Arturo Rodriguez, MD

March 9, 2010

Safe exercises that can be done post Lap Band Surgery

Safe exercises that can be done post Lap Band Surgery

After taking the plunge and getting Lap Band Surgery you’ll want to make sure that you are getting the most out of the procedure. First, you’ll work with your doctor to get a good diet plan going. After that you need to think about what exercise plan will work best for you.

Some of the most highly recommended activities after the Lapband are walking and swimming. These are low impact exercises that can be done at your own pace. Additionally, they can easily be done seven days a week for maximum benefit.

The first thing you might want to try after lap band surgery is some walking. Start slow, and don’t worry if you can’t walk very far right away. If you walk for 15-20 minutes every day you will be making a difference in your health. Ideally you should work yourself up to 45-60 minutes at least 4 times a week.

Swimming is also a great exercise for those who have just had Lap Band Surgery. It doesn’t matter how good you are, or how fast you swim, but just that you get in the water and try. Swimming can be very beneficial because the water provides extra resistance and helps to make you work out harder in a shorter period of time. If you aren’t comfortable actually swimming in the water you may want to try walking in the water. This combination of exercises can be great for recovery from Lap Band Surgery.

For those who have not been on a regular exercise program before it can be difficult to get into a routine. Some suggestions for those of you would be to find a workout partner you enjoy spending time with. Ask a friend or loved one to join you for your walks or swims. You do them the favor of helping them get in shape, and you can strengthen the bond you share with them as well.

The Bariatric Team

http://www.thebariatric.com

http://www.bandstersforum.com

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December 26, 2009

Making Healthy Choices after Bariatric Surgery

Food, Glorious Food!

Making Healthy Choices after Bariatric Surgery

Bariatric surgery can help you to lose weight, but you also have to make some long-term changes to your diet in order to see the best results.  Your stomach is much smaller after bariatric surgery, and can only hold a small amount of food.  It is important to choose HEALTHY and NUTRITIOUS food in order to help reach your weight loss goal and to keep your body nourished.  Here are some general guidelines to help you in creating your own unique and healthy lifestyle.

Plan Ahead. Your new lifestyle starts at the grocery store! If you buy cookies, sweets and chips, it will be hard to resist or limit these foods when they are accessible at home. Before you buy the groceries, make a list of the foods you plan to eat during the week and include healthy choices that are easy to prepare.

Include foods from all four food groups in your diet. Vegetables and Fruits, Grain Products, Dairy and Alternatives, Meats & Alternatives. There are many healthy foods to choose from. Make your plate colorful!

Start with protein-rich foods.  Beans, lentils, chicken, fish, eggs, and dairy products are all good sources of protein.  Your body needs protein to build muscle, skin, hair, and connective tissues, and support many essential chemical reactions.  Carbohydrate-rich foods like rice, pasta and cereals are an important source of energy and vitamins, but they can fill you up quickly. Save these towards the end of your meal… and don´t forget about your vegetables and fruits, rich in vitamins and minerals too!

Eat three small meals per day.  Make sure to include breakfast every day.  Skipping breakfast can lead to over-eating at lunchtime, and you also need that energy to help you start your day.  Spread the meals out evenly throughout the day, so that you are eating every 4-6 hours.  If there is a long stretch of more than 6 hours between meals, include a small healthy “snack” to keep you going.  Perk up with a small orange (35 calories) or whole wheat crackers (2 crackers = 80 calories) with low-fat cheddar cheese (1 oz = 49 calories), instead of a chocolate bar (280 calories!) 

Drink between meals instead of with meals to help your lap band work at its best.  The lap band is designed to restrict solids, not liquids. Drinking liquids during or immediately after meals tends to flush food through your stomach pouch and you will not get the prolonged feeling of satiety that you need.  Keep your foods and liquids separate to feel fuller longer, and stay hydrated too!

 

Making Healthier Choices

Here are some simple ways to make healthier choices at meal times.

