From Risks to Recovery: Understanding the Potential Complications After Bariatric Surgery 

Are you considering undergoing bariatric surgery? While this weight-loss procedure can be life-changing for many, it’s important to understand the potential complications that may arise after the surgery. In this blog, we delve into the risks and recovery process associated with bariatric surgery, providing you with valuable insights and knowledge to help you make an informed decision. 

From post-operative infection and bleeding to gallstones and nutritional deficiencies, there are various complications that can potentially occur after bariatric surgery. Understanding these risks is vital in order to manage and mitigate them effectively. 

We also explore the recovery journey after bariatric surgery. From the immediate post-operative period to the long-term lifestyle changes necessary for success, we cover the various aspects of recovery that you should be aware of.

Common but Rare Complications 

It’s important to remember that while complications are possible, they are not common. Our team at BodyByBariatrics is committed to minimizing these risks through expertise and efficiency. 

1. Infection: As with any surgery, there is a risk of infection. Laparoscopic procedures, which involve smaller incisions, significantly reduce this risk. Infections are usually treatable with antibiotics, but in rare cases, further intervention may be required. 
2. Bleeding: Another potential risk is bleeding during or after surgery. Our surgical team is highly experienced in laparoscopic techniques, which helps keep this risk low. If bleeding occurs, it can often be managed without further surgery with fluid resuscitation or the necessity for a blood transfusion.  
3. Blood Clots (Pulmonary Embolism (PE) or Deep Venous Thrombosis (DVT)): Blood clots are a concern in any surgical procedure, particularly in those involving anesthesia. However, because our team is efficient, reducing the time you’re under anesthesia, your risk of developing a clot is minimized. We also take proactive steps, such as using compression devices and encouraging early mobilization, to further reduce this risk. We also set the expectation that all of our patients will be up and walking within 30-minutes of the completion of their procedure. Remember that whole – pick out a good dream and wake up on a mission? The sooner you walk and the more you walk, the easier and faster your recovery, but, more importantly, walking can literally save your life! 
4. Leaks: In procedures like the sleeve gastrectomy or gastric bypass, there is a rare chance of a leak where the stomach or intestines have been stapled or sewn. Should a leak occur, it is often identified early and can be managed effectively. We explain leaks and how to treat them in depth on our DoctorXDietitian Podcast Episode on Complications.  
5. Nutritional Deficiencies: Post-surgery, some patients may experience nutritional deficiencies due to the changes in digestion. While this is a long-term consideration, it’s easily manageable with proper guidance and supplementation. Our team will provide you with all the information you need to maintain a balanced diet and avoid deficiencies. Please take your Bariatric Multivitamin (which includes adequate thiamine (Vit B1), folate, and iron) daily and separate this by at least 2 hours from your calcium citrate 500 mg + vitamin D. You will take your calcium citrate three separate times per day separated by at leasrt 2 hours. We have a DXD podcast episode on this, too. 😊
   Iron deficiency anemia is a common concern after bariatric surgery, particularly for women. The reduced absorption of iron can lead to a decrease in red blood cell production, resulting in fatigue and weakness. Regular blood tests and supplementation with iron-rich foods or supplements are crucial in addressing this issue. We start checking your labs at 6-months post-op.
   Vitamin B12 deficiency is another common nutritional complication following bariatric surgery. Vitamin B12 is essential for the proper functioning of the nervous system and the formation of red blood cells.
   Calcium and vitamin D deficiencies are also common after bariatric surgery. These nutrients are crucial for maintaining strong bones and preventing the development of osteoporosis. Patients may need to take calcium citrate and vitamin D supplements to ensure they are meeting their daily requirements and maintaining optimal bone health. We measure your calcium intake indirectly by checking your parathyroid hormone (PTH). 
6. Hernias: Hernias are another potential risk following bariatric surgery. The surgical incisions and the resulting changes in the abdominal anatomy can create weaknesses in the abdominal wall, allowing internal organs to protrude through. Hernia development can be painful and may require additional surgical intervention to repair the defect. We take extra measures to put a deep stitch in your abdominal wall to pull the strength layer of your abdominal wall, the fascia, back together. This area may be sore after surgery, so you may want to take Tylenol or even use a heating pad or Lidocaine patch as this area heals.  
7. Gallstones: Rapid weight loss after surgery can lead to the formation of gallstones. If your gallstones start causing you issues, you may need a cholecystectomy (gallbladder removal). No worries, this can usually be done with a minimally invasive approach. Read our blog on Managing Gallbladder and Biliary Issues After Bariatric Surgery HERE.
8. Dumping syndrome: The symptoms of dumping syndrome can be both early and late-onset. Early symptoms, which typically occur within 30 minutes of eating, include nausea, vomiting, abdominal cramps, diarrhea, and a feeling of fullness or bloating. Late-onset symptoms, which can occur 1-3 hours after a meal, may include fatigue, dizziness, sweating, and hypoglycemia (low blood sugar levels). Have no fear, dumping syndrome typically happens if you are consuming high sugar foods. Instead, you should focus on consuming foods that are high in protein and fiber.  

Why Choose BodyByBariatrics? 

At BodyByBariatrics, our focus is not just on performing surgery but on ensuring you have the best possible experience and outcomes. Our surgeons, Dr. Dovec and Dr. Lane, are not only skilled but also efficient—this means less time under anesthesia, which translates to fewer risks such as blood clots and reduced postoperative pain. 

By choosing us, you’re choosing a team that prioritizes your safety at every step of the process. From pre-operative planning to post-operative care, we are with you every step of the way.

Peace of Mind 

We understand that the thought of surgery can be daunting, but remember, you’re in expert hands. Should you have any questions or concerns, no matter how small, don’t hesitate to reach out to us. For general inquiries, text us at BodyByBariatrics at 407-543-0971. For urgent or emergent issues, call us directly at 407-707-5018. Your peace of mind is our priority. 

XOXO, 

BodyByBariatrics

*BodyByBariatrics blog does not replace medical advice. Seek the help of your healthcare professional if you have questions related to your condition. We strive for patients to achieve healthier, happier, longer lives through weight loss surgery.