In the longer term
Troublesome symptoms may include abdominal pain, a change in
bowel pattern, tiredness, bloating, nausea or vomiting.
Narrowing at the middle of the stomach (Hour Glass Stomach) may
require stretching with a balloon, or rarely, further surgery may be
required.
Excessive or inadequate weight loss is likely a consequence of not
following the advice after surgery and seldom requires further surgery.
Dehydration or imbalance of body salts is usually from inadequate
fluid intake, and does not usually require admission to hospital.
Inflammation of the remaining stomach or oesophagus may occur.
Gallstones can form during rapid weight loss, and may require
surgical removal of the gallbladder.
Hernias (muscle weakness) may occur at the site of the incisions.
Psychological problems can include depression, adjustment
disorder, relationship difficulties and rarely suicide.
Liver disease or failure can occur if there is underlying liver damage
that is worsened by weight loss or surgery.
Hair loss from protein malnutrition may occur.
Vitamin deficiencies – Commonly, symptoms will not appear
until sometime after surgery, even several years. After a Gastric
Sleeve procedure, you will need to take vitamin supplements for
the rest of your life. Some people need to take iron or calcium
supplements as well. Failure to take these can have significant
health consequences. If you become anaemic, you may require a
vitamin B12 injection.
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