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An IV line will be placed in your arm. Fluids and medication will be delivered through this line during the procedure. A breathing tube will be placed through your mouth and into your throat. It will help you breathe during surgery.
Small incisions will be made in the abdominal wall. A camera and surgical instruments will be passed through these incisions. The stomach will be divided into two parts. One part will be reconstructed to resemble a tube. The first part of the small intestine will then be bypassed by connecting the stomach tube to a section of the small intestine further down than previous attachment point.
The small incisions will be closed. The doctor may place bandages over the incision sites.
While you are recovering at the hospital, you may receive the following care:
Pain medicine will be given as needed.
On the day after surgery—you will have an x-ray to check for leaks from the stomach.
Your stomach will not only be smaller but will also be swollen after surgery. This will limit the types and amount of food you can eat. You will be started on liquids only. Medications or vitamins may also need to be crushed up or taken as liquid.
While in the hospital, you may be asked to do the following:
Use an incentive spirometer to help you take deep breaths. This helps prevent lung problems.
Wear elastic surgical stockings or boots to promote blood flow in your legs.
Get up and walk in the hall daily.
For best success, you will need to practice lifelong healthy eating and exercising habits. Walk as soon as possible. Make a goal to exercise daily.
You will meet regularly with your healthcare team for monitoring and support. Be sure to follow your doctor’s instructions.
You may have emotional ups and downs after this surgery. Ask your doctor about support groups or counseling that may help.
Your new stomach is small and slow to empty, causing you to feel full quickly. Therefore, you need to eat very small amounts and eat every slowly. Some basic steps may include:
You will begin with 4-6 meals per day. A meal is two ounces of food. For the first 4-6 weeks after surgery, all food must be pureed.
Once you move to solid foods, you will need to consume enough protein. Follow your dietitian’s meal plans.
Avoid sweets and fatty foods.
Eating too much or too quickly can cause vomiting or intense pain under your breastbone. Most people quickly learn how much food they can eat.
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https://dynamed.ebscohost.com/about/about-us. Updated January 12, 2013. Accessed January 15, 2013.
Bariatric surgery: day of surgery and hospital stay. West Penn Allegheny Healthy System website. Available at: ...(Click grey area to select URL) Accessed January 15, 2013.
Bariatric surgery Risks and Complications. West Penn Allegheny Healthy System website. Available at: ...(Click grey area to select URL) Accessed January 15, 2013.
Gastrointestinal surgery for severe obesity. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: ...(Click grey area to select URL) Accessed January 15, 2013.
Laparoscopic weight loss surgery. Cleveland Clinic website. Available at: ...(Click grey area to select URL) Accessed January 15, 2013.
Maciejewski ML, Livingston EH, Smith VA, et al. Survival among high-risk patients after bariatric surgery.
Mini-gastric bypass. Sutter Pacific Medical Foundation website. Available at: ...(Click grey area to select URL) Accessed January 15, 2013.
Rationale for the surgical treatment of morbid obesity. American Society for Bariatric Surgery website. Available at: ...(Click grey area to select URL) Accessed January 15, 2013.
Weight loss surgery. Boston Medical Center website. Available at: ...(Click grey area to select URL) Accessed January 15, 2013.
Last reviewed November 2013 by Michael Woods, MD
Last Updated: 10/25/2013
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