Glucose metabolism is referred to the various biochemical reactions that take place for the formation, breakdown and inter conversion of glucose in the living beings. The metabolism of glucose involves two different biochemical pathways; one of which is aerobic (requires oxygen) and the other is anaerobic (without oxygen). The aerobic pathway occurs in the mitochondria of the cells and results in efficient use of glucose to release energy; whereas, the anaerobic pathway occurs in the cytoplasm of the cells and results in only moderate release of energy. The blood glucose levels rise after a meal resulting in the secretion of insulin from the pancreas. Insulin carries the glucose from the blood to the cells of the body requiring energy. The glucose enters the cells with the help of special membrane molecules called as ?glucose transporters?. In the cell, the glucose molecule is metabolized to produce heat and ATP (adenosine triphosphate). ATP is the molecule that stores the energy and releases it when required by the cell.

Puree Diet after Bariatric Surgery

Phase II can be summarized as soft foods which can be easily mashed, eaten with a spoon and can be tolerated easily. This stage continues to allow your system to heal and slowly adjust to more dense foods. Attempting portions that are too large or advancing too rapidly into foods that are very dense or hard can cause food getting “stuck”, vomiting, and pouch irritation. Remember as your diet advances the liquids should remain separated from the solids. If you drink while eating you will push food through the pouch and speed up the emptying of the pouch. This will just make room for more food.

Bariatric Surgical Diet while in the Hospital

Stage I – Post-Op and the Hospital Diet

At this time, Dr. Belsley and the hospital team will be monitoring your progress by seeing how well you tolerate low-sugar, non-carbonated liquids such as water, tea, and broth. Sugar-free gelatin is another option. Use a cup to drink and avoid sipping from a bottle or straw.

Revisional Bariatric Surgery

Current thinking is that revisional operations do not work very well and for that reason they are reserved for unique cases. As with many things in surgery, much depends on the circumstances and the available options, some of which we’ll describe below. In any case, I strongly suggest that patients return to their original surgeon who performed their first operation, as every surgeon individualizes the digestive arrangements in a particular manner. The only revisional operation I regularly perform is for patients who have a failed laparoscopic gastric banding. Those patients may benefit from having the band removed and then converting to a gastric bypass or a gastric sleeve.

Diabetes

Diabetes Mellitus or diabetes is a condition in which the blood sugar levels reach abnormally high levels because the body is unable to control sugar levels by producing enough insulin or responding to insulin properly. Diabetes occurs because either the pancreas produces insufficient insulin necessary for the absorption of sugar by the body cells or the body cells are resistant to the insulin that is produced and therefore unable to absorb the sugars.

Fingerstick to check glucose in diabetic patient

Omentum

The omentum is a membranous double layer of fatty tissue that covers and supports the intestines and organs in the lower abdominal area. The omentum is made up of the greater omentum which is an important storage for fat deposits and the lesser omentum which connects the stomach and intestines to the liver. Milky spots on the greater omentum contain white blood cells that assist immunity by removing cellular debris.

Sleeve

Laparoscopic sleeve gastrectomy is a restrictive procedure that reduces the size of the stomach but does not alter the gastrointestinal tract or the pylorus. Because the route of ingested food through the gastrointestinal tract is not altered, nutrients are better absorbed. The patient is less dependent on vitamin supplements as the food is absorbed in a more natural manner.

Fear of Change and Natural Concerns

If you are thinking about bariatric surgery and have doubts about whether it is right for you, you’re not alone. It’s a life-changing decision, and serious contemplation—particularly overcoming concerns and learning how to effectively cope with them—is part of the decision-making process for everyone. Bariatric surgery is a major procedure, and recovery doesn’t happen overnight. It’s normal and natural to fear surgery, anesthesia, or physical changes. Before you let these fears prevent you from having bariatric surgery, you may want to take a few moments to better understand the facts. Bariatric surgery is a lifelong change. Even considering it is a healthy step, because it gives you an opportunity to examine your health and your life.

Digestion

Digestion is a complex process and the objective of the entire process is to provide energy for sustenance of the human body. The human digestive system consists of the digestive tract and other organs that are necessary for the digestion of food, absorption of nutrients, and elimination of waste.

The Process of Bariatric Surgery with Dr. Belsley

Welcome to the first step in your consideration of weight loss surgery with Dr. Belsley at Mt. Sinai St. Luke’s Hospital Center. We understand that you have a choice in your medical care and will do his best to answer your questions and ensure you a safe, personalized and individual experience throughout your weight loss. You must continue on your new path as it is one that you must walk for the rest of your life. Please keep in mind that bariatric surgery requires continuing positive lifestyle change and is not a substitute for dieting.