  1. Breakfast?  In your coffee or tea, replace the sugar with artificial sweetener, or add 2% milk instead of cream.  Instead of a donut or package of cookies, choose a low-fat yogurt and spoonful of granola, or a soft-boiled egg and small apple.  
  2. Lunch?  On your sandwich, use margarine instead of mayonnaise, and just spread it on one side of the bread. Add fresh vegetables to your sandwich to increase the flavor – try tomatoes, cucumbers or green peppers sliced very thin.  Mix small pieces of cooked chicken and low-fat cheese into your salad to make a fresh meal, and choose low-fat salad dressings or make your own – olive oil, balsamic vinegar, lemon juice, and a dash of pepper!

Dinner?  Steam your vegetables instead of boiling or frying them.  Try baking your fish or chicken instead of frying it in oil. If you´re looking for a flavor kick, try adding some fresh herbs and spices to your dish.  For a simple, healthy meal, wash and cut potatoes, carrots, and broccoli, and wrap them in foil together with some fresh fish and herbs – pop the foil package in the oven for 30 minutes at 400°F and enjoy a delicious hot meal!

Do I need to Avoid or Limit any Foods?

High-calorie foods.

Avoid “Empty Calorie” foods like syrup, honey, pie, jam, chips, or cake, as they contain large amounts of sugar, and will fill you up quickly while providing very little nutritional value. Although you don´t have to give up your favorite high-fat treats forever, you will need to change the amount and frequency that you indulge in these foods in order to see the best results with your lap band.  For example, if you usually eat a large bowl of ice cream in the evenings, use a smaller bowl and choose one day per week when you will enjoy your favorite flavor.  If you love soda pop, choose the diet or light version instead, but watch out – the bubbles will fill you up fast.  Remember – your bariatric surgery is a tool that you can use to help you lose weight, but it will not work without your support!

Stomach Irritants

Some foods and medications can irritate your stomach, causing inflammation which can making eating uncomfortable and increase the risk of blockages.  Avoid or limit alcohol, spicy foods like chili, and tobacco.  Some medications like aspirin or iron supplements can also cause irritation. Talk with your doctor to find a safe alternative if you require these medications, and if possible, request a liquid format.

Hard & Bulky Foods

Some foods can get stuck in your lap band or stomach pouch, which can be an uncomfortable or painful experience.  Foods like popcorn, nuts and seeds are difficult to digest and may get stuck in your lap band, blocking other foods from passing through for digestion. It is best to avoid foods that are hard or difficult to digest.  Other foods such as pasta, rice, tortillas or dry bread can be bulky and may get stuck if you do not chew them properly.  Limit these foods in order to decrease the risk of blockages.  If you eat these foods, make sure you are chewing well and eating slowly.  If you feel that they are stuck, you may need a small sip of water to help them pass through.

 

R. Pallek

Nutritionist

The Bariatric Team

http://www.thebariatric.com

Originally posted 2009-04-03 11:36:22. Republished by Blog Post Promoter

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November 4, 2009

The success rate of Lap Band Surgery

The success rate of Lap Band Surgery

Lap band

Over 58 million Americans today or overweight or obese; this number increases everyday and now we are even seeing childhood obesity. Weight gain can be attributed to many different factors such as genetics, some medications, poor diet and lack of exercise. Fast food is often the answer for a quick meal and is often habit forming. By eating fast food, you are poisoning your system and allowing for extra fat to accumulate on your hips, buns, thighs, and stomach’s. Extra body fat is not only unattractive, but it is very harmful to our health. Many diseases are triggered because of extra body fat such as diabetes, hypertension, heart problems, and back and joint problems.

There are many different diets and diet products available to us that promise fast results in the safest possible way. Unfortunately these diets and pills do not work for most of us. There are however, other options such as surgery. One of these revolutionary surgeries is the Lap Band. Before you commit to getting surgery, you must meet a few qualifications and you must understand this as any other  surgery.

Qualifications

• You must be at least 18 years old.

• You must weigh at least twice your ideal body weight or 100 pounds more than your ideal body weight.

• You must be overweight for at least five years.

• You must have tried other serious weight loss attempts.

• These serious attempts only have had short term success.

• You must not be suffering any type of disease that may have caused your obesity.

• You must be willing to change your lifestyle greatly including eating habits and lifestyle.

• You must be willing to be monitored by a specialist.

• You cannot drink alcohol in excess.

