The risk of complications during and after surgery ranged from mild to severe. Approximately 15% of bariatric surgery patients (1 in 7 patients) suffer from some type of complication, with most events were nausea and vomiting.
Factors that increase the risk of complications are:
- The higher the body mass index (BMI), more likely to suffer complications from the bariatric surgery. Therefore the more weight is reduced before the operation, then the result will be better.
- Health problems (obesity-related) before surgery is directly correlated with the appearance of complications in the first 180 days of operation.
- Sleep apnea and gastroesophageal reflux disease (GERD) is a condition preoperative have highest risk in causing complications in bariatric surgery.
- Diabetes, sleep apnea and arthritis may increase the risk of sepsis.
- If the patient has a blood clot in a vein (blood clots in the legs or arms), pulmonary embolism or a history of blood clots in the past, then the patient has a higher risk for experiencing these events after bariatric surgery.
- High blood pressure before surgery can increase the risk of blood clots after surgery.
Operations performed by less experienced surgeons to increase the risk of complications and death.
Some ways to minimize the risk of complications:
- Choose a good surgeon and ask all the right questions. This is the most important thing.
- Follow the advice of doctors and nutritionists / dieticians in accordance with the instructions provided.
- Educate yourself about what will happen before, during and after surgery. Started this life-changing process with full awareness is the key to success of bariatric surgery. Literature and a good surgical team will give patients knowledge about things – things that need to be prepared.
In addition, some patients speak with your surgeon selection. Find out what they experienced problems and imagine how their story could happen to you. Good bariatric surgeon will be happy to direct you to some of their patients.
- Educate family and close friends about the changes that will be experienced. Understanding and support of the new habit and the reason that you decided to do the surgery will make it easier to stay on track.
- Reduce weight as much as possible before surgery. The lower body mass index, the lower the risk, however, weight loss before surgery is a weight challenge for some patients, and many bariatric surgeons do not need it.
- Consumption of bariatric healthy diet in a few months prior to surgery.
- Consult to determine the presence of sleep apnea syndrome a few weeks before the operation. Sleep apnea significantly increases the risk of surgery and postoperatively. As long as it is diagnosed before surgery, may be treated first to reduce the risk. This is a very big problem given (according to research from the UC Davis School of Medicine at more than 1,300 prospective patients) by 25% prospective patients have sleep apnea are not diagnosed before surgery.
- If you perform an operation outside the residence, plan to stay close to the center of bariatric surgery and surgeon at least 10 days (preferably 2 weeks) after surgery. Two weeks after the surgery is the most risky moment. If a complication of bariatric surgery, you want to close with the doctor who performed the surgery for advice and treatment.
- Exercising as soon as possible after surgery. The faster you be able to get up and move after the operation, the better. However, do not overdo it, so consult with your doctor and read through the exercises in this book to learn the appropriate program.
- Use compression stockings, pneumatic compression device (a special machine that gently squeeze your legs to help keep the blood flowing) and blood thinners after surgery to reduce the risk of blood clots. Your surgeon should have each of these instruments after surgery and should prescribe it as needed.
- Have and use a support system of family and friends. Also in support groups weight loss surgery and weight loss support online. Almost impossible to succeed without the support of those close to you, and chances for success in the long term is greatly increased if you can talk with others who understand and will listen without judging.