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How much weight should i lose one month after gastric bypass

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Lee este artículo en Español. Descargar PDF. Autor para correspondencia. Este artículo ha recibido. Información del artículo. Introduction There has been an alarming worldwide increase of obese people in recent years.

The objective of this research is to analyse the influence of pre-surgery loss of weight in the nutritional parameters of patients. Methods Fifty patients that were scheduled to undergo bariatric surgery followed a very low caloric diet during 4 weeks prior to the surgery.

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The nutritional parameters were analysed at 3 specific moments: before starting How much weight should i lose one month after gastric bypass diet, at the moment of surgery when the diet was concluded and one month after the surgery. Conclusions Loss of weight prior to surgery does not have a significant influence in the nutritional parameters of the patient. These results would support the indication of losing weight for patients that are considered candidates for bariatric surgery. Bariatric surgery.

Palabras clave:. Texto completo. Introduction Bariatric surgery is the most effective treatment to bring about and maintain long-term weight loss in the majority of patients with morbid obesity, as well as to resolve their comorbidities. With the aim of achieving an uncomplicated surgery and postoperative Crema para adelgazar mientras duermes streaming, it is increasingly recommended that patients lose weight before the operation, to improve their general How much weight should i lose one month after gastric bypass and to prevent aggravation of their underlying disease.

Although this preoperative weight loss has been shown to be effective in improving certain conditions, such as fatty liver disease, reducing intra-abdominal fat and facilitating surgery, 2 no study has been performed of whether this weight loss may lead to the malnutrition of these patients.

The aim of this study is to analyse the influence of preoperative weight loss on the nutritional parameters of candidate patients for bariatric surgery. Methods An observational prospective study was designed to analyse whether preoperative weight loss using a very low calorie diet VLCD during the 4 weeks prior to bariatric surgery led to a significant alteration in nutritional parameters.

The study design was approved by the Clinical Research Commission of the hospital. This model is useful for studying several intra- and inter-subject factors.

No side effects of the diet were recorded. Statistical analysis Statistical was based on variance analysis for variables repeated at 3 different moments. The general lineal model for repeated measurements was used for inferential analysis. All of these were resolved without incident.

Results During the period of time studied a total of 50 patients were operated on according to this protocol. The average age of the men was 44 years old, while for the women it was 45 years old. Weight In the month before the operation, patient weights varied from a maximum of Anales del Sistema Sanitario How much weight should i lose one month after gastric bypass NavarraPamplona. Freire, P. Gil-Rojas, Y.

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Lin, H. Psychiatric disorders of patients seeking obesity treatment. BMC Psychiatry13 11. Luna Montano, I. Mujer, Belleza y Psicopatologatología. Losada, A.

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Consecuencias psicológicas en niños con obesidad producto de la estigmatización social. Revista Mexicana de Cirugía Endoscópica17 4pp. Mazagatos, B. El cuerpo como objeto de deseo en obesos mórbidos con antecedentes de abuso sexual. Revista de la Asociación Española de Neuropsiquiatría35pp. Montes Manrique, M. Efectos metabólicos de la Gastrectomía vertical en un modelo de rata diabética no obesa.

Tesis doctoral. Repositorio Documental, Universidad de Valladolid, España. Nuño, M. Distorsión de la imagen corporal en madres hacia sus hijos con sobrepeso u obesidad. Revista chilena de nutrición44 1pp. Olvera, D. Effect of surgical gastric bypass on body weight and dysmetabolism in obese people. I am so much happier and my quality of life is so much better than before. I have lost 43 pounds so far and have 18 more pounds How much weight should i lose one month after gastric bypass go.

Water is much more important than you know. We sit through patient aftercare classes and just nod about drinking all that water. Dehydration is the leading cause of hospital readmission after bariatric surgery.

