Thailand Gastric Bypass
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Gastric Bypass Thailand


Thailand Bariatric Surgery is available through ThaiMed International Affiliate Hospitals and Bariatric Surgeons in Bangkok, Thailand. Weight loss surgery information and medical travel tour bookings available at affordable prices.

Obese do not have to suffer with weight problems any longer. Laparoscopic bariatric weightloss surgery offers a safe and fast way to lose weight. Fast weight loss while recovering in Bangkok.

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Bariatric Weight Loss
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Frequently Asked Gastric Bypass Questions
 
Here are some answers to the most frequently asked questions about Laparoscopic Bypass Surgery.
  1. What are the tradeoffs with incision size?

  2. How long does the surgery take through the laparoscope?

  3. I want my surgery through the laparoscope, not a standard incision. Can you guarantee this?

  4. Can the surgery be reversed?

  5. What are the main risks of surgery?

  6. Are there long term risks after surgery?

  7. How long is the hospital stay?

  8. Does ThaiMed International offer other weight loss options?

  9. Will my overall health improve?

  10. Will I be able to have children after the procedure?

  11. What is dumping?

  12. Will I experience dumping?

  13. Will I be required to drink protein shakes?

  14. How long do I have to take Bariatric Advantage vitamins?

  15. How much food can I eat after surgery?

  16. Are there specific foods or drugs that I should avoid after surgery?

  17. Why don’t people just keep losing weight?

  18. How can I prevent stretching out my new stomach?

  19. Does surgery affect how well I absorb my medications?

  20. How long before I can go to work? Exercise? Drive a car?

  21. Will I ever eat normally again?

  22. What kind of exercise should I do after surgery?

  23. Will I need plastic surgery after I lose weight to remove loose skin?

  24. What causes some people to regain their weight?

  25. Is this experimental surgery?

  26. How many of these procedures has your group done?

 

Q:

What are the tradeoffs with incision size?

A:

There are pros and cons. Recovery after laparoscopic surgery is much faster and virtually scar and pain free. Length of hospital stay is reduced to days instead of weeks. Scarring is minimal. In general, laparoscopy virtually eliminates two common postoperative complications: wound infections and hernias. The frequency of bowel obstructions and leaks is increased.

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Q:

How long does the surgery take through the laparoscope?

A:

This varies widely and depends on the experience and skill of the surgeon. Our LBS surgeons routinely do this procedure in about 1 hour.

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Q:

I want my surgery through the laparoscope, not a standard incision. Can you guarantee this?

A:

We complete about 99% of our cases laparoscopically. It is always possible that a problem might occur, forcing the surgeon to enter the abdomen through a standard incision.

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Q:

Can the surgery be reversed?

A:

Yes, but it would take another operation and it is not advisable.

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Q:

What are the main risks of surgery?

A:

As with any surgical procedure there are risks. The most common complications are wound infections, strictures, and hernias.

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Q:

Are there long term risks after surgery?

A:

Any abdominal operation sets the stage for a possible bowel obstruction the lifetime frequency of which is approximately 8%. Vitamin and mineral deficiencies can occur if calcium, B12, and iron supplements are not taken as prescribed. Less commonly protein deficiency can occur.

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Q:

How long is the hospital stay?

A:

Our average patient stays 1-2 days. Some patients actually go home the morning after surgery. In Thailand we like to keep patients 2 or 3 days for increased comfort and convenience.

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Q:

Does ThaiMed International offer other weight loss options?

A:

Yes. We also offer the Lap-Band surgery. In general the Roux-en-Y Gastric Bypass is the procedure of choice, but certain patients may be better candidates for the Lap-Band. Please contact us for a complete evaluation of your situation and what is best for you.

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Q:

Will my overall health improve?

A:

Morbid obesity can also cause serious health problems. Post surgery, many of our patients no longer experience many of the life threatening symptoms they did before their weight loss, i.e. sleep apnea, joint pain, back pain or high blood pressure. Most patients can stop taking medications for hypertension and type II diabetes.

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Q:

Will I be able to have children after the procedure?

A:

Yes. Many of our patients have gone on to motherhood. Ideally, pregnancy should be delayed until weight loss is maximal, usually 2 years after surgery. Weight loss makes women more fertile and decreases the likelihood of complications related to pregnancy.

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Q:

What is dumping?

A:

Foods high in sugar and some fats will cause the intestine to release vasoactive chemicals which cause sweating, flushing, weakness, fatigue, and sometimes abdominal cramps and diarrhea - a phenomenon called 'dumping.'

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Q:

Will I experience dumping?

