常见问题
- Am I a candidate for weight loss surgery?
如果你的年龄在18到70岁之间,身体质量指数(BMI)在35或更高, or a BMI between 30-35 with co-morbidities such as diabetes, 高血压, obstructive sleep apnea, or congestive heart failure, 你可能是候选人之一.
- How long does the surgery last?
Each person’s case is different. But depending on the operation it usually lasts about 1 to 3 hours. 手术后,你将留在恢复室,直到你的麻醉师允许你转移到你的病房, usually about 1 hour after surgery.
- How much weight will I lose after surgery?
大多数人可以减掉60%到70%的多余体重. Most of this is lost within the first 18 months following surgery.
- How quickly will I lose the weight?
It depends on the type of surgery. 用胃套, the weight comes off a little bit slower, typically over a period of a about a year or sometimes two years. With the gastric bypass, 大多数的减肥效果都发生在前六个月.
- Does the stomach stretch back to its original size over time?
在任何减肥手术中,你的身体都必须适应更小的食物容量. Although it is common for some post-operative stretching to occur, 如果你遵循术后饮食指南,你应该能够保持健康的体重. 没有可靠的方法来预测你可能有多少多余的皮肤. 年轻的患者在减肥后很少有多余的皮肤问题,但大多数患者会有多余的皮肤,可能需要手术切除.
- Can I eat whatever I want after surgery?
Aside from the initial bariatric diet which consists of a 1 to 1.在向固体食物过渡的5个月里,你应该能够恢复有规律的健康饮食.
- Will bariatric surgery ease my joint pain?
在大多数情况下,是的. With a reduction of weight on the joints, many people experience less joint pain and increased mobility. 然而, if there is already permanent damage to your joints, weight loss may not resolve all your joint pain.
- 因为我的胃小,我不能吃那么多,我会一直饿吗?
我们经常听到我们的病人说他们的渴望明显减少了, and they don’t feel compelled to eat all of the time. 这在很大程度上是由于减少了从天然胃释放到系统中的饥饿激素(称为胃促生长素)的数量. Because the stomach is smaller, less ghrelin is produced.
- 我会掉头发吗?
由于术后饮食的原因,许多患者的头发会暂时变稀疏. To alleviate this problem, 我们建议增加蛋白质的摄入量,并确保每天服用推荐的减肥维生素. You may talk to a hairstylist about using hair-thickening shampoos. 头发稀疏是Roux-en-Y胃旁路手术和袖式胃切除术后体重迅速减轻的正常反应. Once you’re back on a normal diet with adequate protein levels, the hair loss stabilizes, and you start to regain your hair. For most people, it goes back to normal.
- How long will my recovery be?
通常情况下,患者术后的第一个晚上是在医院度过的. Many patients do not require any pain medicine. 我们鼓励患者在术后住院期间立即站起来走动. 大多数人在一两个星期后就能恢复正常. 例如,我们的病人通常会在两周后回到轻度有氧运动和快走.
- Will I feel weak because I'm not eating as much?
As with most operations, initially, patients will feel fatigued. 一旦你的新陈代谢变得更好,你的能量水平就会增加. 这是因为摄入的食物量足以维持良好的健康. For other required energy, 你的身体代谢储存区域,包括脂肪沉积,这通常会导致丰富的能量.
- Is my surgeon in the operating room during the entire procedure? Who else is in the room?
你的外科医生会在房间里进行整个手术. 我们有一个专门的团队,他们受过专门的训练,可以协助机器人和腹腔镜手术,他们也会在场.
- Can the roux-en-y gastric bypass be reversed?
Roux-en-Y胃旁路手术(即将推出)会改变你的胃肠道. Because nothing is removed during this bypass, it can be reversed. 然而, this operation should be viewed as a permanent change. If you are not ready for that type of commitment, 在这一点上,这种手术可能不是你的最佳选择.
- Will I ever be allowed to drink carbonated beverages?
It is not recommended to drink carbonated beverages.
- How can I prepare for surgery?
First and foremost, educate yourself. Read all materials available or downloadable from our website. Check out other reputable online resources like www.obesityhelp.com, www.ASMBS.Org和WWW.obesityaction.org/weightlossoptions/bariatricsurgery. Attend our informational seminar. Listen to the stories of other weight loss surgery patients, which you can also find online or in print, 但要注意手术经验和依从性的个体差异. 开始将推荐的健康生活方式行为落实到位,这些行为与减肥成功密切相关, such as weaning carbonated/caffeinated beverages, building in healthy protein sources to each meal, increasing physical activity as able, and cutting out simple and starchy carbohydrates. 手术前你需要做的另一个重大改变是戒烟. You will find that the sooner you “surrender” to these recommendations, 手术后就越容易接受并保持这种健康的生活方式, and you will be more successful long-term in keeping off excess weight.
- Can I smoke before or after I have surgery?
No, smoking of any kind (vaping, cigarettes, etc.)是不可取的. 事实上, prior to surgery, you must be nicotine-free for 6 months. A nicotine test is required as part of your clearance for surgery.
- When can I have a baby after weight loss surgery?
Pregnancy after weight loss surgery is very possible. 事实上, 过去患有不孕症的女性通常会在减肥后恢复生育能力. 然而, 我们建议女性患者在减肥手术后至少18个月到2年内避免怀孕,尤其是胃旁路手术和胃套管手术. 这背后的原因是,体重快速下降的时期并不是滋养胎儿生长的理想情况.
然而, after you’ve gotten past your first two years, 你已经减掉了大部分多余的体重并成功地维持了下来, pregnancy is much safer for both you 还有孩子, 因为你会变得更轻, more active and healthier all around. 除了, 你会有较低的风险与体重有关的怀孕和分娩并发症, 还有孩子, if born at a healthy weight, will have a lower risk of later health problems as well. 如果你怀孕了, 请尽快让我们知道,因为我们将与您和您的妇产科医生密切合作,以确保您在怀孕期间不会缺乏维生素或矿物质.
- How do I know which surgery is right for me?
手术没有对错之分,但有些手术类型可能比其他更适合你. 你的医生在提出建议时会考虑你的意见. 决定应该首先基于对每一种手术的基本知识的清晰理解, including risks and benefits; health conditions that may favor the benefits of one surgery vs. another, or conversely, increase the risks. 我们的目标是帮助您根据您的情况和健康挑战做出最明智的决定.
- When can I begin exercising after surgery?
首先,你在医院里可以轻松地走一小段路. The key is to start slow. Listen to your body and your surgeon.