The level of sickness caused by post op dehydration can be even worse than the surgery itself. We found 2 studies with these diet, both was retrospective and included patients, one from Alvarado and one from Alger-Mayer Three of this works were considered significative, all of them prospective and included 90 patients How much weight should i lose one month after gastric bypass was from Fris paper, 18 from Lewis paper and 32 from Colles Dietas rapidas. The length of the treatment had a wide range between weeks.

The results of this device were reported in two studies in superobese patients. The follow up was 6 months. Early withdrawal was reported in 3 patients 7. Acute preoperative weight loss just before surgery plays a crucial role in the preparation of morbidly obese patients with indication of bariatric surgery.

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It can be reached following a low calorie diet, a very low calorie diet or with intragastric balloon placement. Which of these methods should be chosen for the weight loss in these patients?

It is not easy to answer this question because when we reviewed the literature we found that most studies do not have adequate statistical power Adelgazar 10 kilos are retrospective or have small sample size have biases like comparing different surgical techniques, different lost weight measures absolute weight or percentage of excess weight or differ in the length of treatment.

Although there is no comparative study between these three methods, seems How much weight should i lose one month after gastric bypass that very low calorie diet are more effective and require less time than low-calorie diets and cheaper and with fewer side effects than the intragastric balloon table IV.

Regardless of the method used, most of the studies agree that only can be show a decrease in liver volume and a reduced operating time in patients with preoperative weight loss 10 without being able to objectify a smaller presence of complications How much weight should i lose one month after gastric bypass bleeding or fistulas or any relationship with postoperative weight loss.

How much weight should i lose one month after gastric bypass

The meta-analysis published by Livthis, just found 15 articles of screened papers reporting preoperative weight loss but related to postoperative outcomes and without comparison among them. Thus, despite the widespread use and the supposed benefits and advantages of preoperative weight loss, if we try to be guided by How much weight should i lose one month after gastric bypass evidence, the only recommendation grade II we can find is from The American Society of Clinical Endocrinologists, the Obesity Society and American Society of Metabolic and Bariatric Surgery claiming that such weight loss only affects in the decrease of liver volume and technical issues arising from it.

Physycal activity of patients undergoing bariatric surgery in the longitudinal assessment of bariatric surgery LABS study.

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Cold and windy, blowing Heng clothes fluttering sound! Adelgazar 7 kg: Yogur griego de dieta. Utopía y Praxis Latinoamericanavol. Keywords: Bariatric surgery, self esteem, obesity, treatment, depression. Obesity appears as the result of a consumerist system, reflected in the capitalism imposed by the social context, the idiosyncrasy is modified depending on the group to which it belongs, and the eagerness to believe and develop requires a certain rhythm of life that asks in return for deprivation and leaving the comfort zone.

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This includes the stigma of obesity and the behavioral responses it produces, and the mechanical consequences of being overweight, such as osteoarthritis and sleep apnea Aguerri:p.

The self-conception produces anguish, depression and distorts the interpretation of the perceptions given in the cerebral cortex based on the stimuli that are received from a capitalist context, where the figure is important but, in that emotional state, it How much weight should i lose one month after gastric bypass everything that is seen, what is perceived; they feel fatter, skinny, old; less attractive and sensual.

The psychic symptomatology, which modifies the behavior, leads to undisciplined consumption of food, they become introverted and not very participative. This psychic disorder produces bulimia, which is the exaggerated desire to eat, accumulates fat and body mass with weight gain. The new body aspect develops the feeling of discomfort and seeks to compensate with the approval of others, there appears the desire to please and with it the desire to improve their physical appearance in general.

Today, this is explained as a multifactorial result, of excitatory actions and inertias produced by a decadent discipline sense and insecurity in the acquired self-conceptualization, in the particular development. Bariatric surgery emerges as a solution and was implemented to relieve the situational state of the morbidly obese Baltasar et al: that in the psychological field, he was seen as a weak, transgressive, amoral, undisciplined and clumsy subject in his movements.

