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Monday, October 26, 2009

Digestion: Before and After Gastric Bypass Surgery

I'm just going to go ahead and skip back a few steps in my pamphlet that i have here from the nutritionist.  It's important to know this stuff.  So i thought i would share, not only for myself but also for everyone else considering GB or those who has already had the procedure.  :)

How does normal digestion work? 

Digestion starts in the stomach, which receives chewed and swallowed food.  Typically the stomach stores food for up to four hours and initiates digestion by breaking down protein and killing bacteria with strong acidic gastric juice.  From here, it moves into the first part of the small intestine.  The duodenum functions to break down food into simple nutrients and adsorb a variety of nutrients, including iron and calcium.  The next stop is the jejunum, which functions to absorb our nutrients.  Digestion continues in the ileum and finishes in the large intestine with bowel movement.  

How will digestion work after the surgery?

By creating a small pouch in the stomach and reattaching the jejunum to this pouch, food intake is significantly reduced and the duodenum is bypassed.  As explained above, the main function of the duodenum is digestion and absorption of iron and calcium.  Therefore, it's important to chew food thoroughly and take vitamin and mineral supplements to prevent nutritional deficiencies of these nutrients.

What is Dumping Syndrome? (occurs only for bypass patients)

Dumping Syndrome is caused by stomach contents moving too rapidly through the small intestine.  Your body compensates by sending fluids from the bloodstream to dilute the food causing a rapid decrease in the volume of circulating blood and a rapid increase of fluid in the intestine.  Symptoms include:

  • Feeling Faint
  • Diarrhea
  • Sweating
  • Rumbling stomach
  • Weakness
  • Rapid pulse
  • Anxiety
  • Nausea
To prevent dumping syndrome, it is recommended that you avoid consuming foods with high sugar and fat content, eat more slowly, and allow 15-30 minutes between consuming solids and fluids.  The following foods may cause dumping syndrome and should be avoided:



AVOID THESE POTENTIAL DUMPING FOODS:
  • Sugar
  • Honey
  • Syrup
  • Jam/Preserves
  • Candy
  • Chocolate
  • Pudding
  • Cake
  • Pie
  • Cookies
  • Donuts
  • Sherbet
  • Fruit Yogurt
  • Frozen Yogurt
  • Ice Cream
            • Milkshake

1 comments:

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Sincerely yours
Timm Clade