Author: Doctor Hisham Abdullah

Bariatric surgery advice

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Bariatric surgery advice

Bariatric surgery advice
 
Bariatric surgeries are the best solution to lose excess weight in a short time. But it is not the ultimate guarantee of stability at an ideal weight. Therefore, attention must be paid to implementing the advice and instructions that the doctor directs to the patient to change the lifestyle in order to be more healthy and to ensure the success of the surgery. 
 
First: Choosing the treatment team:
 
Thanks to God, modern technology and scientific development, bariatric surgery has become easy, simple and uncomplicated.
However, care must be taken in choosing the treating doctor and the medical team to deal with. And the search for an integrated and skilled medical team such as the team of Dr. Hisham Abdullah - the best obesity surgeon in Egypt - which includes specialists in psychological support of great importance, nutritionists, and cardiologists and endocrinologists. This is for a comprehensive follow-up of the patient and his condition before and after surgery and avoiding any complications.
 
Second: healthy habits:
 
Changing habits in general is difficult, but not impossible. But it needs perseverance, patience and not despair.
Especially healthy eating habits and routine daily life that need persistence in reaching and monitoring.
With the passage of time, a person will be able to change bad habits with healthy ones.
And one can ask for help from those around him to encourage or motivate him to reach his desired goal.
 
Third: Social Support:
 
To change healthy habits to become more healthy, the patient may need social support from those around him and his family.  
 
Fourth: Sports:
 
The patient must do sports, even gradually, even if by walking daily to improve blood circulation.
 
Fifth: drinking water:
 
Drinking adequate body water improves general health and protects against many diseases and any complications. Therefore, the sick person after obesity surgery must commit to drinking water of at least 2 liters of water per day in order to avoid any dehydration and improve blood circulation and body efficiency.
 
*** As shown in the picture, the amazing result of the bypass surgery and the clear difference in shape and general weight before and after surgery, with a difference of 50 kilos in 3 months. And all that success, thanks to God, is in the hands of the surgeon Hisham Abdullah, one of the most skilled doctors in obesity surgery in Egypt.
 

75K loss with ramp shift

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75K loss with ramp shift

Gastric bypass:
 
Doctor Hisham Abdullah Ali confirms that gastric bypass surgery is the best option to reduce excess weight.
As excess weight is a hindrance for the patient to practice life normally or exercise, and excess weight causes many diseases such as diabetes, stress and heart disease.
But gastric bypass surgery will help cure diabetes. As the process technique helps prevent the absorption of sugars and nutrients from the intestine, and thus the blood sugar level is reduced.
 
 Candidates for gastric bypass surgery:
 
As we mentioned above, gastric bypass surgery is mainly aimed at helping to lose weight, because excess weight causes major health problems, including: high blood pressure, high cholesterol, and gastroesophageal reflux. It may also cause heart disease, stroke, obstructive sleep apnea, infertility, various male diseases, or diabetes, especially type II diabetes.
Therefore, everyone who is exposed to any of these diseases or suffers from any of these should resort to gastric bypass surgery. And that is after completing the medical examinations and ensuring the eligibility to undergo the bypass surgery to lose the extra weight that causes these diseases or any of them, in order to enjoy a healthy life free of diseases.
 
Gastric bypass complications:
 
Complications after gastric bypass surgery may be rare, but you must refer to the attending physician in the event of any complications, in order to avoid the event being enlarged to a major problem.
 
* The occurrence of any leakage in the stomach bonds.
* Formation of clots in the blood.
*Bleeding.
*Pneumonia.
*Infection.
* Infection with rapid emptying syndrome, as food moves very quickly through the digestive system and has many symptoms, including: nausea, diarrhea, vomiting.
 
* A hernia or ulcer may occur in the long term. Therefore, the patient must follow up continuously with the doctor.
 
* A decrease in the levels of vitamins and minerals in the patient's body, and in order to gain this the patient must adhere to the nutritional instructions and nutritional supplements prescribed by the doctor.
 
 *** And as we can see in the illustrated picture, a successful case in the hands of Dr. Hisham Abdullah - the best obesity surgeon in Egypt - for the classic gastric bypass surgery and losing 75 kilos in 6 months. And the beginning of a new healthy life without diabetes.

