society of Metabolic and Bariatric Surgeons (ASMBS), and The American Association of Clinical Endocrinology (AACE).

Confused if you qualify for bariatric surgery or not? Consult us at Smart Cliniqs and we will schedule your appointment with the best bariatric surgeon in Delhi.

Side Effects of Bariatric Surgery: What You Need to Know

Overview of Bariatric Surgery

Bariatric surgery is increasingly being accepted as a viable option for treating morbid obesity and its associated diseases such as diabetes mellitus and hypertension. Surgery provides long-term sustained weight loss as well as resolution of co-morbid conditions.

The benefits of bariatric surgery are numerous but there are also a few risks and side effects associated with various bariatric surgical procedures.

Common Bariatric Procedures in India

The most common bariatric surgical procedures performed in India are:

laparoscopic sleeve gastrectomy,

laparoscopic roux-en-y gastric bypass, and

laparoscopic mini gastric bypass.

Immediate Side Effects of Bariatric Surgery

There are a few immediate side effects that can happen after bariatric surgery like bleeding, leak, intestinal obstruction, and venous thromboembolism. The side effects due to malnutrition or undernutrition are seen in the long term, particularly after laparoscopic gastric bypass surgery.

The incidence of bleeding is less than 4% in patients undergoing bariatric surgery. Most cases can be managed by blood transfusions alone. Some cases might require laparoscopy to stop the bleeding. A leak from the anastomosis site or sleeve staple line occurs in about 0.7% to 5% of the patients. If the leak is early, re-laparoscopy with identification of the leak and its closure is done with adequate drainage, bowel rest, and antibiotics.

Similarly leaks after a mini gastric bypass can be managed early by drainage and conversion of the procedure to Roux-en-Y gastric bypass along with a feeding tube in the intestines. The other rare immediate problem can be that of wound infection which is managed by dressing and antibiotics. Obesity is an independent risk factor for thromboembolism which is the clotting of blood in the veins of the body particularly the legs. This is best avoided by taking heparin injections for the first few days after the surgery and wearing graded pressure stockings for a few weeks. Early active mobilization is the best precautionary method.

Long-Term Side Effects and Nutritional Deficiencies

Lately, there can be obstruction of the intestines due to various factors which result in pain and distension of the abdomen along with vomiting. The possible causes usually are smoking, and the formation of ulcers. This can be identified by doing an endoscopy or a CT scan. Treatment of the possible causes can be done immediately.

After bariatric surgery, iron, vitamin B12, and other micronutrient deficiencies can occur. Iron deficiency occurs in patients within 2 to 5 years after surgery. Supplementation with iron can reduce iron deficiency significantly. Calcium and vitamin D absorption are impaired after gastric bypass as well. We obtain a complete blood count and iron, B12, calcium, folic acid, vitamin D, levels before surgery, 6 months and 1 year after surgery, and yearly thereafter. We recommend routine daily supplementation with a multivitamin, iron, vitamin B12, and calcium along with vitamin D supplementation depending on the serum levels.

Dumping Syndrome

Dumping syndrome is a common side effect after Roux-en-Y Gastric Bypass (RNYGB) surgery. This usually occurs due to poor food choices. It is related to the ingestion of refined sugars (including high fructose corn syrup) or high glycemic carbohydrates. It can also occur with dairy products, some fats, and fried foods.

The fact is that these foods will interfere with long-term weight loss and should not be eaten anyway.

Symptoms start typically 20-30 min after the food. It includes sweating, flushing, lightheadedness, tachycardia, palpitations, desire to lie down, upper abdominal fullness, nausea, diarrhea, cramping, and active audible bowel sounds.

Conclusion

In summary, although bothersome and sometimes worrisome, dumping syndrome is not a life-threatening problem. Patients need to learn about and read basic nutrition labels. The benefit is that it teaches patients quickly that certain foods and additives cannot be tolerated. Patient compliance and commitment to long-term follow-up are mandatory.

In short, the side effects of bariatric surgery are rare. Timely
identification and intervention are the keys to preventing serious complications.

Still confused about bariatric surgery? Then schedule your consultation with the top bariatric surgeon in Delhi at Smart Cliniqs.

Bariatric Surgery Hospital in Delhi

Choosing the Best Bariatric Surgery Hospital in Delhi for Effective Weight Loss

Delhi is the popular destination for medical tourism. Patients from every corner of the world come to Delhi, India for bariatric surgery. Many hospitals in Delhi are currently performing the surgery. Bariatric surgery hospitals in Delhi are specialized centers with trained and expert surgeons and specialized paramedic staff. In Delhi, both private and government hospitals are performing bariatric surgery. To name a few, private hospitals like Indraprastha Apollo hospitals, Max Healthcare, BLK super specialty, Fortis, Medanta hospital are performing bariatric surgery in Delhi. Premier government hospitals like All India Institute of Medical Sciences (AIIMS), Ram Manohar Lohia (RML), Lok Nayak Hospital (LNJP) are also performing bariatric surgeries.

