{"id":1045,"date":"2024-03-18T11:23:19","date_gmt":"2024-03-18T10:23:19","guid":{"rendered":"https:\/\/www.solucionobesidad.com\/manual-de-procedimientos-es\/"},"modified":"2024-05-10T10:18:41","modified_gmt":"2024-05-10T08:18:41","slug":"manual-de-procedimientos-es","status":"publish","type":"page","link":"https:\/\/www.solucionobesidad.com\/en\/manual-de-procedimientos-es\/","title":{"rendered":"Procedures manual"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#5A8D7D&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; custom_padding=&#8221;5em||0em||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;Montserrat|700||on|||||&#8221; header_text_color=&#8221;#FFFFFF&#8221; header_font_size=&#8221;50px&#8221; custom_margin=&#8221;||2em||false|false&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1 class=\"page-title\">PROCEDURES MANUAL<\/h1>\n<p>[\/et_pb_text][et_pb_code _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;rgba(0,0,0,0.6)&#8221; positioning=&#8221;relative&#8221; position_origin_a=&#8221;bottom_left&#8221; text_orientation=&#8221;left&#8221; width=&#8221;100%&#8221; custom_padding=&#8221;0.5em|1em|0.5em|1em|true|true&#8221; custom_css_main_element=&#8221;max-width:fit-content;||&#8221; custom_css_free_form=&#8221;selector p,||selector a{||  color:white !important;||  font-size:14px;||}&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<pee><span class=\"breadcrumbs\"><p><a href=\"\/en\">Home<\/a> \/ <a href=\"https:\/\/www.solucionobesidad.com\/en\/manual-de-procedimientos-es\/\">Procedures manual<\/a><\/p><\/span><\/pee>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243; width=&#8221;90%&#8221; module_alignment=&#8221;center&#8221;][et_pb_row _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; min_height=&#8221;99.8px&#8221; custom_margin=&#8221;-67px||-50px|-150px|false|false&#8221; custom_margin_tablet=&#8221;|||-109px|false|false&#8221; custom_margin_phone=&#8221;|||-41px|false|false&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; custom_margin__hover_enabled=&#8221;off|desktop&#8221;]<\/p>\n<div class=\"vc_row wpb_row vc_row-fluid wpb_section wpb_padding\">\n<div class=\"container\">\n<div class=\"row\">\n<div class=\"wpb_column vc_column_container vc_col-sm-12\">\n<div class=\"vc_column-inner \">\n<div class=\"wpb_wrapper\">\n<div class=\"st-heading style-1 text-left\">\n<h1 class=\"box-title\" style=\"text-align: left;\"><strong>IN THE OFFICE<\/strong><\/h1>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"vc_row wpb_row vc_row-fluid wpb_section wpb_padding\">\n<div class=\"container\">\n<div class=\"row\">\n<div class=\"wpb_column vc_column_container vc_col-sm-2\">\n<div class=\"vc_column-inner \">\n<div class=\"wpb_wrapper\">\u00a0<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,3_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; min_height=&#8221;337px&#8221; custom_margin=&#8221;-44px|auto|-11px|auto|false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/www.solucionobesidad.com\/wp-content\/uploads\/2024\/03\/icon-primera-visita-1.webp&#8221; title_text=&#8221;icon-primera-visita-1&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-10px||16px|-35px|false|false&#8221; custom_margin_tablet=&#8221;0px||||false|false&#8221; custom_margin_phone=&#8221;0px|||-18px|false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3><strong>THE INTERVIEW<\/strong><\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|300|||||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul>\n<li>About 1h duration.<\/li>\n<li>Patient\u00b4s medical conditions are reviewed and anthropometry analysis performed (weight, height, BMI, overweight standarized for age and sex, waist, hip and % fat mass impedanciometry by the dietitian).<\/li>\n<li>A complete preoperative blood test is necessary, including blood count, coagulation, electrolytes, glucose, urea, creatinine, ions, AST-ALT, GGT, Alkaline P, iron, folic acid, B12, calcium, cholesterol and triglycerides and thyroid hormones. Glicated Hb and C peptide are also requested in case of Diabetes condition.<\/li>\n<li>Preoperative gastroscopy is advisable to check for oesophagitis or gastropathy and helicobacter pylori infection. Hepatobiliary ultrasound to rule out cholelithiasis is also requested.<\/li>\n<li>Psychological or psychiatric reports may be necessary in case of psychiatric condition history.<\/li>\n<li>The patient will be informed about the technical options and the objectives pursued.<\/li>\n<li>Hygienic and dietary intervention prior to surgery will be provided the same day by the Dietitian-Nutritionist. Relevant authorizations and informed consent will be requested and a consultation with the anesthesiologist will be ordered, which includes a chest X-ray and an electrocardiogram.<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>[et_pb_divider color=&#8221;#D6D6D6&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider]<\/p>\n<p>[\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,3_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; custom_margin=&#8221;-5px||||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/www.solucionobesidad.com\/wp-content\/uploads\/2024\/03\/icon-preoperatorio.webp&#8221; title_text=&#8221;icon-preoperatorio&#8221; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-10px||16px|-35px|false|false&#8221; custom_margin_tablet=&#8221;0px||||false|false&#8221; custom_margin_phone=&#8221;0px|||-18px|false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3><strong>PREOPERATIVE REVIEW<\/strong><\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|300|||||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul>\n<li>Blood tests, ultrasound and endoscopy are reviewed. If cholelithiasis is present a cholecistectomy will be associated in case of Gastric Bypass, even if it is asymptomatic. In case of Sleeve Gastrectomy only in case of symptoms. With the anesthesiologist positive revision the date of surgery will be set.