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Frequently Asked Questions
Restrictive techniques: in which there is a reduction in the size of the stomach, which reduces food intake.
This group includes: vertical gastrectomy, adjustable gastric banding and gastric pacing.
Malabsorptive techniques: in which there is a crossing of part of the small intestine, reducing the circulation of ingested food and thus reducing the absorption of nutrients (carbohydrates, fats, proteins, vitamins and minerals).
In this group are: biliopancreatic diversion, SADIS and duodenal crossover.
Mixed techniques: a reduction in the size of the stomach is performed (not as striking as in restrictive techniques) and a crossover of part of the small intestine (less than in malabsorptive techniques), which causes a reduction in the amount of food ingested and a decrease in the absorption of nutrients (carbohydrates, fat, proteins, vitamins and minerals).
This group includes: Roux-en-Y gastric bypass ( RYGB) and single anastomosis gastric bypass (BAGUA).
As positive aspects, the following stand out:
- Significant weight loss and maintained over time.
- Improvement of diseases associated with obesity: diabetes, dyslipidemia, hypertension, etc.
- Improvement in quality of life.
As negative aspects, at a nutritional level, the following stand out:
- Deficiencies of some vitamins (vitamin D and B12, mainly).
- Deficiencies of some minerals (iron and calcium, mainly).
- Deficiencies of proteins.
After bariatric surgery, it is not possible to ingest the sufficient amount of vitamins, minerals and proteins that our organism needs through food.
This happens for two reasons:
1. New situation of the digestive system (reduction of the size of the stomach, reduction of absorption, etc.)
2. Inadequate intake of these nutrients through food.
These low levels of vitamins and minerals not only occur in the first months after surgery, this situation is maintained over time, because your digestive system has been modified after surgery, and these changes are forever.
Therefore, it is necessary to take a specific nutritional supplement with the vitamins and minerals you need after bariatric surgery. Using a non-specific polyvitamin will not provide you with all the vitamins and minerals you need, which can lead to health problems related to these nutritional deficiencies.
Vitamins and minerals are essential nutrients for our body, we are not able to "manufacture" them, we have to ingest them through food or nutritional supplements. Vitamins and minerals are necessary for all the cells in our body to function properly. If we do not ingest enough of them, our body can become ill.
After bariatric surgery, it is not possible to ingest the sufficient amount of proteins that our organism needs through food.
This happens for two reasons:
1. New situation of the digestive system (reduction of the size of the stomach, reduction of absorption, etc.)
2. Inadequate protein intake through food.
This low protein intake not only occurs in the first months after surgery, this situation can be maintained over time, because your digestive system has been modified after surgery, and these changes are forever.
Therefore, it is necessary that, if protein intake through food is not enough, you take a protein module to help you ingest all the amount of protein you need.
Proteins are a very important nutrient for the organism, because they are part of all our body cells, muscles, organs, etc.
After surgery it is important that you ingest enough protein so that your body can be in perfect condition and you can do all the activities you propose. If we do not ingest enough protein, our body can become ill.