Roux-en-y- gastric bypass surgery is the “gold standard” procedure. It refers to a type of bariatric surgical procedure in which the stomach is divided into a small pouch and then the small intestine is rearranged and connected to the newly created pouch. Roux-en-y- gastric bypass surgery is used to promote weight loss and also improve weight related issues like type 2 diabetes, hypertension, high cholesterol, arthritis, sleep apnea, infertility, hypothyroid, joint pain, backache etc.

Obese patients have a compromised vitamin and mineral intake due to excess energy consumption. Drastic weight loss post roux-en-y-gastric bypass surgery compounds the already present vitamin and mineral deficiencies. Patients who undergo Roux-en-y-gastric bypass surgery should attend regular follow-up sessions with a registered dietician so that deficiencies could be identified and treated at an early stage.

Behavioural Disorders in Obese: Important to Evaluate before WLS

Addressing Behavioral Disorders in Obese Patients: The Role of Laparoscopic Bariatric Surgery

Laparoscopic Bariatric Surgery and Its Effectiveness

Laparoscopic Bariatric surgery is one of the most effective treatments of morbid obesity, resulting in significant and sustained weight loss as well as improvement of various other related co-morbidities and quality of life.

Prevalence of Psychosocial Disorders in Morbidly Obese Individuals

Along with all other co-morbid conditions like Type 2 Diabetes Mellitus, Hypertension, and PCOD, etc., the prevalence of psychosocial disorders, including suicidal behavior, as well as substance abuse or eating disorders, is quite high among morbidly obese individuals.

Importance of Psychiatric Evaluation Before Bariatric Surgery

That is why, while evaluating for bariatric surgery, a psychiatric evaluation of individuals undergoing bariatric surgery is a must nowadays, since one might miss a pre-existing mental illness leading to inadequate treatment before and after surgery.

Factors Contributing to Suicidal Behavior Post-Surgery

Some of these issues like lack of physical activity before and after surgery, lack of improvement in quality of life, persistence or recurrence of sexual dysfunction, and history of ill-treatment in childhood might contribute to suicidal ideas if not assessed preoperatively.

High Expectations and Potential Disappointments Post-Surgery

These patients might have very high expectations of body appearance post-operatively and might be disappointed by the physical outcomes of the surgery. Sometimes weight regain might also lead to suicidal behaviors.

Increased Alcohol Sensitivity Post-Bariatric Surgery

It has been found that after bariatric surgery, the alcohol sensitivity of certain individuals might rise. Alterations in the GI tract after surgery lead to altered absorption of alcohol. It has been seen on several occasions that certain individuals continue alcohol consumption after surgery. Therefore all candidates of bariatric surgery are counseled and educated about the ill effects of alcohol after bariatric surgery and to minimize the use of it.

Compulsive Eating Disorder and Its Persistence Post-Surgery

When undergoing the dietary pattern of morbidly obese patients, there is a high prevalence of compulsive eating disorder. These problems can also persist after bariatric surgery. Few patients may develop ‘loss of control’ eating, and even self-induced vomiting. These conditions are associated with less weight loss and increased fear of weight regain.

Importance of Comprehensive Follow-Up Programs

According to Dr. Atul NC Peters, one of the pioneers of weight loss treatment in Delhi and among the top 10 obesity surgeons in India, it is important that such follow-up programs are developed, that address these types of problems focusing on psycho-social factors as well as eating disorders for a successful outcome.

Obesity in Children and Adolescents

Addressing Obesity in Children and Adolescents: Causes, Risks, and Effective Interventions

The prevalence of obesity is increasing in both children and adolescents, in both sexes and in various ethnic and racial groups.

Many factors, including genetics, environment, metabolism, lifestyle, and eating habits, are believed to play a role in the development of obesity. However, more than 90% of cases are idiopathic; less than 10% are associated with hormonal or genetic causes.

Defining Obesity in Childhood and Adolescence

There is no single definition of obesity in childhood and adolescence.

Consensus committees all over the world have concluded that children and adolescents be considered overweight or obese if the BMI exceeds the 85th or 95th percentiles, on curves generated from the 1963-1965 and 1966-1970 NHANES, or exceeds 30 kg/m² at any age.