It took a long time to be considered as a disease, in other How much weight should i lose one month after gastric bypass, to determine that obesity was not chosen condition. Bariatric surgery is a surgical procedure on a healthy organ in order to try to solve a disease that is systemic and that clearly does not originate in the stomach, but in the mind. These procedures are known as "bypass" or gastric bypass procedures, this helps to avoid major complications such as heart damage, joints, diabetes, among others.

Weight gain for several reasons produces side effects and in most patients one or more of these symptoms are observed: Hypertension, ischemic heart disease, brain strokes, Congestive Heart Failure, Ventilatory Insufficiency, Obstructive Sleep Apnea Syndrome, Insulin Resistance, and Type 2 Diabetes Mellitus, Atherogenic dyslipidemia, Hyperuricemia. Menstrual dysfunction, polycystic ovary syndrome, infertility, increased perinatal How much weight should i lose one month after gastric bypass, urinary incontinence.

Cholelithiasis, hepatic steatosis, nonalcoholic steatohepatitis, liver cirrhosis, gastroesophageal reflux Abreu Jarrin, et al: Alterations in lung function have been described in overweight patients, however, this occurs predominantly in patients with severe obesity mainly.

Adelgazar 50 kilos main effect is the decrease in residual volume associated with an increase in abdominal pressure on the diaphragm. The distribution of fat, regardless of the totality of the fat, influences the ventilatory capacity in men, possibly as a consequence of the level of visceral fat Aguerri:p.

The most important risk factors are those that are related to sleep-related breathing disorders.

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Given the psychosocial, economic conditions, and demands of physical and aesthetic conditions of a capitalist society, based on a false moral and contaminated ethics imposed, men and women become conditioned patients. In this capitalist world, science develops leads the way to extraordinary inventions in order to help those people which feels insecure, unstable and with a very low self-esteem, successful people, do not find a complete happiness, with their money, special and tight clothes, that clings to the figure of his body, hoping to hide their voluptuous How much weight should i lose one month after gastric bypass, in search of acceptance, to maintain that kind of status that capital gives them.

All of this prevents them from taking free time in order to take care of themselves with diet and exercise, they are hindered by doing their jobs, leaving aside their own family and friends, they cover these shortcomings by looking for any marketing announcement that alleviates their own concept, to reduce their weight; among their friends, they suggest all kinds of arts to each other: balms, concoctions and potions that helped other people to achieve their objectives.

The reduced conception of oneself, or being obese, is not an absolute guarantee for a person to become a potential candidate for this type of intervention, nor the fact of wanting to look good.

Currently, other requirements are adelgazar Infusiones hornimans para according to the body mass index BMIfirst and foremost, dietary and physiotherapeutic resources must be exhausted, supported by psychotherapy, in addition to adequate metabolic control by clinicians and endocrinologists.

Once those steps are completed, the surgery should be evaluated Aguirre Fernandez, et. These types of people seek a model of perfection in their figure according to what How much weight should i lose one month after gastric bypass themselves think of themselves.

It is interesting to find the answer of what is the parameter of perfection imposed on the physical structure of a person, being thin at this height of the century is being "cool", the chubby is separated by its own concept and by the rejection of those who remain in the Top of the apparent success. Capitalism steals the time La buena dieta take care of themselves, but if they have enough money, they can buy a model-like figure for themselves.

In the market in the current century, the SPAs [1] are in vogue, each one more modern than the other, with sophisticated mechanisms with bombastic names that that sells hope to the people, in order to hide their weight gain and the ruthless passage of time, the marketing in capitalism sells what people do not need, everyone could hear offers to lose weight without surgery, using liposonix or the famous ultraliposculpture, which is sold as the next generation and treatment number one in the United States.

This method consists of high-energy and focused ultrasound that destroys the adipose tissue of an area of the body, without damaging the skin. The surgical techniques are classified into two groups: restrictive techniques vertical banded gastroplasty, adjustable gastric band, sleeve or gastric tubulization and mixed techniques, which have a restrictive and malabsorptive component.

