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A 34-year-old male certified public accountant, has struggled with being overweight since early childhood.

A 34-year-old male certified public accountant, has struggled with being overweight since early childhood. His current anthropometric measurements are: 6’1”, 427 pounds. After months of careful consideration, the patient and his physician have decided that gastric bypass surgery is the best option to help him prevent the development of adult-onset diabetes and manage his high blood pressure and hyperlipidemia.

  1. Calculate the patient’s ideal body weight and current BMI.

  2. What will be the dietary progression for the patient after his surgery?

  3. List at least three (3) foods or beverages that can be problematic following bariatric surgery.

  4. What are some dietary modification topics that need to be covered with the patient to help him achieve and maintain an appropriate weight loss after his surgery? Refer to “How to Alter Dietary Habits to Achieve and Maintain Weight Loss after Bariatric Surgery” in the textbook.

  5. What are some common complaints after gastric bypass surgery? List at least two (two). What strategies can help resolve these conditions? List at least two (2).

Solutions

Expert Solution

BMI = 56.3 kg/m2   (Obese Class III)

  • Healthy BMI range: 18.5 kg/m2 - 25 kg/m2
  • Healthy weight for the height: 140.2 lbs - 189.5 lbs
  • Lose 237.5 lbs to reach a BMI of 25 kg/m2.
  • Ponderal Index: 30.4 kg/m3

Post bariatric surgery diet plan

Phase 1: Clear Liquid Diet - Weeks 1 and 2. Phase 2A: Full Liquid Diet - N/A. Phase 2B: Pureed Diet - Weeks 3 and 4 (Begin using protein supplements) Phase 3: Adaptive/Soft Diet - Months 2 and 3.

Maintain your Weight Loss after Bariatric Surgery

  1. EAT YOUR BREAKFAST. ...
  2. SAVE YOUR STARCHES. ...
  3. GET OUT OF GRAZING. ...
  4. LIMIT LIQUID CALORIES. ...
  5. GO EASY ON THE EATING OUT. ...
  6. EXERCISE DAILY. ...
  7. KEEP A PLAN. ...
  8. KEEP FOOD LOGS.

common complaints after gastric bypass surgery

  • Acid reflux.
  • Anesthesia-related risks.
  • Chronic nausea and vomiting.
  • Dilation of esophagus.
  • Inability to eat certain foods.
  • Infection.
  • Obstruction of stomach.
  • Weight gain or failure to lose weight.

Strategies are .follow diet plan

. Medication.physical acti

Nightingale answered 2 years ago
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