If you meet all of these qualifications, you may be a suitable candidate for the lap band surgery.

 

What is the Lap Band?

The lap band only has a mortality rate of 0.2% and a 3% early complication rate. The lap band surgery starts by the doctor making four or five small incisions in your skin. The band is then placed around the upper part of the stomach, dividing it into two unequal parts. The upper part is your stomach and the band restricts your food intake and makes you feel full faster, in turn, that creates weight loss.

The Lap band is inflatable; saline solution is injected into the band system about six weeks after the Lap band has been placed and continues until the patient feels full after eating small amounts of food. The procedure lasts less than an hour and patients usually go home the next day. Recovery time is about seven days.

 

Success rate

The success rate really depends upon the person’s ability to change his or her lifestyle if they can stick to a certain diet. The most recent study shows that about 70 to 80% of people that have had the lap band surgery have successfully lost most of their unwanted body fat and have been able to keep it off for five years.

Only you and your doctor can decide if lap band surgery is for you. Research it thoroughly before you commit to having the surgery. It is one of the safest and most effective ways for morbidly obese patients to lose weight. Even those that did not lose all of their excess body fat experienced better mobility, higher self esteem and good overall health.

The bariatric Team

http://www.thebariatric.com

http://www.bandstersforum.com

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October 23, 2009

Lap Band, Gastric Sleeve or Gastric Bypass? That is the Question!

Lap Band, Gastric Sleeve or Gastric Bypass? That is the Question!

The Bariatric surgical field has experienced extraordinary changes over the past 55 years.

With the initial empiric use of Intestinal Bypass surgery in 1954 by Kremen, Linner and Nelson at the University of Minnesota, severe obesity was identified as a disease that could be successfully treated.

Today, the acceptance of Bariatric Surgery is a proven surgical discipline.  It hasn’t always been that way, and has gone through a long bumpy road in a very hostile environment.  It has gone from acid critics and nonbelievers to a great demand of this kind of surgery all over the world.

The increase of obesity over the past 50 years has doubled or tripled in some countries.

One third of the population in the United States is obese (23 million) and patients seeking surgical treatment are becoming heavier each year.

The increase in weight has occurred in men, women and children of all ages.

The need of healthcare due to co-morbidities, is also rapidly escalating, which has greatly affected the public healthcare system and in the economy.

Some of the initial procedures have been abandoned because of serious complications. We have learned from these procedures what not to do, what to avoid and how to do it better.

Over the years, we have also learned about many different surgical techniques.  We have learned it’s short and long term complications, the procedures that gave poor results and the procedures that have produced good results.  We continue to be properly trained for new techniques and new procedures, how to be involved in the designs of instruments and devices and to make the surgery easier.   To help improve results of Bariatric Surgery, we learn how to apply new technology to our procedures like using the laparoscopic towers to decrease mortality, pulmonary insufficiency, operative time, hospital stay and pain.

Now we offer several procedures in which obesity would be prevented or cured by surgical means with similar long term results.

After all, we are facing 2 main problems now with so many patients that had a Bariatric Procedure and a lot of others seeking help: What would be the best Surgical Treatment to be offered to the patient?  And, how can we give the best Follow-Up care to make them succeed and avoid complications?

At where we stand now, we cannot say that one Bariatric Procedure over the others will always work for everyone. We have to recommend the best procedure for the patient.   Sitting down and talking with the patient is imperative to make the right choice for them.  We need to see what he understands and knows about different Weight Loss Procedures.  We need to get to know his habits and his environment.  We need to know what co-morbidities he has, know his fears, and most important, the commitment and the desire of making changes to his life.

Restrictive procedures like the Lap band and the Gastric Sleeve have lower operatory and long term complications.  These procedures are also less expensive than the Gastric Bypass and the Duodenal Switch but need a lot more commitment from the patient to follow diet restrictions and exercise to succeed.

It is well know that complex procedures such as Gastric Bypass and Duodenal Switch gives patients the desired weight loss during the first year, but causes unwanted Malabsorption.   Even if the procedure has failed and  the patient gains the weight back, he will have long term unwanted complications such as metabolic bone diseases which include Osteoporosis (from poor calcium absorption), Osteomalacia (from vitamin D deficiency),  Osteopenia and Osteitis Fibrosa Cystica (from Secondary Hyperparathyroidism due to low serum calcium). 