Transforming a path and changing lives

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Transforming a path and changing lives

Gastric bypass surgery
 
Bypass surgery is one of the laparoscopic surgeries whose goal is to lose excess weight. And through which very small holes are made in the stomach wall and through which the gastric and intestinal route is diverted.
Where part of the stomach, which in turn, stores food, is separated, so after surgery the patient is not able to absorb large amounts of food, and also part of the intestine is separated as the first part of the intestine is skipped and reduces the absorption of food and sugars.
 
Technically, path diversion is divided into three types:
 
The first: the classic gastric bypass technique:
 
Which is performed by laparoscopic, but other newer and better types have appeared as an alternative to the classical conversion.
 
The second: the mini gastric bypass technique: 
 
 It is performed by means of the endoscope, in which only one shunt is made between the intestine and the stomach. This technique is considered the easiest and the same effectiveness and efficiency of the first technique, and it also takes a shorter time than the classic gastric bypass, as the surgery does not exceed one hour and the patient does not need to stay in the hospital more than one day only.
 
Third: the dual-division gastric bypass technique:
 
It is considered one of the latest techniques used in gastric bypass surgery. It is a surgical operation that is divided into two techniques together - the technique of sleeve gastrectomy with the technique of making a connection between the lower part of the stomach and the intestine -
  
Gastric bypass preparation:
 
 Gastric bypass surgery is a surgery that helps the patient to lose excess weight in a short time and with less effort than very difficult exercise with the huge weight that puts a load on the body.
But it is necessary to agree between the surgeon and the patient that the patient must follow a healthy diet - which will be easy after surgery because the patient will not feel very hungry like before surgery - and also it is necessary to agree on a healthy, active life gradually after surgery.
 
** And we will find in the above image the wonderful result of the mini gastric bypass surgery and the clear difference in losing excess weight and the beginning of a new healthy life for the patient, thanks to God, at the hands of the surgeon Hisham Abdullah - the most broken obesity surgeon in Egypt -.

Gagging and alteration

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Gagging and alteration

Sleeve gastrectomy
 
Dr. Hisham Abdullah Ali confirms that the gastric sleeve operation is a simple and easy process, but to ensure the success of the operation and the appearance of its results without any complications or side effects. The patient must follow the nutritional instructions that the attending physician tells her after the gastric bypass surgery.
And as we explained before that the diet in the first and second period, we will find here the diet for the third and fourth period.
 
The third period:
 
This period begins at the end of the second week of sleeve gastrectomy. In which the patient can eat pureed or soft foods and completely avoid sugars and fats. And continue to eat adequate quantities of protein that are 80-60 grams per day and also drink adequate water according to the instructions of the treating physician.
 
The sick person during this period should stay away from eating bread in any form, white rice and pasta as well. 
And he should also stay away from oils, butter, and fruit and vegetable seeds.
 
But the patient can eat a lot of foods such as:
 
-Labneh.
-Diluted oats.
-Mashed sweet potatoes and mashed sweet potatoes.
-Pureed vegetables.
-Low-fat cheeses.
-Low-fat fish.
-Scrambled or boiled eggs.
-Mashed chicken or tuna.
-Soup that contains boiled vegetables.
 
Fourth period:
 
This period begins four weeks or a month after the gastric bypass operation, during which it is performed
 The transition to solid foods with the intake of vitamins necessary for the body, according to the instructions of the attending physician.
And the patient continues to drink copious amounts of water during the day, but stops drinking water half an hour before eating. This is to prepare the stomach to receive solid foods.
And the patient must also be on the protein ratio agreed upon with the doctor, which is between 60-80 grams of protein per day.
 
And during this period, Dr. Hisham Abdullah advises to continue with the system of the third period
 Puree foods with the introduction of the following foods:
 
* Fish of all kinds.
* Fruits in reasonable quantities.
*Vegetables.
* Meats that contain a lot of fat are low.
 
But the patient must stay away from sugars and foods that do not contain high nutritional value. He must also stop taking:
 
- Fried foods.
-Sweets and sugars.
-Soda and nutritional drinks.
-Foods that have more calories.
 
 ** And as we can see in the illustrated picture, the tremendous result and the clear difference before and after the operation of the gastric sleeve by the doctor Hisham Abdullah - the breakthrough of an obesity surgeon in Egypt - 

The beginning of a new life after the gagging

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The beginning of a new life after the gagging

Sleeve gastrectomy 
 
Illustrates Dr. Hisham Abdullah –The best obesity surgeon in Egypt- It is necessary to follow a strict healthy diet after the gastric bypass surgery. As after the operation, the patient does not find it difficult to follow a healthy eating regimen because he does not feel hungry and feels full quickly after small amounts of eating.
 
