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To prepare you for surgery, an IV will be placed in your arm. You may receive fluids and medications through the IV during the procedure. A breathing tube will be placed through your mouth and into your throat. This will help you breathe during surgery. You will also have a catheter placed in your bladder to drain urine.
An 8-10 inch incision will be made to open the abdomen. Surgical staples will be used to divide your stomach into two unequal portions. The upper portion will be a small pouch. It will empty through a tiny opening into the lower portion. The small pouch can hold only ½ to 1 cup of soft, moist, and well-chewed food. A normal stomach can hold 4-6 cups.
Next, a plastic band will be wrapped around the tiny opening. This will prevent it from stretching. This band can be adjusted after surgery. The incisions will then be closed with staples or stitches.
While you are recovering at the hospital, you may receive the following care:
Pain medication will be given as needed.
Day of surgery—You will not eat or drink anything.
Day after surgery—You will likely have an
to check for leaks from the stomach pouch. You will drink a special liquid while x-rays are taken.
If this x-ray is normal, you will be given 30 milliliters (mL) of liquids every 20 minutes.
If leaks are found, you will receive nutrition through an IV until the leaks are fixed.
On the second day after surgery—You will have1-2 tablespoons of pureed food or 1-2 ounces of liquids every 20 minutes.
You may be asked to do the following:
to take deep breaths every hour to prevent breathing problems.
Wear elastic surgical stockings or boots to promote blood flow in your legs.
Get up and walk daily.
During your stay, the hospital staff will take steps to reduce your chance of infection, such as:
Washing their hands
Wearing gloves or masks
Keeping your incisions covered
There are also steps you can take to reduce your chance of infection, such as:
Washing your hands often and reminding visitors and healthcare providers to do the same
Reminding your healthcare providers to wear gloves or masks
Not allowing others to touch your incision
You will need to practice lifelong healthy eating and exercising habits. After your surgery:
Ask your doctor about when it is safe to shower, bathe, or soak in water.
You may be out of work for 2-6 weeks after surgery. Ask your doctor when you can expect to return to work.
Do not drive or lift anything heavy for at least two weeks.
You should walk as soon as possible, with a goal of exercising daily.
You may have emotional changes after this surgery. Your may be referred to a therapist.
You will meet regularly with your healthcare team for monitoring and support.
Your new stomach is the size of a small egg. It is slow to empty. This will make you feel full quickly. Nutritional steps include:
You need to eat very small amounts and eat very slowly.
You will begin with 4-6 small meals per day. A meal is two ounces of food.
For the first 4-6 weeks after surgery, all food must be pureed.
When you move to solid foods, food must be well chewed.
When making food choices, ensure that you are getting enough protein.
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.
This procedure does not cause nausea and
if sweet or fatty foods are eaten. In fact, some people gain back weight because they continue to consume high-calorie foods. To promote ongoing weight loss, avoid high-calorie foods.
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9/2/2009 DynaMed Systematic Literature Surveillance ...(Click grey area to select URL) The Longitudinal Assessment of Bariatric Surgery (LABS) Consortium. Perioperative safety in the longitudinal assessment of bariatric surgery. N Engl J Med. 2009;361:445-454.
6/24/2011 DynaMed's Systematic Literature Surveillance ...(Click grey area to select URL) Pontiroli AE, Morabito A. Long-term prevention of mortality in morbid obesity through bariatric surgery. a systematic review and meta-analysis of trials performed with gastric banding and gastric bypass. Ann Surg. 2011;253(3):484-487.
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This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.