These diseases require long term, close follow-up care to prevent complications.  Our offices are sometimes not capable of providing follow-up care for different reasons. Many times the patient is unable to remember who performed his surgery or they have relocated.

Surgical goals should offer a lifetime decrease in Medical Healthcare.  Not only to offer the treatment for obesity and the actual problems that obesity creates, but to have a Follow-up System established for 15 to 20 years later.

Arturo Rodriguez, MD

Tricia Lackey

http://www.thebariatric.com

http://www.bandstersforum.com/

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September 22, 2009

My Surgery Story–De-Banding and Gastric Sleeve

Subject: My surgery story -  de-banding and gastric sleeve   21/08/09

Gastric Sleeve

Gastric Sleeve

 

 

 


I just got back from Mexico, where Dr. Arturo Rodriguez performed the gastric sleeve surgery for me. (Warning… long post coming up!)Four years ago tomorrow, I had the Lap-Band surgery with Dr. Rodriguez.For a variety of reasons, the band didn’t work for me. I did manage to lose

about 40 pounds with the Lap-Band surgery, so the surgery was not

a failure, but I never did get good restriction. It seemed like I ran into

roadblock after roadblock, and I had a heck of a time trying to get good

follow up care in my community. My life changed over the past 4 years,

making it impossible for me to travel and be away from home to do fills,

so follow up care in Mexico wasn’t an option for me. I recently became

a midwife, attending women at homebirths, so taking time away from my

clients is not something I can do easily. Finally, a couple of months ago,

I decided to have my band removed and have the gastric sleeve done.

My best friend and I traveled to Mexico together and, of course, received

top quality service from Dr. Rodriguez and his staff. Once we got to the

hotel, we had a quick meal and a few margaritas before I had to begin my

pre-operative fast.

The next morning, the driver picked us up at the hotel and took us to Hospital

San Pedro. I had been there before for my Lap-Band surgery and my port

relocation surgery, so it was a familiar place for me. Shortly after I arrived,

the nurses took me back for my IV, weight check, vitals, labs, etc. Oh, and

by the way, since I work in the medical field, I took great note of their attention

to cleanliness and clean technique — no worries there (in case anyone

wonders about that). After the nurses were done, the anesthesiologist came

to visit me, as did Dr. Rodriguez. Next, I was wheeled into the operating room.

I got on the operating table, and the anesthesiologist put a mask over me.

The next thing I remember is waking up in recovery afterwards. I was SORE

and groggy, and I thought, “what have I done???”

Dr. Rodriguez had to work really hard on me during my surgery. De-banding

is not an easy task, and there were a lot of adhesions he had to remove. Also,

since I was previously banded, Dr. Rodriguez was very careful to make sure I

didn’t have any erosion, which could have caused life-threatening complications.

He also took extra care to be sure that the staple line in my stomach was

reinforced by sutures, and shot blue dye through my stomach to be sure

that there were no leaks. I am so thankful for Dr. Rodriguez’s skill as a surgeon.

I have trusted him with my life twice now, and I truly believe he is an outstanding

doctor. I would recommend him to anyone considering gastric surgery.

HE IS THE BEST!!!

Dr. Rodriguez had arranged for my friend and me to stay at the big suite at San

Pedro, which, by the way, happens to be a birthing room where they do

water births — my kind of place! The room had two hospital beds, two sofas,

several chairs, a kitchen, and a bathroom. It was extremely comfortable and lovely.

I am so thankful to Dr. Rodriguez for arranging for us to stay there!!!

OK, I’m being totally honest… the first day was hell. My throat was sore from

the tube being in there during the surgery. I threw up several times, was in pain,

and was really worried that I had made a bad decision. My back and arms

hurt a lot from being on the surgical table. I could barely move. Every movement

felt like torture. The pain meds gave me a horrible headache.

Second day was better, but it was still rough. I was throwing up less often and

was drinking sips of water. Still very sore, but doing better. On the third day,

Dr. Rodriguez was concerned about my difficulties with drinking, so he arranged

for me to have a barium swallow to make sure there wasn’t an obstruction.