In the first days of the surgery, the patient may consume liquids only, and when the doctor permits eating solid foods The diet can be divided into four periods:
 
The first period:
 
The first period covers the first seven days after undergoing the gastric sleeve operation. And during this period, most people do not feel hungry, confirms the doctor Hisham Abdallah - The best obesity surgeon in Egypt - It is necessary to stick to clear liquids only, in order to reduce the recovery period from surgery, reduce the feeling of nausea and vomiting, and maintain body moisture. 
But it is not possible to drink caffeinated drinks such as tea, coffee, fruit juices, and any soft drinks that contain soda.
And the patient can drink in large quantities as possible, and not less than 2 liters per day. And also a lot of soups and any decaffeinated tea and coffee products without adding sugar.
 
The second period:
 
This period ranges from 7 to 10 days after the sleeve gastrectomy. And in
 During this stage, the patient will feel hungry most of the time. And the patient can take useful fluids rich in protein. 
And Dr. Hisham Abdullah Ali stresses the need to choose liquids rich in the necessary beneficial nutrients and to stay away from liquids rich in sugars and do not contain useful nutrients.
 
As the meals during that period depend on nutritional fluids and one meal does not exceed half a cup, and powdered protein can also be whisked with liquids to obtain the required amount of protein per day that is not less than 20 grams.
And during this period, the patient must continue to drink abundant water, not less than 3 liters per day.
 And Dr. Hisham Abdullah Ali stresses that it is not possible to eat solid vegetables or high-fat liquids, such as full-fat dairy products, which also contain sugars.
 
*** As shown in the picture, one of the results of a successful gastric bypass operation by the surgeon Hisham Abdullah - the breakthrough doctor of obesity surgery in Egypt - and the huge difference in weight and shape that will be reflected in public health later.

Gastric sleeve success story

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Gastric sleeve success story

Sleeve gastrectomy:
 
The gastric sleeve operation is the resort that many people who suffer from obesity resort to, and which do not succeed with sports, severe diet, and also medicines in losing excess weight.
 And because it is the last resort for obesity cases, Dr. Hisham Abdullah Ali stresses the need to follow the instructions before and after the gastric sleeve operation, because it is the one that completes the success of the surgery.
 
Tips before performing the sleeve gastrectomy:
 
 In the case of qualification for the gastric sleeve operation, a medical session between the surgeon and the patient must be done in order to agree on instructions that must be followed within a period of the operation, to prepare properly for the operation and obtain sound and healthy results without any complications after the operation, and among these instructions :
 
* You must follow up the medications that are taken by the next gastric sleeve, especially the drugs that increase blood flow, which must be changed with the following doctor before surgery.
 
* If the obese patient has diabetes, the attending physician must be informed that he is about to operate in order to change medications or stop insulin after the operation.
 
* Doctor Hisham Abdullah - the most serious obesity surgeon in Egypt - affirms that all tobacco products must be stopped at least 12 weeks before the operation, and that the level of nicotine in the blood is tested before surgery.
 
* During this session, an agreement is made on a list of vitamins and nutritional supplements that are followed after the surgery, in order to avoid any complications or health problems as a result of reducing the amount of food after gastric sleeve surgery.
 
* Also, in this session, it is agreed that the commitment to reduce the amount of food and sugars after the operation is necessary to avoid any failure to lose weight.
 
* Also, a program of physical activity and sport activities is arranged after the recovery period after gastric sleeve, in order to tighten excess skin and avoid any sagging after losing weight.
 
* Dr. Hisham Abdullah Ali explains that the patient must undergo various examinations and tests before the gastric sleeve surgery.
 
** And what we see in the picture shown above is the success of gastric sleeve surgery. I have one of Dr. Hisham Abdullah, one of the most efficient doctors specializing in obesity surgeries, and the huge difference in weight and shape before and after surgery.