The most frequent one its gastric bypass Ramírez Rincón, et al: The size of the stomach adapts and ends How much weight should i lose one month after gastric bypass looking like a sleeve or a tube.

Its advantages are that it does not cause malabsorption, and the patient loses weight: the stomach will accept a smaller volume of food since its size is reduced, most of the cells that produce the hormone involved in the "feeling of being hungry" are How much weight should i lose one month after gastric bypass along with the stomach, and the speed at which the stomach empties its reduced Olvera, et al: Sleeve gastrectomy provides some advantages compared to bariatric procedures; such as not needing new connections between the intestines as needed with the laparoscopic gastric bypassnot needing adjustments as needed with the laparoscopic gastric band, and the possibility of converting it later into either a How much weight should i lose one month after gastric bypass bypass or a gastric band laparoscopic if necessary.

Sleeve gastrectomy has become very popular in adolescents, due to the reasons described above.

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There is a peak in clients at certain times of the year, which coincides at the end of the year, when there is an increase of depressed people due to the frustration derived from the lack of achievements in the year. This type of patients are related How much weight should i lose one month after gastric bypass emotional losses or desire of having How much weight should i lose one month after gastric bypass stable relationship, they consider themselves isolated by their physical appearance and seek to perform an intervention at any price.

There exist many kinds of treatments to offset or control obesity or the loss of the figure in the XXI century; Adelgazar 50 kilos physical exercises, balanced diet or physiotherapy. Image is an important factor to be successful, everybody invests on their own image, and the levels of obesity increase daily. Everybody is economically active, which means that the diverse occupations represent different levels of difficulties to keep a balanced diet and the recommended amount of exercise according to the food ingestion Gil-Rojas, et al: Thanks to some of the capitalism instruments, some needs are created, people underg o some interventions with or without surgeries with no guarantees at all, and quite often it is necessary to keep doing them every year, which brings other risks and higher investments.

The main question is to know how long they would keep their dreamed body. When there is a surgery, the risk of death is the same as any other intervention, the costs are high and the recovery time is relative with the capability of resilience of the patient and their economical capabilities. People who are not obese and who have an apparently normal health can be intervened and be released almost immediately after they recover from the intervention.

How much weight should i lose one month after gastric bypass

It provides a loss of weight that will decrease the number of post-surgical complications Aguerri:p. In capitalist countries those kinds of interventions are practiced in a relatively normal way [2]it is given to the majority of people who asks for them and there is several health services that are provided, in a subsidized way, from the government.

In Ecuador, these institutions give these kinds of surgeries to people even if they are not obese but if they present behavior disorders or depression, the patients are evaluated psychologically to determine their How much weight should i lose one month after gastric bypass state and why they seek this kind of solution.

As a comparison we can see how in socialist countries, like Cuba [3]these kinds of surgeries are also subsidized by the government but the selection process is rigorous, and it is only given to people who they believe needs it, making sure the patient has a family and is well structured.

Many times kids are also allowed to choose their own food, and the habit of bringing lunch boxes to the school allows How much weight should i lose one month after gastric bypass parents to use food with high levels of carbs.

Children with obesity also suffer from bulling, they are rejected and experiment isolation, angst and despair, which increases their tendencies to have a higher food consumption. Inaround 43 million of children below 5 years of age where overweight. The disequilibrium between the food ingestion and the energy expenditure is recognized as the main cause Nuño, et al:of childhood obesity.

How much weight should i lose one month after gastric bypass

The parents often work for long periods of time, which means that children stay with their grandparents or other caregivers; sometimes they will also provide the kids with food that is high in carbs and sugar. In general, marketing targets food and drinks which can be unhealthy for kids. The bars and cafeterias in schools and other institutions also help this tendency of obesity in children. There are How much weight should i lose one month after gastric bypass lot of prejudices surrounding children with obesity, and the majority of those prejudices are developed during earlier stages of childhood, when the children establishes relations with friends, play games with them and share activities together.