Everything checked out OK, so he sent me to the hotel to recuperate. Day 4 was

spent just sipping water and Riopan, and there was no more throwing up. Late

that day, Dr. Rodriguez met us at the hospital to have my drain removed. THAT

was a really weird feeling! Once the drain was out, my soreness improved greatly.

One thing I found REALLY helpful in getting liquids down was I got some honey

straws. I discovered by accident that these work really well. If you have trouble

getting liquids down, it helps to just swallow, swallow, swallow until it moves down.

Well, with the honey straws, you have to work really hard to suck the honey out,

and that action, combined with the swallowing of the little bits of honey, works really

well in propelling the food downward. If you’re getting gastric sleeve surgery,

I suggest picking up a box of these to take with you to Mexico. My friend found

some at the plaza in Monterrey, but I’ve seen them at Target in the tea section

here in the US.

Day 5, we left the hotel and headed home. My advice to anyone traveling after

this procedure – GET A WHEELCHAIR! If you have a wheelchair, you will breeze

through customs and security and life will be a whole lot easier for you.

I’ve been home now for three days and I feel much better. I am able to drink about

60 ounces of water a day now, which is about half of what I used to drink, but it is

improving daily. I am not as sore as I was, but I’m still hurting a bit. My surgical

wounds are healing nicely, and I’m starting to feel more “normal” again. I’ve lost

12 pounds in this first week, which is also pretty cool. I’ve been drinking Vitamin Water,

chicken broth, and Italian ices. Dr. Rodriguez says I am to have clear liquids for 3 weeks,

and then full liquids for 3 months. Most people would think that would be hard,

but so far, I have absolutely no desire for food and do not feel hungry at all. I have

to really force myself to drink enough to stay hydrated, so that’s my toughest

work at the moment.

Anyway, I hope to hear more from people who have had the Gastric Sleeve.

I hope this post is helpful to any of you out there thinking about having it done.

Blessings,

Kim Pekin
Midwife
Purcellville, VA
www.gentlehomebirth.com

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July 24, 2009

Mary, Lap-Band Success

Mary, Lap-Band Success

MY JOURNEY OF LIFE

Mary, Lap-band Success

Mary, Lap-band Success

 

Ok—so that may sound a little dramatic, but I truly feel that this journey of weight loss has been more than just losing weight.  It has changed more than just the number on the scale—I have a new outlook on life, a healthier way to live and a new group of friends for life.

I had been overweight since 1988—tried every diet out there—including the ones that you order food delivered to you.  I spent enough on diets to have had the lap band done several times over!  I considered bariatric surgery off and on several different times.  Being a Registered Nurse, I saw both the successful and the unsuccessful surgeries done in the U.S.   In 2004 my brother had RNY bypass surgery done—and was successful—he lost 100 lbs in over a year.  I still wasn’t sold on that idea for myself—and started hearing about a new procedure called a “band”.  I started casually researching that –but all the while, I continued to gain weight.  Every time I tried to go on a diet, I would lose a little—then gain more than I lost.

But in October 2007, I was singing with my chorus at competition.  I literally hurt from the multiple rehearsals and performances and all the walking I had to do.  When I wasn’t in a rehearsal or on stage or somewhere I had to be, I was in my room taking a pain pill.  I was truly miserable.

One of the things they do during competitions is take candid pictures during performances and then put them out to see if anyone wants to buy copies for themselves.

That was my “wake-up”.  When I was looking at the pictures, I couldn’t find myself.  I literally didn’t recognize myself.  I knew it had to be me because of the people next to me—but I didn’t know that woman.  You see, I knew what the scales said—but I was in denial about how big I really was.  I thought I was carrying the weight better than that!  But there was the proof—I didn’t even know who I was.

Before I even got home, while I was in my hotel room, I started doing research about the gastric band.  One of the links that came up was for Dr. Arturo Rodriguez in Monterrey, Mexico.  I was amazed to find out that even though the gastric band procedure was still new in the US—he had been doing bands for over 12 years (at that time). I didn’t know they had been around that long!!  So I read everything I could about Dr. R—everything on his website—went to every lap band forum and web—and I learned a lot!! 

