Los Angeles, CA (PRWEB) June 02, 2013
Obesity is not a comfortable topic to be faced in America, but fact sheets on the Obesity Action website indicate that 93 million Americans are currently “affected by obesity” (obesityaction.org). Out of the thousands who opt for bariatric surgery, hoping to lose weight swiftly, it's also not comfortable to talk about the possibility of weight regain. However, bariatric surgeon Dr. Madan says that weight regain is just one of the possible negative effects of surgery when patients aren't fully prepared for the post-surgical road ahead, or just don't know what to expect. He offers five tips on what to do after LAP-BAND® surgery, for those who have already decided on taking steps forward with weight loss, and believe that surgery is the best option.
First, says Dr. Madan, know that the most weight is lost within the first two years of any weight loss surgery. It often takes up to three years for the full effects of lap band surgery to emerge, in part because it is one of the least invasive and least permanent of the restrictive surgeries. So, patients should not be surprised if weight falls off gradually rather than at 20 pounds per week.
Second, the danger zone comes two years after surgery, when patients get comfortable with the lost weight, and begin a process of small indulgences. This can lead to weight regain, because the system is sensitized to a low-calorie diet, and any additions of liquid calories (which take up the least stomach space) can add on pounds quickly. The danger is that patients who experience post-surgery weight regain have a hard time maintaining focus, and some just opt to have the lap band removed.
Third, some patients don't know that the lap band must be adjusted for full effect. The undated US News Health update, “Information on Bariatric Surgery”, is correct in estimating that having 6 or 7 adjustments during the first year or two is a normal part of lap band insertion. In following years, it's common to have an annual adjustment. This also gives physicians a chance to check on band slippage, or whether or not the band has grown into the stomach.
Fourth, it's not uncommon for patients to develop gallstones after losing weight. The symptoms can sometimes be confused with the effects of the lap band, which makes it even more important to attend follow-up meetings with the original physician. Otherwise, the lap band may be removed but the symptoms persist.
Fifth, it's also not uncommon to experience physical effects, such as fatigue and nausea, and emotional effects, such as depression. In the same US News update, a 2007 report was mentioned from the Archives of Surgery, indicating that the risk of suicide increases after surgery. Dr. Madan says that this may be due to many factors, including unrealistic expectations of weight loss, or emotional issues that can no longer be dealt with via eating. Physicians sometimes recommend counseling, which is more of a safeguard against depression effects rather than a blanket assessment on the patient's mental health.
Dr. Atul Madan has a high degree of experience and knowledge, having performed over 2,000 bariatric procedures. An innovator, Dr. Madan was the first surgeon in the city of Memphis to conduct a laparoscopic gastric bypass, and the first to issue treatments without incision for post-operative weight gain. The University of Miami appointed Dr. Madan as Chief of the Laparoendoscopic and Bariatric Surgery Division, though he has since moved. In 2007, he won the SAGES Young Investigator Award, and high patient satisfaction rates led to the 2011 and 2012 Patients' Choice Award.