<\/li>\n<li>All doubts regarding the procedure will be discussed.<\/li>\n<li>We will also review the response to preoperative diet.<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>[et_pb_divider color=&#8221;#D6D6D6&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider]<\/p>\n<p>[\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,3_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; custom_margin=&#8221;-5px||||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/www.solucionobesidad.com\/wp-content\/uploads\/2024\/03\/icon-operacion.webp&#8221; title_text=&#8221;icon-operacion&#8221; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-10px||16px|-35px|false|false&#8221; custom_margin_tablet=&#8221;0px||||false|false&#8221; custom_margin_phone=&#8221;0px|||-18px|false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3><strong>THE INTERVENTION<\/strong><\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|300|||||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul>\n<li>Duration, 1 to 2 hours depending on technique.<\/li>\n<li>The patient is admitted to hospital the same day of surgery.<\/li>\n<li>\u00a0In the room serums, antibiotics and prophylactic antithrombotic stockings are placed.<\/li>\n<li>Then the patient is tranferred to the OR where surgery takes place under general anesthesia.<\/li>\n<li>After extubation and postanesthetic recovery the patient is usually transferred back to his room. The patient may stay at the ICU in case is necessary.<\/li>\n<li>During the next 48 hours the patient will be monitored, checked to rule out leaks and under the care of Dr Sala and the Hospital Team. With good oral liquid tolerance the patient is discharged.<\/li>\n<li>Dietary instructions, antithromotic medication, PPIs and analgesia prescriptions will be provided by Dr. Sala and the Dietitian.<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>[et_pb_divider color=&#8221;#D6D6D6&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider]<\/p>\n<p>[\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,3_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-5px||||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/www.solucionobesidad.com\/wp-content\/uploads\/2024\/03\/icon-aceite-oliva-copia.webp&#8221; title_text=&#8221;icon-aceite-oliva copia&#8221; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-10px||16px|-35px|false|false&#8221; custom_margin_tablet=&#8221;0px||||false|false&#8221; custom_margin_phone=&#8221;0px|||-18px|false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3><strong>POSTSURGERY\u00a0<span lang=\"en\">REVISIONS<\/span><\/strong><\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|300|||||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul>\n<li>In order to ensure long-term weight loss success the follow-up after surgery is as important as the surgical technique itself.<\/li>\n<li>After the operation, the following steps are established:<br \/>Step 1: elemental rich in protein liquid diet to ensure wound and anastomotic healing,<br \/>Step 2: Gradually crushed and passed to a pasty diet.<br \/>Step 3: After 3-4 weeks, start a soft diet varied according to individual patient tolerance.<\/li>\n<li>At postop day 7 wounds are reviewed (we use intradermal sutures, without staples, so no scars are visible). Late postoperative medical and dietary revisions are made at 2 weeks , and 1, 2, 3, 6 and 9 months, and annually thereafter.<\/li>\n<li>The levels of iron, ferritin, B12, folate, calcium and other trace elements, as well as the improvement or disappearance of comorbidities are also reviewed.<\/li>\n<li>Blood tests are performed at months 3, 6 and 12 after the procedure, and annually thereafter.<\/li>\n<li>In case of abdominal ptosis, hernias and\/or symptomatic cholelithiasis appears an abdominoplasty with or without cholecystectomy and mesh repair should be considered one year after bariatric surgery.<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; min_height=&#8221;171px&#8221; custom_margin=&#8221;-97px||-30px|-170px|false|false&#8221; custom_margin_tablet=&#8221;-97px||-30px|-170px|false|false&#8221; custom_margin_phone=&#8221;-97px||-30px|0px|false|false&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;33px||28px|||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"vc_row wpb_row vc_row-fluid wpb_section wpb_padding\">\n<div class=\"container\">\n<div class=\"row\">\n<div class=\"wpb_column vc_column_container vc_col-sm-12\">\n<div class=\"vc_column-inner \">\n<div class=\"wpb_wrapper\">\n<div class=\"st-heading style-1 text-left\">\n<h1 class=\"box-title\"><strong>AFTER SURGERY<\/strong><\/h1>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,3_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; custom_margin=&#8221;-5px||||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/www.solucionobesidad.com\/wp-content\/uploads\/2024\/03\/icon-post-estancia.webp&#8221; title_text=&#8221;icon-post-estancia&#8221; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-10px||16px|-35px|false|false&#8221; custom_margin_tablet=&#8221;0px||||false|false&#8221; custom_margin_phone=&#8221;0px|||-18px|false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3><strong>POSTOPERATIVE INTERMEDIATE RECOVERY<\/strong><\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|300|||||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul>\n<li>Sometimes, when the patient comes from abroad it is possible to coordinate with the Hospital a temporary familiar stay in a Hotel-Resort in the shore until recovery is enough to fly back home.