13 Years after MGB-OAGB Weight Loss Surgery. How to handle Bariatric Surgery?

 Doctor: When did you get Mini Gastric Bypass Surgery done? How long has it been to your surgery?

Patient: My surgery was done in 2009. Doctor:It has been 13 years to your surgery. Doctor:How much was your weight at the time of surgery? Patient:At the time of surgery, my weight was 134 Kg. Doctor:Ok, and how much weight have you lost? Patient:Today my weight is 68 Kg. Doctor:You have lost 66 Kg. Doctor:It is like one Mahima Singh is out from another. Doctor:Were there any weight fluctuations in these 13 years? Patient:72 Kg was the maximum weight. Doctor:Your weight went up to 72 kg and then you lost some kilograms and it is going like this. Patient:Yes! Doctor:What efforts do you take to maintain weight? Patient:No, I am maintaining weight naturally. Doctor:Can you eat like a normal person? Doctor:How many chapatis can you eat in one go? Patient:I can eat 2 chapatis with vegetables or lentils. Doctor:Have you ever felt that getting weight loss surgery was your wrong decision? Patient:No. Doctor:You can eat 2 chapatis comfortably. Patient:Yes! Doctor:Have you felt that your eating capacity is increasing day by day? Patient:No. Doctor:In old techniques, the gastric pouch used to dilate with time which lead to increased eating capacity. Patient:No, maximum I can eat 2 chapatis in one go. Doctor:If I ask you to eat Bhaturas, how many bhaturas can you eat in one go? Patient:No, I would eat only 1 bhatura or 2 chapatis in one go. Doctor:You feel full in that. Doctor:Only one bhatura is enough for you? Doctor:In Mini Gastric Bypass surgery the outlet is wide so patients start eating solids within a few days. Recovery is improving day by day, these days we give fruits to the patients on the third day of surgery. You must have noticed this in our new patients. We give TIVA anesthesia and because of this patients can walk immediately after surgery. Doctor:It has been 13 years to your surgery and your results are very good. Patient:Yes! Doctor:You are maintaining your weight very well. It is just because of your good dietary habits. How much sugars do you take in a day? Patient:I just take the sweet tea. Doctor:You take sugars like a normal person. Doctor:Those patients who are addicted to sugars like those who take sweet tea more than 9-10 times a day with biscuits, will gain weight in the long run. Many patients ask will they gain weight in the future? Weight is not locked at one point but is easy to control weight. Now, you are the master of your weight. Doctor:But to maintain the weight is important. You need to take multivitamins regularly. Your Iron levels were on the lower side and you got a shot for that. You were not taking multivitamins in the past. Doctor:So we need to know that along with pros this surgery has some cons too. We don't have to just see how we look. Its cons are deficiencies like you had Iron and B12 deficiencies. Doctor:You need to take care of this. Do you eat Non-veg food? Patient:Yes! I eat. Doctor:There are very less chances of B12 deficiency in those who eat Non. veg. food. Generally, everyone is vegetarian. Doctor:Because we don't eat chicken thrice a day, we eat occasionally. Doctor:You can get Vitamin B12 from dairy products. But you don't need to take B12 tablets daily, one injection in six months is enough. Doctor:As we see that there are rare chances of Iron deficiency in males. Doctor:For many years your Iron levels were good. Patient:I had never got it checked before. Doctor:You used to come here for follow-ups and we always get your blood tests done, and it was normal. Patient:At that time I was taking supplements regularly. Doctor:You have to take multivitamins regularly. Doctor:You need supplements because of the bypass. Doctor:What difference have you noticed in before and after surgery life? Was your life good in these 13 years after surgery? Patient:My life is very good. Doctor:What is the difference between before and after surgery life? Patient:Before surgery, I wasn't able to climb stairs but now I can, and without any breathlessness.No problem at all. Doctor:Many patients ask me about the expiry of this surgery. Doctor:People fear this surgery and also there are many myths related to Bariatric surgery. By watching you after weight loss, people think that maybe something has happened to you and you become weak. Patient:Yes! Everyone used to ask me. Patient:I am physically fit and fine. Doctor:Of course, after losing a punishment of 68 kg weight you would feel better. But your muscles should be strong. Do some exercise daily, take multivitamins regularly and get your blood tests done once in six months. MGB has a lot of benefits. Did you use to snore before surgery? Patient:Yes! I used to snore loudly. Doctor:Do you remember that he used to snore? Patient’s Wife:Yes! Doctor:Out of ten how many points do you give to your after-surgery life? Patient:I give all ten points to my new life. Doctor:Overall, your results are good. Take multivitamins regularly as prescribed.