14. Is the
recovery time shorter if the RY gastric bypass is done by laparoscopy?
The hospital stay is about 2 days with laparoscopic gastric bypass
compared to 3 days for open approach. Most patients with lap can
go back to work in 1-2 weeks, as opposed to 2-4 weeks with open
approach.
15. Will
you remove the gallbladder?
The gall bladder is removed routinely with open RY gastric bypass.
The gall bladder is not removed routinely with lap gastric bypass.
16.Now that I'm going home, what can
I eat? Take liquids until your first office visit.
After your first post-operative visit (one week after surgery), you
will be advanced to pureed foods for one week. Once you have progressed
through pureed foods, we have a three phase diet advance, that gradually
adds specific, textured foods.
17. When will
I see my surgeon again? One and four weeks post-op, and then monthly
for the first year.
18. Should
I take a vitamin-mineral Supplement? Yes, you will be on Flintsones chewable
vitamins for at least one month. You will then be advanced to a
regular, adult multivitamin. IT IS IMPORTANT THAT YOU TAKE VITAMIN
SUPPLEMENTS EVERY DAY FOR THE REST OF YOUR LIFE TO PREVENT VITAMIN
DEFFICIENCY.
19. What
about protein supplements? Gastric bypass patients are permanently
malabsorptive and MUST drink protein shakes FOR THE REST OF
THEIR LIVES. Failure to do so may result in hair loss, malnutrition and weight
gain. You must have an adequate amount of protein available to build muscle,
otherwise you will build fat, lower your metabolism and gain weight.
20. What about
calcium supplements? Our patients must have 1200 mg of calcium
per day in the form of supplements. For the first month, this is
taken in the form of TUMS.
21.
When are blood tests done in the post-operative
period?
Usualy, the first blood tests are done every three months in the
first year after the gastric bypass. They are then performed yearly
thereafter.
22.Can I drive
my car? After seeing the doctor on your first post-op
visit, he may clear you to drive.
23. Can I wear
my seat belt? Yes, you can.
24. When
can I have intercourse?
As soon as you feel like it and there is no pain. Women must take
precautions not to become pregnant for the first year after surgery.
25. Can I go
swimming? As soon as your wounds have completely healed.
The doctor must approve this request.
26. How can I
get my insurance forms filled out?
Bring them to the Surgeon's office.