Energy Intake and Sedentary Lifestyle

During childhood and adolescence, excess fat accumulates when total energy intake exceeds total energy expenditure. Reduced energy expenditure is attributed to modern-day sedentary lifestyles. This is particularly associated with excessive television viewing, excessive computer use, and insufficient physical activity. Also, this is often seen when feedings are supplemented with additives such as carbohydrates or fat.

Hormonal Dysfunction and Familial Obesity

Some hormonal dysfunction like that in ghrelin leptin hormonal axis may be the causative factor in as many as 10% of obese children, particularly in those who appear to manifest familial morbid obesity.

Race and ethnicity are also associated with increased rates of obesity in children and adolescents.

Childhood Obesity as a Predictor of Adult Obesity

Childhood obesity is predictive of adult obesity such as with 80% of teenagers who are obese continue to be obese as adults.

This is associated with an increased incidence of type 2 diabetes, hypertension, gallstones, and hypercholesterolemia.

Chest Conditions Associated with Childhood Obesity

There are serious chest conditions associated with childhood obesity like reactive airways, poor exercise tolerance, increased work of breathing, and increased oxygen consumption.

They might develop obesity-hypoventilation syndrome and experience right-sided heart failure with right ventricular hypertrophy.

Acute Complications of Childhood Obesity

Acute complications of childhood obesity include hyperlipidemia, accelerated growth and bone maturation, ovarian hyperandrogenism and gynecomastia, cholecystitis, pancreatitis, and pseudotumor cerebri.

There is an increased incidence of fatty liver and they might develop liver cirrhosis and kidney disease.
Obstructive Sleep apnea and sleep-disordered breathing are common in children and adolescents with obesity which might lead to neurocognitive dysfunction.
Excess weight in children can cause numerous orthopedic disorders, including genu valgum, slipped capital femoral epiphysis, with bowing of the long bones.
Emotional and psychosocial sequelae are also widespread in obese children.
Social isolation, peer problems, and lower self-esteem are frequently observed.
Gout and colorectal cancer rates are found to be increased among men who had obesity as adolescents as well as arthritis.

Therapeutic Interventions for Childhood Obesity

Any therapeutic intervention in the child with obesity in aimed to achieve control of weight gain and reduction in body mass index (BMI) safely and effectively and to prevent the long-term complications of obesity in childhood and adulthood.

These might also require psychiatric assistance for unusual eating disorders or severe depression. It involves a team involving nurse educators, nutritionists, exercise physiologists, and counsellors.

Parental Involvement and Lifestyle Changes

Parents must advice children to walk at least 20 to 30 min daily. Limit their television timings and must indulge in vigorous exercise with children. Low-calorie balanced diet, in association with patient and parent education, behavioral modification, and exercise can limit weight gain in many patients with mild or moderate obesity. Reductions in total and saturated fat may be particularly useful in adolescents who consume large quantities of high-fat, snack, and packaged fast foods, including french fries, pizza, chips, and crackers. Also, they might sometimes require and care if evidence of psychopathology or dysfunction is present.

Bariatric Surgery for Childhood Obesity

According to Dr. Atul NC Peters, one of the pioneers of weight loss treatment in Delhi and among the top 10 obesity surgeons in India, various bariatric surgical procedures have been performed in “carefully selected” patients with a body mass index (BMI) >40 kg/m ² who have severe comorbidities such as nonalcoholic fatty liver disease. It is important to consider several other factors before deciding whether a child or adolescent should undergo bariatric surgery like previous attempts at weight loss, and ability to adhere to follow-up care. Laparoscopic sleeve gastrectomy is the most widely performed procedure in childhood obesity nowadays.

Evidence suggests that bariatric surgery can decrease the grade of steatosis, hepatic inflammation, and fibrosis in Non-Alcoholic Fatty Liver Disease. With more and more people opting for various bariatric surgical procedures, weight loss surgery cost in Delhi has been such that it is becoming affordable day by day and several finance and loan schemes are also available in special circumstances.

Obesity Discrimination and Gastric Bypass Surgery

Understanding Obesity Discrimination: Types, Impact, and Effective Solutions

Definition: Obesity Discrimination

Obesity discrimination can be defined in either of several ways, including:
1. The unjust treatment of an overweight or obese person based on bias, or misconception.
2. Ill-treatment of obese people purely because of their weight as compared to non-obese people.

There are mostly four types of discrimination prominently described: Employment, Health Care, Education, and Relationships

Employment Discrimination:

Several studies have shown that obese people find more difficulty in finding a job, are paid lower wages, are discriminated against in promotions, and have more likelihood of early termination.