One thing to note—the procedure is called a gastric banding.  “Lapband”, “Realize Band”, “Allergan”, “VG”—those are all brand names from which ever company made that particular band.  Each band has individual things that make them a little bit different (that old business competition thing), but they all do the same thing.  It is strictly a matter of which band the Doctor feels is best for each patient.  Some Doctors only use one brand—some use more than one brand.  It’s like choosing which “tools” you want to use.   I personally left that to the Doctor—he is the one with the experience to know which one would work best in my situation.

 

So, back to me!  I spent about 3 weeks researching, reading,  looking before I even mentioned to my husband that I was considering it.  I wanted to be totally prepared for whatever question he had to ask me.  It did surprise me how open he was to the idea.  I had expected to really have to convince him—but once he knew that I had done the research and that this was not just a whim, he was supportive of me pursuing the procedure.   I asked my pt coordinator so many questions, it’s a wonder she didn’t just mark me down as a kook!  So with my husband’s support and encouragement, I scheduled my surgery.

On December 28th, 2007, I got on a plane at DFW and in less than 2 hours, I was landing in Monterrey.  Although we have made several vacation trips to Mexico—this was a new experience for me.  I knew what I had been told to expect—but I was still anxious about what would happen.

I came through immigration and customs, and just as promised, there was Dr. R’s driver standing there with my name on a sign.  He took my bags and we proceeded to the van.  It is about a 30 minute drive from the airport to the clinic (San Pedro) where I had chosen to have my surgery done.   All the way, I was watching the “sights” of Monterrey-Walmart-Sam’s –Maytag-Mary Kay—looked just like Texas to me!!

I chose to travel and have surgery on the same day, so when I got to the clinic, things started happening.  The nurses came in and after I had changed into the “very fashionable!” hospital gown, they started the IV and drew blood for the lab tests. Then the anesthesiologist came in—and then the internist—and the nutritionist—but then Dr. Rodriguez came into the room.  From the moment I met him, I was instantly at ease and knew that I had made the right decision.  He has a manner about him that makes you very comfortable and you know that you are in good hands.  I would like to send many Dr.’s to him to learn!

I was taken to the operating room and I have to say that Dr. Santos, the anesthesiologist is great!  I have had several surgeries before, but this was absolutely the easiest anesthesia I have ever experienced.  One minute I started feeling a little sleepy—and the next I was in the recovery room. The surgery itself takes less than an hour to finish.  After I was awake from anesthesia, I went back to my room and stayed in the clinic over night.  Every few hours the nurses would come in and give me antibiotics and pain medications through the IV.  Whenever I would wake up, I would walk around in the room—and then towards morning, I was walking in the hallways. Dr. Arturo Rodriguez came in to see me that evening and to make sure that I had gotten something to drink and that I had gotten some broth and jello.  The next morning, around 9, Dr. R and everyone else was back again—and as soon as I was dressed and ready to go, the driver was there again to take me to the hotel.  I was at the hotel by around 10:30 on Saturday morning—just 24 hours after I had left DFW.

When I got to the hotel, I took a shower and a nap—in that order!  After I had some soup, on Saturday afternoon, we went to the mall.  There are a couple reasons for that trip.  Primarily to walk—because that helps in many ways—and also to stop at the grocery store(supermercado) to get a few things to have in my room at the hotel to “eat” rather than calling room service every couple hours. I got some soup and yogurt, pudding and jello, Gatorade and water, that type of thing.  Then back to the hotel.  I rested, I walked, I drank.  On Sunday, I could have gone home—but I had messed up on my airline reservation, so I stayed till Monday.  So on Sunday I did basically the same things—and also went for a walk for a few blocks around the hotel.  At all times, I felt perfectly comfortable and safe in Monterrey.

On Monday morning, there was Dr. R’s driver, ready to take me back to the aiport and I was on my way home—ready for my new life to begin.  And that is exactly what it has been.

