getting the most out of your surgery

Staying well and getting the most benefit out of your surgery will require you to take an active role in managing your physical and emotional health needs. During the first two years post-surgery, regular follow-up appointments play an essential role in monitoring progress, providing support, and addressing any concerns and it is important that you to attend these. 

Our multidisciplinary team is committed to supporting you every step of the way. You’ll receive expert, evidence-based guidance tailored to your needs. This may include: 

  • surgeons, who oversee your care and surgical recovery.
  • dietitians, who support your nutritional needs and dietary and lifestyle changes.
  • nurses, who provide ongoing clinical care and support.
  • psychologists, who offer emotional wellbeing support.
  • physiotherapists, who assist with physical activity, support weight maintenance and promote overall health.

At approximately two years post-surgery, and if you are clinically stable, you will be discharged from Homerton's bariatric surgery service. Ongoing care will transition to your GP, where annual reviews are recommended to ensure continued health and lifelong monitoring. GPs will be informed of your surgical history and follow-up needs and you are encouraged to seek re-referral to the Homerton Bariatric Service through your GP if new symptoms arise.

Long term complications

While bariatric surgery can offer life-changing benefits, it's important to be aware of potential long-term complications.

What are some late/longterm complications of bariatric surgery?

  • Nutritional deficiencies: Low levels of iron, calcium, vitamin B12, vitamin D, and folate due to reduced absorption.
  • Dumping Syndrome: Rapid movement of food into the small intestine causing nausea, dizziness, diarrhoea, or low blood sugar.
  • Ulcers: Especially at the surgical connection points (e.g. gastrojejunal anastomosis) may cause pain or bleeding. Smoking exercabates this, we advise lifelong smoking cessation.
  • Strictures or Stenosis: Narrowing of the stomach or intestine causing difficulty swallowing or vomiting.
  • Gallstones: Rapid weight loss increases risk — may require gallbladder removal.
  • Hernias: Incisional or internal hernias can develop and may need surgical repair.
  • Bowel Obstruction: Scar tissue or twisting of intestines can block digestion — urgent medical attention needed.
  • Psychological Effects: Depression, anxiety, or body image issues may emerge post-op.
  • Surgical site Issues: Adhesions, infections, incisional hernias can develop over time.