Banner Fort Collins Medical Center

WIN 2017

Spirit of Women magazine is a national publication presented to women by hospitals and their physicians. The magazine provides up-to-date, evidence-based healthcare information and promotes our hospitals as leaders in women's health excellence.

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24 Weight Loss Because it can take an hour or more, RYGB does have a higher complication rate than other types of bariatric surgery. And afterward, gastric bypass can affect nutrient absorption, so you may need to take vitamin supplements containing vitamin B12, folic acid, vitamin D and thiamin. To lose weight and keep it off after bariatric surgery, diet and exercise are still important. "Weight-loss surgery is a tool that can help you make the behavior changes that can help you be successful long-term," says Dr. Matthew Hofeldt, a general and bariatric surgeon at St. Mary's Medical Center in Huntington, W.Va. If you don't make those behavior changes, you could end up gaining back all the weight you lost—and then some. You may not be able to eat a cheeseburger in 10 minutes like you used to before the surgery, for example, but you still might be Committing to diet and exercise able to eat two burgers in an hour. "You can get around any surgery," says Dr. Alexander Knijnikov, a robotic, bariatric and general surgeon affiliated with Inspira Health Network in Woodbury, N.J. To stay motivated and maintain your weight loss, "consider obesity treatment a lifelong commitment," he adds. Be sure to see your doctor and dietitian as often as recommended, which may mean every month or two during the first year or two after surgery. The accountability can help you stick with the program. "Follow-up is key," says Dr. Knijnikov. Sleeve gastrectomy Sleeve gastrectomy restricts how much you can eat at any given time and alters hormones that affect your hunger drive. It's currently the most popular bariatric surgery, with 60 percent of patients selecting it, according to the American Society for Metabolic and Bariatric Surgery. During a sleeve gastrectomy, surgeons create a long narrow tube out of the stomach, making it one-fourth to one-third the size it normally would be. There's less rerouting of the intestine compared with gastric bypass, and the procedure typically takes about 45 minutes. A sleeve gastrectomy can help you lose up to an average of 60 percent of your excess body weight within two years, but it's estimated that 20 percent of patients who choose the procedure may not reach their weight-loss goals. The surgery is not reversible, but the sleeve can be surgically altered if necessary. Continued from page 23 Gastric bypass can affect nutrient absorption, so you may need to take vitamin supplements.

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