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Bariatric surgery success depends on preoperative care

Bariatric surgery success depends on preoperative care

After resorting to weight loss treatments, the demand for bariatric surgery as a solution for these diseases has increased. According to the survey carried out by the Brazilian Society of Bariatric and Metabolic Surgery (SBCBM), in 2003, 16,000 surgeries per year were performed in Brazil, a figure that in 2010 increased to 60,000. This search occurs mainly in cases where obesity is accompanied by comorbidities - that is, diseases associated with weight gain, such as diabetes, hypertension, hyperlipidemia, coronary diseases, joint diseases, sleep apnea, cancer, and respiratory and cardiac insufficiency. Today we know that these diseases have been the main cause of mortality among people who are overweight.

Even with the evolution in surgeries for obesity, there are other factors that are also essential to make the procedure a success. First, it is necessary the evaluation of a specialist doctor to validate the need for surgery, as well as to identify comorbidities that justify the procedure. After this evaluation and indication have been made, it is of total importance that the patient undergo an evaluation with the psychologist, so that he / she is clear of the process that is undergoing and to understand if the moment is adequate, besides making possible the diagnosis of psychoses, eating disorders or dependence on alcohol and drugs - all factors that may interfere with the success of the surgery. Psychological counseling both before and after surgery will provide the necessary support to the patient.

The family should also participate in this preparation process with the patient. This is because in the first months of the postoperative the patient will be sensitive and with a series of food restrictions, being the family adjusting their menu to these changes. Many are the reports of distressed patients, because parents, husbands or wives continue to buy or even prepare "forbidden" foods at this stage, generating anguish and uncertainties. Other times, foods that the patient loves and are forbidden to eat, such as chocolates, sodas, and snack foods are scattered around the home.

Another important point that should be demystified is that people believe surgery is the end of their life. It is a problem with weight, which is not always true - after all, it is necessary to change the eating habits in order to keep the weight healthy.

In this way, pre-surgery preparation is one of the pillars that will guarantee the greater success after the procedure. Therefore, when making this important decision in your life, do it right, look for food, emotional and physical guidance, thus ensuring quality of life and weight maintenance.


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