Mona Karlsson – Patient Coordinator

Hi there, my name is Mona and I am very proud to say that I am a Patient Coordinator at Overvekts Operasjoner Riga. I’ve also had a Gastric Bypass with our outstanding Surgeon and am absolutely delighted with the whole experience. I lost my weight and slimmed down to my target weight within the first year! I would like to guide and help you with your special journey based upon my own experience of weight loss surgery.
I look forward to hearing from you.
Mona

Dr. Igors Troickis – Leading Bariatric Surgeon, 25 years experience, over 500 procedures annually

A highly acknowledged surgeon, with 25 years experience in general surgery and over 10 years experience in bariatric surgeries.

Head of Surgery Department at Riga hospital.
The surgeon performs over 500 procedures annually.
Specialities:
· Gastric Bypass, Mini Gastric Bypass
· Gastric Sleeve, Gastric Band removal
· Revisional Bariatric Surgery

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Gastric Balloon  BMI 27+
Gastric Sleeve  BMI 30+
Gastric Bypass  BMI 35+

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10 Reasons to choose us

Efficient appointment system

We will endeavour to accommodate your needs when arranging appointments. Our surgeon will review your medical documentation and health questionnaire to assess your suitability for a surgical procedure, we then aim to offer you an acceptance for surgery date within one to two weeks.

A private contemporary surgical centre

Our clinic is designed to emulate the most modern medical institutions in Europe. Hotel style accommodation is offered, with a flat screen television, wifi and air conditioning to ensure a comfortable stay. There is the opportunity for a friend or a member of your family to stay with you in your private room, if necessary.

Extremely experienced surgeons and medical team

Our senior surgeon, who specializes in bariatric surgery, has over ten years experience in this field, and twenty five years experience in general surgery. The medical staff and surgeons have vast experience and knowledge.

Finest quality surgical equipment

The equipment we use is of the highest proven quality, it is supplied by: Storz, Johnson & Johnson, Ethicon and Covidien. We have opened four new operating theatres, which have been designed and equipped to the highest standard.

5 year follow up

We offer a five year follow up programme for patients who have undergone Gastric Sleeve or Gastric Bypass surgery and a one year follow up programme for patients with a Gastric Balloon. Our patient coordinator will be available to answer questions via email or telephone.

Half the price of Norway surgical treatment

With us you get the same (or an even better) service than that of a private clinic in Norway, for half the price. For approximately half the cost, we can offer a similar or a better service than most private clinics in Norway.

English speaking medical personnel

Our doctors, nurses and the other medical personnel speak English fluently.

Twenty four hour care

Medical care, given by doctors and nurses, is available on a twenty four hour basis.

Direct flights from Norway to Riga

There are direct flights from the Norway to Riga (RIX)., Norwegian Air fly from Oslo, Trondheim and Bergen. Wizz Air fly from Sandefjord. Flight connections are also available from the rest of Norway through hub in Oslo.

Surgeon’s liability insurance

A Surgeon’s liability insurance of 30 000 Euro is provided for the bariatric surgeons operating at our clinic.

Diet After Sleeve Gastrectomy Surgery: Advice and Tips

No doubt if you’re planning to have gastric sleeve surgery you’re excited about the prospect of your slimmer, healthier future. And you should be. It’s likely that in the near future you’re going to be in the best shape you’ve been in for many years, maybe ever. 

But everything comes at a price and, beyond the pounds or euros you’ll spend, you’ll need to be diligent when it comes to your diet after sleeve gastrectomy surgery. You’re going to have to modify many of your old habits, abandon some of them and build new ones to boot.

What You Can Expect From Your Diet After Sleeve Gastrectomy Surgery

The vertical sleeve gastrectomy diet guidelines that will be formulated for you will be very specific and designed to aid in your recovery while at the same time helping you avoid any complications. They will also be focused on making sure you’re receiving proper nutrition. Over time the focus of your diet plan after sleeve gastrectomy will shift to helping you build and sustain proper eating habits. This will allow you to continue to lose weight and maintain your new lower weight for the rest of your life.