This creates a psychological conflict, because society creates a negative perception of others, standardizing what the media want us to accept and making people with bigger weights or physical differences to invest money trying to change their appearance in order to fit in.

The post-operative is the biggest condemnation for the patient during the process towards their integral well-being and recovery, it must be underlined that more than indescribable pains, they suffer hair loss, the sensation of hunger, the habit of eating by anxiety, and so forth. There is How much weight should i lose one month after gastric bypass an increment of the symptoms and this could lead them to seek to satisfy their appetite. They begin to eat indiscriminately, until a recurrence of their physical state, if the depressed or anxious state persists after the intervention, people gain weight again.

Those who undergo these treatments, put all their faith in the intervention [4]. Thinking that with it, everything will change and they will be accepted by their partners, friends and their family. But they do nothing to change their way of acting in the face of diverse stimuli from their context. Looking for a solution to a life devoid of emotional balance, and an adequate life system, the patient must face a world completely different from his previous life. Based on indiscipline and permanent satisfaction with the How much weight should i lose one month after gastric bypass of food, with a small stomach, the feeling of hunger produces anxiety if it was not controlled before the intervention with psychological [5] help; in this post-operative phase, it is increased until it is eaten obsessively, due to the need for more calories, your appetite looks for carbohydrates, which without discipline can produce malnutrition or weight gain.

The role of the psychologist is important not only in the evaluation to refer to the surgeon, but also in the postoperative period [6] Ríos Martínez: Because he is the one, who must regulate the balance between the anxiety to Dietas faciles weight and the anguish of not being able to eat what he needs [7]. Initially, the role of the psychologist was exclusively to evaluate the patient to determine the type of personality, and to detect possible emotional conflicts that may determine that the patient cannot overcome their affective poverty, anxiety and depression.

Once the surgical procedure is finished, the patient continues with antibiotic prophylaxis, analgesics, solutions and total fasting. On the first postoperative day, he only had ice intake and strict ambulation, How much weight should i lose one month after gastric bypass on the second day he underwent additional test with oral methylene blue, followed by a liquid diet, Penrose withdrawal and discharge to his home.

Every surgical intervention has its own risks. They go from the medical errors due to medication failure or previous and post-surgical exams, depending on mood and psychosocial [8]condition of the patient, etc.

Bariatric surgery can cause serious side effects, if taken in mind that there are greater long-term health benefits than risks, the attitude will be positive in the face of post-operative symptoms. Although the operation can be performed laparoscopically, all bariatric surgeries are considered major surgeries Rubio, et al: Among the possible complications that can occur are: infection, intestinal obstruction, nutritional deficiencies gastroesophageal reflux, blood clots, pneumonia, bleeding ulcer, suture dehiscence, marginal ulcer, gastrointestinal communication gastric, stenosis of the gastrojejunal anastomosis and eventration Ramírez Rincón, et al: These patients of bariatric surgery are individuals prone to taste alterations and food aversion, in many cases to meat and dairy products.

It has been shown that after successful bariatric surgery, patients obtain benefits such as reduction of blood glucose and blood pressure, reduction or elimination of sleep apnea, reduction of the workload of the heart and cholesterol levels; due to the lack of vitamins and minerals, but generally improves quality of life, after bariatric surgery the Muscle Mass Index BMI decreases, the physical measures, overweight, for about a year, improves the physical part, but the psychic aspect, decays, after two years the decrease in mental health conditions is observed [9].

This intervention leaves excess skin to lose weight and should be subjected to a new operation called abdominoplasty, which is excessive skin removal; Patients who underwent this second intervention have a better quality of life and self-acceptance than those that were not Catalan, et.

Obesity brings concomitant diseases that produce a conflicting state of life, self-esteem decreases in men and women, seek to compensate with successes in different scenarios, in this time of search for progress, the true interests and How much weight should i lose one month after gastric bypass disappear. Once they have obtained the money with their jobs, they use it to increase their How much weight should i lose one month after gastric bypass.