Mido lost 50 km in 3 months

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Mido lost 50 km in 3 months

Sleeve gastrectomy:
What is the process of sleeve gastrectomy:
 
Because obesity and excess weight cause many serious health problems. Most patients cannot lose weight, whether by following an acute diet or exercising, so they resort to gastric sleeve surgery, which is a surgical procedure that uses a technique to cut a large part of the stomach and get rid of the hormone responsible for hunger in the stomach.
 This process helps to reduce the amount of food the patients have and the sense of satiety quickly, and thus they can reduce the excess weight in a quick time. Thus, they get a slim and athletic body, which helps them improve blood circulation and daily life.
 
Sleeve gastrectomy is one of the simple obesity surgeries, but it requires the selection of a skilled surgeon with long experience in severe obesity cases such as Surgeon Hisham Abdullah - the most skilled obesity surgeon in Egypt -. 
 
Types of gastric sleeve surgeries according to the technique used:
 
Type 1: complete surgery:
 
And this dislocation of surgery is no longer used now, because the surgeon makes a surgical incision in the abdominal wall to view the entire abdomen and then removes part of the stomach.
 
Type II: laparoscopic surgery:
 
It is the most common type and is used now, where very small holes are made in the abdomen and a surgical endoscope connected to the camera is inserted to make it easier for the doctor to see and the surgery is performed easily without any effects that may distort the shape of the outer abdomen.
 
Doctors prefer the second type of sleeve gastrectomy, because it takes only 45 minutes, and thus the pain is much less than complete surgery, and also the very small holes that help reduce surgical complications such as hernia. And this technique helps the patient to get out of the hospital at a time and return to normal life again.
 
Who are the candidates for gastric bypass surgery:
 
*People who are overweight and obese, which affect their healthy lives and affect them
 Stress, heart disease and high cholesterol in the blood.
* Those who suffer from a constant feeling of hunger despite eating large amounts of food.
* Those with a BMI of 35 or more.
 
** And as shown in the picture, one of the patients "Mido" has Dr. Hisham Abdullah - the most skilled obesity surgeon - who was suffering from obesity, but praise be to God, it was treated with a successful gastric sleeve operation and a huge difference of 50 kilos in 3 months. 
 

Vitamins needed after bypass surgery

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Vitamins needed after bypass surgery

Rerouting is one of the successful operations that have shown amazing results, especially recently in losing weight and getting rid of many chronic diseases, the most important of which is type II diabetes.
But after performing this procedure, you must adhere to the doctor's advice to achieve the best healthy weight loss results.
 

Bypass surgery

-Bypass surgery is one of the obesity surgeries that is used to lose weight, and it is done by: 
-Separating part of the stomach (sinus) and rerouting the intestine where the first part of the intestine is bypassed. By reducing the size of the stomach and bypassing the first section of the intestine,
-The amount of food absorbed, especially sugars, decreases, and thus the blood sugar level decreases. 
-The hunger hormone is also eliminated, and thus weight is safely lost and type 2 diabetes eliminated.
 

Why are vitamins necessary after a bypass procedure?

Because after the rerouting procedure, the amount of food absorbed will decrease, and consequently the vitamins necessary for the body will decrease and complications may occur due to the lack of these vitamins,
Therefore, doctors recommend that it is necessary to adhere to the necessary vitamins after gastric bypass surgery, the most important of these vitamins:
 
whey protein
It is an important protein to maintain muscle mass in the body and help build it to avoid the occurrence of sagging after the Gyroscopic Procedure due to weight loss.
 
Calcium
-Promotes bone health.
-Helps regulate heartbeat.
- It reduces the risk of high blood pressure.
-To prevent osteoporosis.
-Helps maintain a healthy weight, as calcium inhibits the accumulation of fats in fat cells.
-Regulating nerve impulses and preventing muscle spasms.
 
Calcium-rich foods
Sesame
Broccoli
Cowpea
Oats
Yogurt
White Beans
the black Honey
Turnip
Spinach
Cabbage 
Yogurt
Fig
 
Iron
-Helps transport oxygen throughout the body.
-It is an essential element for building hemoglobin in the blood.
-Maintains cell integrity and is an essential ingredient for skin, hair and nails.
-Supports the presence of energy in the body.
-It strengthens muscles and helps increase flexibility and mobility.
 
Iron-rich foods
Lentils
Spinach
Raisins
Liver
Beans
the black Honey
Sardines
Dark chocolate
Pistachios
Potatoes
eggs
 
Vitamin B12
-Vitamin B12 has a large role in the formation of red blood cells.
-Responsible for regulating various body processes.
-Strengthening the nerves and maintaining their functions.
-It provides the body with the necessary energy.
- Improves brain function and improves memory.
 
