Vad du kan förvänta dig

Whether you choose gastric bypass or gastric sleeve surgery, it is important to understand the expected results. Average weight loss after such procedures is approximately 80% of your excess weight. This means that some patients reach normal weight according to the BMI scale, while others achieve a smaller weight loss. It is important to remember that greater weight loss is not always synonymous with better health. Individuals react differently to surgeries, and it is crucial that you reach a healthy and balanced view of your weight. When you are considering gastric bypass or gastric sleeve surgery, you will be able to discuss your goals and expectations with us at CK Klinikerna Kirurgi. We will give you advice and guidance based on your specific situation. Weight loss is an important goal, but it’s also important to focus on your overall health and wellness. Each individual is unique, and your care plan should be tailored to your needs and goals to achieve a sustainable and harmonious outcome.

Gastric by pass

Gastric Bypass

Gastric bypass surgery is a medical procedure used to treat overweight and obesity. During this operation, the surgeon creates a change in the digestive system by disconnecting a significant part of the stomach and part of the small intestine. It is important to note that no permanent removals are made. Instead, a small pocket is created from the original stomach, and the remaining part of the small intestine is connected to the new stomach pocket. Here are some key effects of gastric bypass surgery that are worth noting:

  1. Long-lasting Fullness: After gastric bypass surgery, patients often experience an early and long-lasting feeling of fullness. This occurs due to the changes in the size of the stomach and the changes in the digestive system.
  2. Small, Regular Meals: Since food is not completely digested in the stomach and nutrient absorption is limited, small and regular meals are required to meet the body’s nutritional needs.
  3. Weight loss with long-lasting effect: The weight loss achieved through gastric bypass surgery is usually permanent and can be considerable.
  4. Improved Health: This procedure can help reduce or completely eliminate obesity-related health problems, including type 2 diabetes, high blood pressure, high blood fats, cardiovascular disease, sleep apnea, depression and joint pain. Other health problems such as reflux, polycystic ovary syndrome, migraines, asthma and incontinence can also improve in most people who undergo gastric bypass.
  5. Reduced Need for Medication: As weight decreases and health improves, it is common for patients to reduce or stop the medications previously used to manage obesity-related illnesses.

If you are interested in discussing gastric bypass or booking a consultation with experienced surgeons, you can visit CK Klinikerna Kirurgi’s website. There you will find further information about our services and how you can contact us to book an appointment. Gastric bypass is a proven and effective method for dealing with overweight and obesity, and our skilled surgeons at CK Klinikerna Kirurgi are here to support you on your way to a healthier lifestyle.

Före operationen

Step by Step towards your weight surgery at CK Klinikerna Kirurgi

Step 1 – First Contact

The first step towards your weight surgery is to contact us at CK Klinikerna Kirurgi. We encourage you to first take the time to read through the information on our website. You can then easily reach us by phone or use the contact form here on the website. To be considered for weight loss surgery, you must meet certain criteria. You should be over 20 years old, have a BMI over 30 and have a long history of overweight and obesity that traditional weight loss methods have not been able to resolve. During the first step, you will have conversations with our nurses and dieticians. If you qualify for further evaluation, you will need to submit the following:

  • Blood pressure, pulse and EKG results.
  • Blood samples.
  • A health declaration.
  • Measurements of height, weight and waist measurement.

Step 2 – Surgical Assessment

The next step involves a conversation with one of our surgeons, either in person at our clinic or via phone/video call. During this conversation, you and the surgeon will go over exactly what surgery entails, including the lifestyle changes required afterward. The surgeon will also inform you about the different surgical methods we offer. We strive for you to feel well informed and safe throughout the entire process.

Step 3 – Assessment for Narcos

In the next step, our anesthesiologist will evaluate your health situation and assess whether you are suitable for obesity surgery with minimal risks in relation to the benefits that the surgery can provide.

Step 4 – Book Operation Date

Once you have been approved by the previous steps, our surgery coordinator will contact you to set a suitable date for your surgery.

Important Preparations for the Operation

You will receive written information sent to you before the operation at CK Klinikerna Kirurgi. It is of great importance that you carefully go through all the material that we send you. If there is something that you do not understand or that is unclear, it is very important that you contact us in good time so that we can help you. To facilitate the operation and minimize the risks, it may be necessary to lose weight before the operation. The aim is to reduce the size of the liver and the amount of fat around the internal organs in the abdomen. You may need to start a low-calorie diet a few weeks before surgery, depending on your current BMI. If you are a smoker, you must stop at least four weeks before the day of surgery. Quitting smoking has positive health effects before, during and after surgery, including reduced risk of complications, better wound healing and improved overall health. Tell your doctor if you need support and help to quit smoking.

