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Bariatric surgery risks 'not being assessed'


I agree this surgery is not a quick fix to obesity although a significant number of patients see it as such and don't research it enough before applying so have unrealistic weight loss expectations and as such think they will become thin and model like in a matter of weeks/months. While I agree psychology assessment is necessary for a number of patients pre op who have "comfort food issues" it would also be useful to have a pre op combined psychology/dietetic assessment to ensure patients are adequately counselled for the post op period to ensure they understand the lifetime dietry changes that need to be followed for sucessful weight loss to be achieved/maintained. Another useful element would be to ensure people have free/reduced cost access to learn decent cooking skills as many younger people lack even basic skills to prepare healthy food and so rely heavily on fast food/takeaways etc which appears to contribute significantly toward obesity epidemic we now face. As a recipient of bariatric surgery I can only speak for myself in that it has made a vast difference to my life. Struggling for 20+yrs (with minimal success) to reduce my weight with diets/medication I was lucky that despite being over 20 stone with a family history of heart disease/diabetes etc I myself did not have any major health problems other than under active thyroid and significant joint/back pain which prevented me doing my job effectively or getting adequate exercise. As a nurse working for several years with bariatric patients and researching the options and outcomes I finally opted to apply for surgery which I had 2 years ago which was done after 2 years of waiting from referral to surgery which gave me adequate time to consider my decision and and potential consequences and have to say I have no regrets as my health has now vastly improved (8st weight loss) and as I am mostly pain free I exercise more now. However on reflection although I had relatively healthy choices (low fat/low sugar) in my diet its only since my enforced dietry restrictions (due to actual stomach size) I can now look back and see where I was going wrong over the years namely poor portion control combined with lack of proper breaks at work to eat properly meant I ate more calories at end of the day. A typical day for me would be cereal or porridge and slice toast at 6am then a light lunch (due to break time restriction of 30mins around 12.30pm) which meant I was often so hungry on returning home at night for my main meal (7.30pm) it was often an excessive portion which was then eaten too fast for my body to sense full feeling, hence too many calories being consumed for my body's needs. Now 2 years post op I still eat pretty much same foods but now with sensible portion control which more than satisfies my needs although I am still working to break the bad habit of eating too quickly or I feel very uncomfortable afterwards.

Posted date

18 October, 2012

Posted time

1:06 pm