Post-Surgical Care

Post-surgical follow-up

After surgery, the patient will be followed periodically by a multidisciplinary team that includes surgeons, endocrinologists-nutritionists, psychiatrists and general practitioners. Follow-up by specialists
from different areas of health allows us a much more complete approach and is one of the factors that undoubtedly contribute to the success of our patients. Post-operative consultations are carried out weekly during the first month, fortnightly in the second month, then monthly until the 6th month, every 6 months until 2 years and then annually.

• Postoperative follow-up should include surgical and nutritional evaluations at least every 6 months, and more frequently if necessary, for the first 2 postoperative years and at least annually thereafter. "
  
• Even if patients experience remission of diabetes, monitoring of glycemic control should continue at the same frequency recommended for patients with prediabetes due to the potential for relapse.
  
• Long-term monitoring of micronutrient status, nutritional supplements and support should be provided to patients after surgery, according to national guidelines and international societies. 

Eating plan after surgery

In the weeks after surgery, your dietitian will have a nutrition plan for you to follow. This may include a liquid diet for a period of time followed by a progression to soft or pureed foods, and eventually to foods with a more regular texture. While it heals in the first few months, it is very difficult to get enough fluid. Most patients receive a goal of 64 oz. Or more of fluids daily to avoid dehydration, constipation, and kidney stones. You will also need a lifelong habit with daily supplements, which generally include: Multivitamin, Vitamin D, Calcium, Iron, and Vitamin B12

Healthy lifestyle choices provide the best results for health and quality of life after surgery. Protein-rich foods are important, with recommendations ranging from 60 to 100g of protein per day, depending on your medical conditions, type of operation, and activity level. Limiting foods that are high in added sugar (such as cookies, cakes, candy, juices, or other sweets) and refined carbohydrates (white breads, pasta, crackers, refined cereals) can improve your weight loss results.