Healthcare Discrimination:

It is unfortunate that even, doctors and healthcare workers are not immune from obesity discrimination. It is a place where caring, trust, and unbiased treatment should be guaranteed. The problem is, that most of the doctors do not have a sound knowledge of obesity or its treatment.

Physicians spend less time discussing health with obese patients. They are more biased towards technical issues rather than discussing nutrition to patient’s obesity.

Discrimination at Schools:

At schools, discrimination is a bigger concern. It causes emotional distress, as children who are obese are less likely to succeed. It appeared in various studies that young men had a much lower chance of attaining higher education than their normal-weight counterparts. Obesity was also associated with lower educational attainments than normal-weight students.

Discrimination in relationships:

When it comes to finding a romantic partner, obesity appears to play a big role, especially for women. When studied among people, it was found that boys were less interested in looking for obese women.

Effectively Addressing Obesity Discrimination: Tips For All 4 Types Of Discrimination

The ideal solution is obvious: weight loss treatment.

Finding the medically supervised weight loss treatment program composed of the right diet and exercise is the most appropriate first step.

Research has shown diet and exercise programs supervised by a medical professional to be much more effective than doing it alone.

If your body mass index is over 35 which means that you are morbidly obese and attempts at sufficient weight loss, even under a medically supervised program, have yielded no results, you may be a candidate for weight loss surgery or laparoscopic gastric bypass surgery.

It has been proved time and again that bariatric surgery results in sustained weight loss in morbidly obese people. In other words, Bariatric surgery may improve occupational outcomes in morbidly obese individuals by reducing levels of unemployment and absenteeism. The evidence regarding this is limited and studies are needed before any conclusions could be drawn on this aspect. Similarly, there could also be economic, social, and psychological benefits of bariatric surgery which might help in improving relationships among individuals after weight loss.

It is advisable to visit a well-experienced bariatric surgeon as they usually have more knowledge about caring for obese patients, and they also work with doctors who are empathetic toward the difficulties of being obese.
Similarly, the research suggests that an obese child, especially an obese girl, is more likely to succeed in schools where obesity is more common.
If you find that your weight is getting in the way of your romantic relationships, several options may help:

First and foremost: weight loss treatment
• Consider dating partners who are also overweight or obese
• Choose partners who are willing to get to know you as a person before judging you only by your appearance

Consider Laparoscopic Gastric Bypass Surgery if you are morbidly obese.
There are certain non-surgical options also available like endoscopic intra-gastric balloons which are available these days to lose weight for overweight people.

These methods are temporary but might result in good outcomes for people who are serious and motivated.

Home Care After Bariatric Surgery

Essential Care After Bariatric Surgery: Tips for a Smooth Recovery at Home

Now that you have been discharged from the hospital and have reached home, you might feel relieved but also apprehensive about home care after bariatric surgery. You might worry about whether stitches could break, experience pain at home, or have questions about how much to walk and whether or not to take a bath. These are some helpful points for your guidance.

Wound Care

Change the dressings every day, if your doctor tells you to do so. Be sure to change your dressing always whenever it gets dirty or wet.
You may have bruising around your wound or redness around the incisions, do not panic, this is normal.
Avoid wearing tight clothing to prevent rubbing against your incisions.
Stitches or staples are usually removed within 7 to 10 days after surgery. some stitches dissolve on their own. Your doctor will tell you if you have them.
You can have a shower when advised by your doctor, let the water run over your incision, and do not scrub over the incisions.

Personal hygiene

Take a shower daily.do not rub the wounds. let only water run on your incisions
You can oil massage and wash your hair daily to feel fresh and active
Change your clothes daily
Clean your skin folds well with soap and water once a day and keep them dry, especially during the rainy season

Activity

Walk as much as you can, move around, and use stairs at home
Do not lift things heavier than 5 to 7 kgs in the initial months
Increase your exercise slowly
Take short walks
Get up and move around if you have some pain in your belly, it may help
Do not join the gym until recommended by your doctor.

Follow-up

To help recover from surgery and changes in your lifestyle, see your surgeon regularly and other health care providers.
The dietitian will teach you to eat correctly with your small stomach.
The psychologist can help you deal with the feelings or concerns you may have after surgery.
Blood tests are important as recommended by your surgeon, get them done timely to prevent vitamin and mineral deficiencies.

When to Call the Doctor

Temperature is above 100°F.
You have redness, pain, swelling, or bleeding around your incision
You have pain that your pain medicine is not helping
You have breathing difficulty
You cannot eat or drink
You are vomiting after eating

These simple precautions will help you tide over the initial difficult time at home after your bariatric surgery. Bariatric surgery is the best way to lose weight and regain health.