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Patient Information from Rudolf Weiner, MD

Frequently Asked Questions about the Roux-en-Y Gastric Bypass 

Q: Will I be sick a lot after the operation?

A: The Roux-en-Y-gastric bypass limits food intake in a patient-friendly way. If you feel nauseous or sick on a regular basis, it may mean you are not chewing your food well. It could also mean you are not following the diet rules properly. Another reason you would feel sick may be that there is a problem with the stomach. She should contact the doctor. Vomiting should be avoided as much as possible.

Q: Will I suffer from constipation?

A: There may be some reduction in the volume of your stools. That’s normal after a decrease in food intake, because you eat less fibre. This should not cause severe problems. If difficulties do arise, check with your doctor. He or she may suggest you take a mild laxative and drink plenty of water for a while. Drinking plenty of water is a good idea, anyway.

Q: What’s about vitamin supplements?

A: You will have a lifelong vitamin-supplementation. At your regular check-ups, your specialist will evaluate whether you are getting enough B-vitamins, vitamin B12, folic acid, and iron. We advise the patients to take supplements. Patients are prescribed multivitamins containing iron (15 mg), B-12, folic acid, and vitamin D t.i.d.

Q: What about other medication?

A: You should be able to take prescribed medication.. You should always ask the doctor who prescribes the drugs about this. Avoid taking aspirin or other non-steroidal anti-inflammatory pain relievers. That’s because they may irritate the stomach. 

Q: How much weight will I lose?

A: You may lose approx. 75 % of your excess weight. That depends, though, on several things. And you need to be committed to your new lifestyle and eating habits. You should lose weight gradually. Losing weight too fast creates a health risk and can lead to a number of problems. Nausea and vomiting are only the most minor examples. A weight loss of 2 to 3 pounds a week in the first year after the operation is possible. It is not, though, a rule. Twelve to 18 months after the operation, weekly weight loss is usually less. Remember that your main goal is to have a weight loss that prevents, improves, or resolves health problems connected with severe obesity.

...more questions and answers


Copyright 2005 Professor Rudolf Weiner, MD
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