<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>[et_pb_divider color=&#8221;#D6D6D6&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider]<\/p>\n<p>[\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,3_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; custom_margin=&#8221;-5px||||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/www.solucionobesidad.com\/wp-content\/uploads\/2024\/03\/icon-normalidad.webp&#8221; title_text=&#8221;icon-normalidad&#8221; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-10px||16px|-35px|false|false&#8221; custom_margin_tablet=&#8221;0px||||false|false&#8221; custom_margin_phone=&#8221;0px|||-18px|false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3><strong>BACK TO NORMAL LIFE <\/strong><\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|300|||||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul>\n<li>Social and professional reintegration depends mainly on the type of activity developed and the character of the patient. With laparoscopy, which is minimally invasive surgery and little pain, this happens in a couple of weeks. Because the patient enters a catabolic phase, two weeks are needed to perform jobs that do not require physical effort, and between one to two months to perform heavy labor or hard sport efforts.<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; width_tablet=&#8221;&#8221; width_phone=&#8221;120%&#8221; width_last_edited=&#8221;on|phone&#8221; max_width_tablet=&#8221;&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|phone&#8221; custom_margin=&#8221;-30px||5px|-170px|false|false&#8221; custom_margin_tablet=&#8221;-30px||5px|-170px|false|false&#8221; custom_margin_phone=&#8221;-30px||5px|-40px|false|false&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"vc_row wpb_row vc_row-fluid wpb_section wpb_padding\">\n<div class=\"container\">\n<div class=\"row\">\n<div class=\"wpb_column vc_column_container vc_col-sm-12\">\n<div class=\"vc_column-inner \">\n<div class=\"wpb_wrapper\">\n<div class=\"st-heading style-1 text-left\">\n<h1 class=\"box-title\"><strong>RECOMMENDATIONS FOR ALL PATIENTS<\/strong><\/h1>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,3_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; custom_margin=&#8221;-5px||||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/www.solucionobesidad.com\/wp-content\/uploads\/2024\/03\/icon-recomendacion.webp&#8221; title_text=&#8221;icon-recomendacion&#8221; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|300|||||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul>\n<li><strong>Do not compare<\/strong>\u00a0yourself with other patients because food tolerance or weight loss is not the same in all patients.<\/li>\n<li>If you have to ask questions\u00a0<strong>seek experts<\/strong>.<\/li>\n<li>Eat small amounts, well masticated, and in several doses throughout the day.<\/li>\n<li><strong>Do not mix drinks with meals<\/strong>. If we fill the reservoir with a meal and we feel full, drinking a liquid addition, instead of helping pass the solid will provoke vomiting.<\/li>\n<li>As a general rule<strong>, drink liquids half an hour before or two hours after meals<\/strong>.<\/li>\n<li><strong>Perform aerobic exercise<\/strong>\u00a0adapted to the conditions and personal circumstances of each patient. Our body behaves like a balance, that is, if we eat a lot and spend little (little exercise) we will not lose much weight. If you eat little and spend \u00a0a lot of energy you will lose much more weight. We know it is difficult to incorporate regular physical exercise for some patients who have never done sport, but in these cases it may success to make a sporting life, guided by some individual advice.<\/li>\n<li><strong>Treatment should be individualized for each case<\/strong>, as each patient is different. This is also truth in the case of obesity surgery, where it is difficult to find a common pattern of behavior and adapt to this new way of eating and digesting.<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PROCEDURES MANUAL<span class=\"breadcrumbs\"><p><a href=\"\/en\">Home<\/a> \/ <a href=\"https:\/\/www.solucionobesidad.com\/en\/manual-de-procedimientos-es\/\">Procedures manual<\/a><\/p><\/span> IN THE OFFICE \u00a0 THE INTERVIEW About 1h duration. Patient\u00b4s medical conditions are reviewed and anthropometry analysis performed (weight, height, BMI, overweight standarized for age and sex, waist, hip and % fat mass impedanciometry by the dietitian). A complete preoperative blood test is necessary, including blood count, coagulation, electrolytes, glucose, urea, creatinine, ions, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"class_list":["post-1045","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Soluci\u00f3n Obesidad | intragastric baloon - Hospital Quir\u00f3nsalud Valencia<\/title>\n<meta name=\"description\" content=\"At Soluci\u00f3n Obesidad we explain the differences between the intragastric balloon, sleeve gastrectomy, gastric bypass and other types of bariatric surgery. Call us at +34680824845 and our experts at the Obesity Unit in Quir\u00f3nsalud Hospital in Valencia will advise you on weight loss manegement, diets and the best treatments for you.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.solucionobesidad.com\/manual-de-procedimientos\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Soluci\u00f3n Obesidad | intragastric baloon - Hospital Quir\u00f3nsalud Valencia\" \/>\n<meta property=\"og:description\" content=\"At Soluci\u00f3n Obesidad we explain the differences between the intragastric balloon, sleeve gastrectomy, gastric bypass and other types of bariatric surgery. 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