Gastric Bypass Surgery

Question 1

What are the two main kinds of gastric bypass surgeries

Answer 1

Adjustable gastric band (Lap Band)

Gastroplasty (Stomach Stapling)

Question 2

Pre op Care for Lap Band

Answer 2

Quit smoking 2 months prior
Stop taking aspirin / aspirin products for 1 month
Medical, psychological and nutritional clearance
Labs

Question 3

What diet is the patient on 48 hours prior to surgery

Answer 3

Unsweetened clear liquid diet

Question 4

What diet is the patient on the day of surgery

Answer 4

NPO

Question 5

Post Op care of Gastric Bypass

Answer 5

Assess HR and rhythm 
Assess site
CT- check for leak or obstruction 
CPAP- if previously used 
Assist with ambulation

Question 6

What are some complications of gastric bypass surgery ?

Answer 6

Infection
Dehiscence
Pulmonary Embolism
DVT
Hernia
Gallstone
Protein deficiency

Question 7

What is the number indicator of a anastomosis leak?

Answer 7

Tachycardia

Question 8

What are s/s of a Pulmonary Emoblism

Answer 8

SOB, diaphoresis, anxiety, cold and clammy, chest pain, syncope

Question 9

What are some signs of protien deficiency

Answer 9

Hair loss 
Delayed wound healing 
Anemia
Muscle weakness and fatigue 
Irritability, depression, anxiety

Question 10

Discharge instructions for bypass surgery

Answer 10

Follow the eating regimen and keep food diary
PROTEIN PROTEIN
Gradually eat more (stomach only size of an egg)
Wait 30 mins to drink after eating
Avoid sugar, alcohol, and caffeine
Avoid aspirin
Take your temperature BID for the first week
Use chewable vitamins, Prevacid, Vitamin B12 and calcium supplements

Question 11

Who is a candidate for gastric bypass surgery?

Answer 11

BMI > 35 with medical condition

Morbidly Obese : 100 lbs overweight