Foods rich in vitamin B12
Fish
Cheese
Milk
eggs
Chicken
Beef
Tuna
Liver

What is the role of vitamins after gastric sleeve?

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What is the role of vitamins after gastric sleeve?

Vitamins are among the most important elements in the human body that provide it with activity and balance the metabolism process, and help in energy consumption in the body, 
So when performing one of the obesity surgeries and its amazing results in losing weight as a result of reducing the amount of food and the feeling of fullness, 
The body does not reach all the vitamins and elements necessary to perform its functions in the body, so the body must be supplied with these vitamins, and this is what surgeons recommend after bariatric surgeries.
 
 

Vitamins needed after gastric sleeve surgery:

Sleeve gastrectomy is a surgery used by some people who suffer from obesity and overweight, and in which the surgeon cuts about 80% of the stomach size, 
Therefore, the size of the stomach decreases and the patient feels full with small amounts of food, and thus he loses his extra weight and enjoys good health.
But there comes the post-quantification stage, which is adherence to the doctor's advice to reach an ideal weight in good health, and the most important of these tips is to take the necessary vitamins
The need for vitamins after gastric sleeve is normal due to the lack of food entering the body, and therefore the body needs the vitamins necessary to perform its function, such as:

Vitamin B12
-Vitamin B12 helps form red blood cells and thus prevents anemia.
-It supports bone health and protects it from osteoporosis.
-Vitamin B12 provides the body with energy, and thus its deficiency causes fatigue and fatigue.
- Vitamin B12 helps strengthen memory, and its deficiency causes lack of focus and forgetfulness.
-Vitamin B12 is important for healthy hair, skin and nails to help it grow cells in general.
 
Vitamin D:
Vitamin D plays a role in regulating calcium and maintaining levels of phosphorous in the blood, which are essential and important minerals for bone health.
-Reducing the risk of getting the flu, especially in the winter.
-Vitamin D is important in regulating the growth of body cells and the communication with each other.
 
Iron
-Contributes to the regulation of temperature. 
-Maintains healthy hair, nails and skin. 
- Helps increase energy level.
-Iron deficiency that occurs as a result of low iron levels in the body, low hemoglobin and red blood cells, and the occurrence of anemia
 
Folic acid:
-Promote hair growth; Folic acid is essential for the growth of hair, nails and skin
-Folic acid maintains cell production, prevents and improves hair loss.
- Folic acid produces healthy skin-beneficial collagen, leaving the skin looking vibrant and younger.
 
Other vitamins:
Selenium and zinc.

Are there sagging after obesity surgery?

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Are there sagging after obesity surgery?

Many of those who suffer from obesity and overweight want to get rid of this disease that restricts their movement and exposes them to many diseases, but they fear the specter of sagging after obesity surgeries, 
This ghost will no longer exist when you adhere to what the surgeon and dietitian recommends after bariatric surgery.
 

What is the best solution to avoid sagging after bariatric surgery?

Body sagging comes as a result of losing excess weight after obesity surgeries, so if you want to avoid its formation, you must follow these tips:
-Exercising regularly after obesity surgeries for a certain period of time.
-A healthy diet helps prevent flabbiness in the body.
-Getting enough protein preserves and helps build lean muscle.
-Eating 60-90 g of protein daily helps improve skin elasticity and reduce sagging skin.
-Take the necessary vitamins recommended by the surgeon to prevent sagging skin.
-Drinking enough water makes the skin healthier and makes the skin more elastic.
-Using creams and oils necessary to prevent skin sagging, such as aloe vera, collagen, and elastin, which help to moisturize.
-Interest in massaging the skin to improve its elasticity and stimulate blood circulation to get taut skin.
-Eat foods rich in elastin and collagen to improve the freshness and elasticity of the skin. Examples of these foods are nuts and legumes.
- Make sure to eat cheese and milk to help the skin recover and elasticity.
 
 

Is it necessary to perform skin tightening and plastic surgery procedures after obesity surgeries?

If the weight loss after obesity operations is significant, then it is often resorted to tightening and beautifying the skin, but if the percentage of weight loss is appropriate, it is easy to get rid of any sagging that appears, so the skin should exercise and follow a healthy diet with the necessary proteins and vitamins.