So—where am I today?  I have gone from wearing size 18W to size 8/10—I have lost about 65 lbs –so far- and am still losing. I would like to lose about another 30 lbs—but the difference is that now I don’t worry about it.  I know it will continue to come off. I eat regular foods—not diet foods—and as long as I don’t go “crazy”, I know that unlike every diet I have been on, this time I won’t gain all the weight back again.

And the crazy thing about this is—I would have never been approved to have had the surgery in the states!!  I was told I needed to GAIN about another 20 lbs to “qualify”!  Or have multiple co-morbidities caused by the weight.  That is NUTS!  Dr. Arturo Rodriguez looks at this as a preventative measure—let’s  get the weight off BEFORE the co-morbidities develop.  THAT is true care!

Almost 1 year from my surgery, I approached Dr. Rodriguez about becoming a patient coordinator and working with him to help other people.  I knew that with my nursing training and being a lap band patient myself, that I would be able to offer a unique perspective to potential clients.  I hope that I am.

So, while I have lost weight with the band—what I have gained is much more.  I have gained a new life—a new outlook and attitude—and I gained a group of friends that will be with me forever.

 

Mary Ellis, RN

http://www.thebariatric.com

http://www.bandstersforum.com

maryellis@thebariatric.com

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July 20, 2009

DIET BEFORE LAPBAND

DIET BEFORE LAPBAND

Why a low Carbs Pre Lap-band Diet is Helpful?

I am used to performing surgery on patients that have not done any pre-operatory diet mainly because many of them can’t follow any kind of diet and by asking for one just increases their stress before surgery.

Long term carbohydrates and fat diets will turn to storage and infiltration of fat into the hepatic cells. Under this condition, the liver total mass will be progressively enlarged to what’s called pre-cirrhotic stage. By this, fat infiltration of the liver and on patients, the liver will remain enlarged during the lapband Surgery, the Gastric sleeve or the Gastric bypass and the working surgical area turns into a tiny space, reduced for errors in placing the instruments in the right position.

Because there is less room to work with also makes it very difficult to see and recognize the structures, to have enough space to do the right sutures and perform a safely procedure unless the surgeon has enough experience to handle these kinds of situations and has the right bariatric instruments to work with.

We don’t know for sure how much the total liver mass will be reduced by one or two weeks with pre op-diet. My personal belief is that will not shrink too much to make a difference and that the surgeon should be able to adapt to all situations.

 

Arturo Rodriguez, MD
http://www.thebariatric.com
http://arturorodriguezmd.com
phone: 011 52 818 3783177

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July 6, 2009

THE IMPORTANCE OF LAPBAND POST-OP DIET

 

 

THE IMPORTANCE OF LAPBAND POST-OP DIET

Why the post-op diet is so important, specifically the liquid phase after lapband surgery? 

Brazil bariatric Conference

Brazil bariatric Conference

People seem to think that while they are in the liquid phase and can “cheat”
by eating some solid foods nothing would happen but the truth is that lapband dislocation due to the increased force by solid food and the increased pressure over the “New Stomach” or “Pouch” at this time could be an early cause of the slippages that we can see later on a banded patient.

I try to tell people that their stomach is moving and trying to push the food down to the restricted area and churning on the inside to digest solid food and we want to keep the stomach as still as possible for that first week after surgery. So even though they don’t “feel” like it’s hurting anything, they could be.

Let’s remark that the purpose of the diet it’s not for starting the weight loss but mainly for the healing after the Lap Band surgery, that way you will avoid stretching the pouch and also will help you by letting the sutures to be firmly attached and to hold the lapband in the right position.

Stomach irritants as coffee, alcohol, coke, concentrated orange juice, vinegar, hot food, etc, will increase an early restriction to food and will also cause vomiting that appears to favor the lapband dislocation.

I like the patients to have the 1-2 diet, this means: One week of liquids, two weeks of soft foods and after that you can start with normal food.

You will achieve some weight loss during this time depending on the excess weight you started at and can be from 10 to 25 pounds. 

I personally like to recommend the “South Beach Diet” after the lapband, the sleeve or the gastric bypass because is mostly a protein diet and is a healthier diet for the circulatory system than other type of diets.

Arturo Rodriguez, MD

http://www.thebariatric.com

http://www.bandstersforum.com

http://www.bandagastricaonline.com

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