Diet advice before and after your bariatric surgery

Before and after your bariatric surgery, our nutrition consultant will play an important role in your journey towards a healthier lifestyle. They will give you advice on diet and nutrition both before and after surgery.

The day of surgery

On the day of surgery, you will arrive at our clinic approximately 2-3 hours before your surgery. This gives us time to prepare you and for you to have time to have conversations with both the surgeon and the anesthetist so that you feel safe and secure before your operation. A gastric bypass operation normally takes about 1 hour. After the operation, you will be monitored in our recovery department during the day and in the afternoon/evening when you will be moved to an overnight room directly connected to the recovery department.

Day 2

During the second day, you will meet our nutrition advisor and also have the opportunity to take a walk outside. You will be discharged during the day and be ready to go home in the morning.   We look forward to following your journey towards a healthier future at CK Klinikerna Kirurgi

Efter operationen

After Gastric Bypass surgery

After you have undergone your gastric bypass surgery, you will wake up in our recovery room and then be moved to one of our comfortable patient rooms. Your stay with us will last for two days, during which time you will be closely monitored by our experienced care team.

Sick leave and Recovery

We recommend that you are on sick leave for four weeks after the operation. This gives you time to get used to your “new” stomach and recover properly. It is important that you plan to get enough fluids and meals and follow our recommendations for physical activity during this period.

Long-term Support

We follow up with you for up to two years after the operation through a structured program that you get with you when you leave the clinic. This program is designed to support your weight loss journey and ensure you reach your goals for a healthier lifestyle.

Diet advice after bariatric surgery

After your gastric bypass surgery, it is important to follow our dietary advice to ensure a smooth transition to your new lifestyle. Here is some advice from our nutrition advisor week by week: Liquid diet after bariatric surgery (Weeks 1-2): During the first two weeks after surgery, you should consume only liquid diet. The consistency should be smooth without lumps, and the food should not be too thick or viscous. Use a blender to make soups and smoothies. Soft food after bariatric surgery (Weeks 3-4): After the liquid diet, you can switch to soft and pureed food. The consistency should still be smooth and without lumps, but a little firmer than the liquid diet. You can mix whole meat with a little liquid to a smooth consistency. Soft foods that are already adapted to the texture are also good to eat. Introduction of solid foods (Week 5): Now is the time to start gently introducing solid foods into your diet. Start with lightly chewed food and remember to chew properly. Be careful with certain stringy or sticky foods, such as rhubarb or pasta, and wait to introduce them.

Vitamin Recommendations for obese patients

To ensure your health in the long term, we recommend that you follow the vitamin recommendations for bariatric patients. These guidelines, based on research and prepared by the Scandinavian Obesity Surgery Registry (SOREG), include the following supplements:

  • Iron (45-60 mg/day)
  • Vitamin B12 (cyanocobalamin 350 micrograms/day)
  • Vitamin D (800 units) together with calcium
  • Folate (400 micrograms/day)
  • Thiamine (1.1 mg/day for women, 1.4 mg/day for men)
  • Zinc (9 mg/day)

Vitamins will be a part of your daily life going forward, so make sure to have them readily available in a convenient place in your home.

What happens if I don’t take my vitamins?

Not taking your vitamins may not seem to have any effect in the short term, as many patients feel better than ever and believe they don’t need supplements. The problem is that vitamin deficiencies and their symptoms can take time to develop and can be very non-specific. In the long term, a lack of vitamins can lead to serious consequences, including osteoporosis, anemia and nerve damage. Therefore, it is strongly recommended that you continue to take your vitamins for the rest of your life after surgery.

Possible Risks and Complications

Although the risk of complications is low, it is important to be aware of the possible risks of gastric bypass surgery:

  • Ulcers: As the operation changes the gastrointestinal system, there may be a risk of ulcers. This risk is greatest after weight loss and when weight stability has been achieved.
  • Wound infection: The risk of infection is generally low, especially with peephole surgery, but if an infection does occur, it is usually mild and can be treated locally.
  • Bleeding: Bleeding during or after surgery may need to be treated, and in rare cases additional surgical procedures may be required.
  • Leakage: Leakage between the stomach and intestine is very rare but serious if it occurs. It can lead to serious illness and usually requires further surgery.

It is important to discuss any questions or concerns with your surgeon in connection with your pre-operative assessment in order to be fully prepared for your gastric bypass surgery.

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