A:

Dumping will occur if a large amount of foods high in sugar and fats are consumed after the procedure has taken place. It is imperative to stick to the diet guidelines set forth by your doctor. Most patients learn to control this very well.

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Q:

Will I be required to drink protein shakes?

A:

No. The shakes ensure adequate protein and calorie intake after surgery, which is important for healing and other reasons. A liquid diet ensures that the pouch and opening will not be stretched early on when that is more easily accomplished. The shakes also interpose a significant change between the way you have eaten and the way we hope that you will eat in the future. Because the shakes are somewhat monotonous, once you switch to a low fat, more healthy diet it will be ‘tasty’ by comparison and therefore more likely to be preferred in the long run.

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Q:

How long do I have to take Bariatric Advantage vitamins?

A:

For life, if you want to be safe. Indeed everyone ought to take a multivitamin as well to prevent the fairly common and widely varied deficiencies seen as people get older.

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Q:

How much food can I eat after surgery?

A:

The gastric pouch although initially very small has a hole in the bottom so that a reasonable amount of food can be eaten if taken slowly. As time passes the pouch enlarges and where initially only one or two bites could be taken without a sense of fullness, later a small adult meal can be consumed. As it becomes possible to eat more food it becomes also more important to have developed good habits with regards to food choices.

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Q:

Are there specific foods or drugs that I should avoid after surgery?

A:

Except for the tiny hormone replacement pills most tablets should be crushed after surgery. Foods high in sugar and some fats will cause the intestine to release vasoactive chemicals which cause sweating, flushing, weakness, fatigue and sometimes abdominal cramps and diarrhea - a phenomenon called 'dumping'.

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Q:

Why don’t people just keep losing weight?

A:

Everyone who has gastric bypass surgery has a strong genetic capacity to use calories efficiently. So it is always possible to provide high calorie foods and induce weight gain. In practice what happens is that with time people are able to eat more at a time, they lose weight and require fewer calories just to move around and their metabolism becomes even more efficient that it was preoperatively so the weight stabilizes after one or two years.

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Q:

How can I prevent stretching out my new stomach?

A:

Don’t eat after you feel full.

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Q:

Does surgery affect how well I absorb my medications?

A:

Generally speaking not, but with certain medications it may be wise to check blood levels after surgery.

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Q:

How long before I can go to work? Exercise? Drive a car?

A:

We advocate walking and light weight lifting immediately after surgery. Typically patients can return to normal activities two to three weeks after their procedure.

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Q:

Will I ever eat normally again?

A:

It depends on what you mean by normal. Most of our patients eat small, "normal" adult meals. Many overweight people eat more and make higher calorie food choices than the rest of the population. So it is possible that you were not eating 'normally' to begin with. After surgery although you can eat small amounts of anything, we hope that you will choose low fat foods for the most part. Also you will in general consume fewer calories than someone your size who was not previously overweight. Frequent small amounts of high calorie foods can cause you to gain weight. 

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Q:

What kind of exercise should I do after surgery?

A:

We advocate increasing two kinds of exercise as part of a post surgical lifestyle change: 1) Increase the difficulty of unscheduled everyday activities. For example, try to walk farther - a pedometer is helpful in this regard - climb the stairs instead of taking the elevator; volunteer for small tasks that you might not otherwise choose. 2) Schedule workouts two or three or four times a week simply for the purpose of exercising. Although any activity is helpful, weightlifting is the most efficient for extra weight loss.

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Q:

Will I need plastic surgery after I lose weight to remove loose skin?

A:

Some of our patients are thrilled with their new look and want plastic surgery to look their very, best. Whether plastic surgery is desirable depends on how old you are (skin is less elastic with age) how much weight you lose (the more weight loss, the more loose skin) and individual differences in elasticity. Loose skin bothers some more than others, but there is nothing shameful about wanting to look your best. We work with some of the finest plastic surgeons in the world to help our patients get the finest results.

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Q:

What causes some people to regain their weight?

A:

Most often it is forgetting that weight control is a lifelong project. But obviously the genetic pressure to gain is greater in some than others and although we cannot currently recognize it the surgery may be better for certain types of obesity than it is for others. The long-term success rate is better than 90%.

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Q:

Is this experimental surgery?

A:

Not at all. This is the "Gold Standard" of weight loss surgery. It is recognized and accepted by the American College of Surgeons, American Academy of Family Practice and virtually every organization, worldwide, concerned with health or obesity issues.

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Q:

How many of these procedures has your group done?

A:

Our group includes the originator of the Laparoscopic Roux-En-Y. Our surgeons have done thousands of these procedures.

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