The capitalist system converts its inhabitants into individualistic beings, into instruments of a society, conditioned to production and they will be identified according to their capacity of performance, in the previous sociopolitical systems the exploiters could be identified, but in this system they are they self-exploit, accumulate activities, seek to keep busy at all times without having time to relax, work is already home, become hyperactive and come to confuse leisure time with work, have money but little health ; the acceleration of the system takes away the time to maintain an adequate lifestyle, nutrition and sedentary lifestyle produce disorders at the digestive level, and accumulation of fat that produces weight gain.

The concern for the body scheme grows in a capitalist system, but it is not confronted because the degree of personal and economic satisfaction is greater than the needs of maintaining an adequate lifestyle, if money exists, marketing creates realities on the self-esteem, draws a picture of success in the mind of the worker, and suggests a series of interventions from surgical to ultrasound handling biological and physical theories, it is no longer exclusively the obese who seeks these interventions, they are all people who need to look goodso do not have any disease.

While bariatric surgery improves the living conditions of obese people and gives them a new hope to enjoy the pleasure of eating any kind of food without any lesser burden of conscience and without worrying about weight gain, one should think that after the operation only one year will have the desired success, and that after two years the psychological problems manifests, there should be a model of psychological treatment to prevent relapse, even before the operation, the patient should remain in treatment psychological to improve their condition.

Costs of surgery influence the applicant's economy, are costly, involve risk and recovery is very painful, the process of food rehabilitation increases anxiety with depressive periods; but it is worth paying that price just to feel good about yourself and be accepted by others? Being part of a group is necessary for the seemingly normal individual to be happy, depending on the type of personality, there are also people who are intervention will provide a bit of momentary security, the physical How much weight should i lose one month after gastric bypass received in the operation, compensates the seconds in which the person who was intervened was the center of attention of their friends.

Since its creation the operation was established for the obese, perdiendo peso in social or public health centers, people who are overweight, and are not considered obese, with the help of friendships and influence of doctors undergo this operation, with better results than the real candidates for this operation, for the capital that governs this system, who has enough money to feel good for two years, risks it, they prefer to suffer for a moment than the rest of their lives.

Those who need the operation are the obese, but in a small number are those who risk the operation, who most request this intervention are women, each of us know at least a couple of women who went through the scalpel, without needing it.

In the capitalist countries the How much weight should i lose one month after gastric bypass care and the figure depends on the capital you want to invest to work your personal and social security and acceptance, you can say that if I had money I would do it, and if a statistical analysis is carried out, it will be proven that a prevalence of insecure people with low self-esteem that performs this type of intervention, among them, women who have experienced emotional losses and remain with a minimized emotional state.

The perception of fatness and obesity suffered from childhood, forces to deal with the social paradox, where the current lifestyle prevailing in our society, new eating habits and sedentary lifestyle, favor in many individuals the development of obesity, but at the same time the same society is the one that punishes the obese, in addition to the concomitant diseases, it cannot establish a stable affective relationship.

People with excess weight mostly adapt to their appearance, get couples who have the same tendencies to obesity, share the indiscipline in food and both fatten and teach their children their food indiscipline, but when one How much weight should i lose one month after gastric bypass them looks for the health of the family, will have a permanent struggle for the type of food and an appropriate lifestyle.

The society has imposed a personological profile on the man or woman with overweight; Aristotle considered that because obesity was not healthy, people who had the right weight acted ethically, and therefore the How much weight should i lose one month after gastric bypass were lenient.

Capitalism offers a new image, leaving health aside, seeking the wellbeing of people, regardless of whether it is momentary, regardless of the risks, physical or psychological, in various circumstances influence the economic aspect over the real needs of the patient and of the Dieta granada. So we do not ask if health and aesthetics are a Utopia or a praxis.

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