The Importance of the Liquid Diet Before Gastric Sleeve Surgery

In the days leading up to surgery it’s recommended you adopt a diet that’s low in both calories and carbohydrates. The dietitian can help you with this. Typically, your dietitian will also recommend a liquid diet before gastric sleeve surgery typically consisting of broth, water, decaf coffee or tea and perhaps Jello and a protein shake.

Post-op Diet: Weeks 1 and 2

During the first 2 weeks you will stay on a liquid diet after your gastric sleeve surgery. The same one you followed in the days prior to surgery. This prevents stress on the newly restructured stomach that could lead to leakage, constipation or bowel obstructions. It also helps prevent dehydration. The body requires time to heal after such a traumatic event and the liquid vertical sleeve gastrectomy diet plan allows it to do that. Things to keep in mind during this period include:

  • Your liquid diet after gastric sleeve surgery should not contain anything with sugar as this could spark episodes of ‘dumping syndrome’. Dumping syndrome can cause nausea, diarrhoea and vomiting.
  • Avoid alcohol at all cost during the weeks after surgery for the same reason and also because your tolerance will likely be drastically reduced and now is no time to be tipsy.
  • Make sure your diet plan after gastric sleeve surgery does not include caffeine as it can contribute to dehydration and may cause reflux.
  • Make sure you don’t drink any carbonated beverages as they will cause bloating, gas and discomfort.

Post-op Diet: Week 3

After 2 weeks it will be time to start introducing slightly more solid foods into your diet plan after gastric sleeve surgery. This will include mostly pureed foods. You’ll need to be careful to take your time eating during this period. Even though there isn’t much chewing involved with pureed foods you still need to make sure there aren’t and lumps or chunks in the food before you swallow it. So relax and take your time. At this point your diet plan after sleeve gastrectomy may include baby food, tofu, soft scrambled eggs, cottage cheese, pureed avocado, plain yogurt and canned fruit among other things.

  • Avoid any sugary, high fat foods or foods that are difficult to puree, including fibrous vegetables.
  • If you are not fond of pureed food you can continue to augment it with protein shakes although you should not forego the pureed food altogether.
  • Continue to exclude sugar, caffeine, alcohol and carbonated beverages from your vertical sleeve gastrectomy diet plan.

Post-op Diet: Week 4

After a month most patients will be in position to start adding solid food to their diet after vertical sleeve gastrectomy. This does not mean that you should make a beeline for the steak house but you will begin to mix non-processed foods to your existing regimen of pureed foods and liquids. Foods your dietitian will likely recommend are well-cooked fish and chicken, soft, well cooked vegetables, fruit and some low or no sugar cereals. It’s important during this phase of your recovery to:

  • Avoid hard to digest foods like the aforementioned steak as well as fibrous vegetables.
  • Avoid high carb foods like pasta and mashed potatoes.
  • Make sure you chew everything at least 25 times just like your grandma used to tell you.
  • Drink only the occasional caffeinated beverage and continue to avoid carbonated beverages.

Post-op Diet: Long Term

Gradually, over the course of weeks 4 through 8 your diet after sleeve gastrectomy surgery will feature more solid food. If any food triggers an adverse reaction you will need to avoid it until and unless your dietitian or doctor says otherwise. At this point your vertical sleeve gastrectomy diet guidelines will focus as much on building good eating habits as they will focus on any particular food you eat, so keep the following in mind:

  • Learn the difference between hunger and craving or appetite.
  • Eat 3 small meals per day at regular intervals and avoid snacks.
  • Never overeat. Eat until your hunger is satisfied (not until you are full) and then stop.
  • Avoid sugary desserts, drinks, snacks and cereals.
  • Sip water regularly to avoid dehydration.
  • Take a multivitamin every day to augment your diet after vertical sleeve gastrectomy.
  • Avoid trans fats at all cost as well as processed or fast foods.
  • Be aware that your tolerance for alcohol has likely been greatly reduced.
  • Avoid taking NSAIDS like aspirin and ibuprofen as they can irritate the stomach lining.
  • If you have any post op sleeve gastrectomy diet related questions don’t hesitate to contact your dietitian.

Conclusion

It is crucial to your long term recovery that you strictly adhere to your diet plan after gastric sleeve surgery. Over time you may be able to introduce a bit of flexibility into your diet but that will not include sugary foods, excessive carbohydrates or other items that could undermine your post op sleeve gastrectomy diet.