Death in gastric sleeves… Medical negligence or malnutrition?

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Many obese people rely on gastric sleeve surgeries to get rid of excess weight and lose weight quickly, disregarding the risks involved, and ending in death in some cases, so what are the reasons that cause death after surgery?

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The question was answered by clinical nutrition expert, Dr. Ghada Al-Sayegh, who confirmed that failure to follow a treatment schedule before and during gastric sleeve surgery is one of the most common reasons. more important that lead to relapse, malnutrition and depression, and that infection with stomach germs poses a risk of failure of gastric sleeve surgeries.

Malnutrition is the cause of gastric sleeve deaths

Dr. Ghada Al-Sayegh, clinical nutritionist and specialist in post-obesity surgery, says that many deaths that occur after sleeve gastrectomy are the result of malnutrition and the lack of a therapeutic program for nutrition before and after. after surgeries.

Ghada Al Sayegh

And she adds: “A nutrition program must be defined after bariatric and gastric sleeve surgeries, because the role of the therapeutic nutrition program begins, from the start of admission to the surgeon, 6 months before the patient himself does not enter surgery, in which the digestive system and the body of the case that will undergo a sleeve gastrectomy are prepared The stomach, in order to prepare for the onset of change and the challenge of the commitment to reduce the amount of food.

Diet before and after gastric sleeve protects against death

And Doaa Al-Sayegh, a clinical nutritionist, indicates that not following a therapeutic diet causes the gastric sleeves to enter a state of malnutrition and then fall ill, or that he reaches the stage of depression, since he does not was not prepared and psychologically rehabilitated to eat small amounts of food, while forcing him to eat it for the success of gastric sleeve surgery, because if he eats large amounts of food after sleeve gastrectomy, he will vomit and cause problems inside the digestive system.

The reason for the failure of obesity surgeries and sleeve gastrectomy after surgery

Al-Sayegh points out that the reason for deaths after gastric sleeve surgery is the lack of interest in the nutritional system, just as the patient did not enter the nutritional phase with a doctor and a nutritionist specialized in surgeries. post-obesity, which requires their presence to develop a program based on appropriate health rules and adapted to a postoperative patient.

And she adds: “The follow-up is supposed to start before the surgery by carrying out analyzes, with the aim of knowing the patient’s condition and rehabilitating the body before the surgery, as well as determining what will happen after the surgery for a 3 month period.

And she explains: In all cases of sleeve gastrectomy, follow-up with a specialized therapeutic nutritionist must be continued before and after surgery, and without this happening, the situation literally fails, and we have weight stability without losing weight. weight, when the patient becomes depressed or malnourished.

And she pointed out that as a result of not following the gastric sleeve cases for a diet program, here the patient makes a mistake and tends to eat easy things that endanger him by eating sweets, which cause a stabilization of body weight, then it regains weight or returns to its original state as if it had not undergone basic surgery.

Stomach germ is the reason behind failed gastric sleeve surgeries

In a related context, the clinical nutritionist claims that the most common reason for the failure of bariatric surgeries is that the gastric sleeve patient is infected with stomach germs, which is the main factor that prevents the body from losing weight and prevents him from having any improvement in weight.

She added: “The failure of gastric sleeve surgeries is because doctors ignore stomach germ tests and just order tests limited to sugar tests, sedimentation rate, blood iron and blood image, but all these analyzes do not show or prove that the patient is infected with stomach germs.

And she continued: Because of this, many gastric sleeve surgeries fail and weight loss does not occur, and here the gastric sleeve cases start feeling terrible pain in the stomach and they are unable to eating and vomiting occurs, so it is necessary to carry out tests to make sure that the patient is not infected with the germ from the stomach. To treat it, then start losing weight, and with this diagnosis , we can find many cases after treatment for stomach germs that don’t need to enter surgery, and here we just only program and treatment system for slimming , because the body infected with stomach germs does not respond to surgery or slimming, because it was not discovered before performing the sleeve surgery.

And Doaa Al-Sayegh, an expert in clinical nutrition, adds that not all doctors who perform gastric sleeve surgery use doctors and clinical nutrition specialists, but after many obesity surgeries fail. , it is resorted to after 3 months of surgery without improvement, here surgeons begin to convert obesity surgeries into clinical nutrition specialists.

She clarified that after transferring cases of gastric sleeves for which a therapeutic diet program was not developed from the start and having transferred them late to nutrition specialists, we unfortunately take a lot of time with them which can s extend over a year until a result and an improvement in the situation appears, unlike those for whom a program has been drawn up from the start where they react more quickly, extending over a period of only 6 months, with the need for continuous follow-up for both cases.

What are the foods of the patient having undergone stomach sleeve surgery?

The clinical nutritionist says that the patient of bariatric surgery and sleeve gastrectomy eats all foods, but he must know the answer to 3 questions, which are how, when and why he eats.

How does this question mean that it’s best for gastric sleeve cases not to eat foods that combine protein and starch, so they don’t vomit, so they shouldn’t combine fish with starches, but it is better if they eat starches with vegetables, or eat proteins with vegetables, with Do not add ghee, oil and dairy cream to food.

However, it is better to eat pasta or starches in general with vegetables, and this system is called the fiery triangle, and it is considered between its sides not to add sugars like honey to dairy products, but it it is better for them to eat honey with simple pieces of bread or simple portions of toast.

As for knowing what is meant by the question of when a gastric sleeve operated patient eats, this food is consumed according to the nature of the body, that is to say if the body is full by the low, here the most preferred time is to eat at night, and there is nothing called that eating food at night increases weight because every body A has needs.”

“In case the body is full from above, the most preferable time to eat is morning food, because the burning takes place in the body during the morning period.”

As to the question of why gastric sleeve cases eat, only when hungry and not just because they want to eat and crave food.

Ways to prevent complications after a sleeve gastrectomy

Clinical nutritionist says that after gastric sleeve surgery in the first 3 months, patient drinks clear drinks like anise and fennel, while not consuming mint as it increases vomiting rate during this period .At home, there are fiber and residue percentages, and the juice is thick, and it becomes dangerous for the gastric sleeve patient.

“With eating every two hours like children, and the amount of food being only 50ml, and forgetting to eat large amounts of food so that a disaster does not occur in the health of the body as well as the losses in mental health.”


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