- 1 What nutrient deficiencies do Roux-en-Y gastric bypass patients have to worry about?
- 2 Why do gastric bypass patients need B12?
- 3 Which complications occur more commonly following Roux-en-Y surgery?
- 4 Which nutritional deficiency is the most common problem related to pregnancy following bariatric surgery?
- 5 What happens if you don’t get enough protein after gastric bypass?
- 6 What happens if I don’t take my vitamins after gastric bypass?
- 7 What can you never eat again after gastric bypass?
- 8 How much B12 should bariatric patients take?
- 9 How much B12 should a gastric bypass patient take?
- 10 What happens after Roux-en-Y surgery?
- 11 Is Roux-en-Y reversible?
- 12 How long does it take to recover from Roux-en-Y surgery?
- 13 What is the mortality rate after bariatric surgery?
- 14 Is pregnancy safe after gastric bypass?
- 15 What is malabsorption after gastric bypass?
What nutrient deficiencies do Roux-en-Y gastric bypass patients have to worry about?
The most common deficiencies are vitamin B12, folate, zinc, iron, copper, calcium, and vitamin D and can lead to secondary problems, such as osteoporosis, Wernicke encephalopathy, anemia, and peripheral neuropathy.
Why do gastric bypass patients need B12?
Gastric bypass patients don’t fully digest or absorb vitamin B12 from protein foods, which puts them at high risk of deficiency. The amount of stomach acid produced in the new stomach pouch is significantly low. Stomach acid is needed to release vitamin B12 from protein foods.
Which complications occur more commonly following Roux-en-Y surgery?
Longer term risks and complications of gastric bypass can include:
- Bowel obstruction.
- Dumping syndrome, causing diarrhea, nausea or vomiting.
- Low blood sugar (hypoglycemia)
- Stomach perforation.
Iron. Iron deficiency is the most commonly encountered deficiency following bariatric surgery, occurring in nearly one half of patients, particularly after Roux-en-Y gastric bypass or biliopancreatic diversion surgeries .
What happens if you don’t get enough protein after gastric bypass?
Patients that don’t take in enough protein can experience weakness and muscle loss, and this can cause serious problems. In addition to staying hydrated, patients will need to focus on how much protein they take in. Most bariatric surgery programs will recommend 60 to 100 grams per day, depending on the patient.
What happens if I don’t take my vitamins after gastric bypass?
It can leave you feeling very tired or weak, or can cause pain from nerve damage in the hands and feet. Iron deficiency anemia has been reported to occur in as many as 1 out of 2 post-operative gastric bypass surgery patients who are more than five years out from surgery.
What can you never eat again after gastric bypass?
Foods to Avoid After Bariatric Surgery
- Red meat that’s tough or dry.
- Greasy, high fat foods.
- Heavily seasoned or spicy foods.
- Sugar alcohols, such as erythritol, glycerol, mannitol, sorbitol and xylitol.
- Foods reheated in the microwave.
How much B12 should bariatric patients take?
At least 500 mcg per day of Vitamin B12 (cobalamin or methylcobalamin).
How much B12 should a gastric bypass patient take?
Vitamin B12 is recommended at a dose of 300-500 mcg daily in a sublingual form, meaning it dissolves preferably under the tongue or between cheek and gum. Alternatively, patients may choose a nasal spray (which requires a prescription) or an intramuscular monthly injection, also a prescription.
What happens after Roux-en-Y surgery?
Bleeding, infection, and blood clots in your legs are possible side effects that may occur after any surgery. General anesthesia may also cause breathing problems or other reactions. You may also have leaks from the stomach pouch or the Roux limb.
Is Roux-en-Y reversible?
Background: Roux-en-Y gastric bypass (RYGB) can be reversed into normal anatomy (NA) or into sleeve gastrectomy (NASG) to address undesired side effects.
How long does it take to recover from Roux-en-Y surgery?
You will probably need to take about 2 to 4 weeks off from work. It depends on the type of work you do and how you feel. You will probably return to normal activities within 3 to 5 weeks. You may shower, if your doctor okays it.
What is the mortality rate after bariatric surgery?
Patients undergoing bariatric surgery had a 1-year case fatality rate of approximately 1% and a 5-year case fatality rate of nearly 6%. Less than 1% of bariatric surgery patients died within the first 30 days after the procedure.
Is pregnancy safe after gastric bypass?
You should wait 18 months before getting pregnant
It’s safe to get pregnant after bariatric surgery — after your weight stabilizes. After surgery, your body goes through potentially stressful changes and significant nutritional upheaval, which can pose problems for a growing baby.
What is malabsorption after gastric bypass?
Bypass of the duodenum impairs mixing of ingested nutrients with bile acids and pancreatic enzymes leading to maldigestion. The combination of malabsorption and maldigestion, while resulting in significant weight loss, predisposes to malnutrition.