Roux-en-y Gastric Bypass

WHAT YOU SHOULD KNOW:

Roux-en-Y gastric bypass is a type of weight loss surgery. During surgery, caregivers use staples to make a small stomach pouch that is separate from the rest of your stomach. Then they connect the jejunum (middle part of the small intestine) to the new stomach pouch. When you eat, food bypasses the rest of the stomach and goes directly into the jejunum. The surgery makes your stomach smaller so that you feel full sooner and cannot eat as much during meals. Your body will not absorb as many calories from food because part of your stomach and intestines are bypassed.

AFTER YOU LEAVE:

Medicines:

  • Acetaminophen: This medicine is given to decrease your pain and fever. It can be bought without a doctor's order.

  • Antibiotics: This medicine is given to fight or prevent an infection caused by bacteria. Always take your antibiotics exactly as ordered by your healthcare provider. Do not stop taking your medicine unless directed by your healthcare provider. Never save antibiotics or take leftover antibiotics that were given to you for another illness.

  • Vitamins and minerals: Ask your primary healthcare provider if you need to take vitamins or mineral supplements.

  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Change how you eat and drink:

Ask your dietitian or nutritionist any questions you have about what foods to eat and how much. Do the following:

  • Eat slowly: Chew your food well before you swallow. Large bits of food may cause choking, or may block your stomach.

  • Eat 3 small meals each day: Do not eat snacks between meals unless your primary healthcare provider says it is okay. Stop eating when you feel full, even if you have not eaten all of your meal.

  • Eat nutritious foods: Eat plenty of protein. Foods that contain protein include chicken, fish, eggs, and dairy products. Avoid candy, cookies, ice cream, and fried foods. These foods can cause dumping syndrome.

  • Drink liquids between meals, not with meals: Wait at least 1 or 2 hours after a meal before you drink liquids. Do not drink liquids with meals. Drink water, diet drinks, or other drinks that have few or no calories. Ask your primary healthcare provider if it is okay to ever drink alcohol.

Self care:

  • Wound care: When you are allowed to bathe or shower, carefully wash the incisions with soap and water. Afterwards, put on clean, new bandages. Change your bandages any time they get wet or dirty. If you cannot reach the incision areas, ask someone to help you.

  • Activity: Talk to your primary healthcare provider about the best exercise plan for you.

Ask for information about where and when to go for follow-up visits:

For continuing care, treatments, or home services, ask for more information.

Contact your primary healthcare provider if:

  • You have redness, swelling, or pus coming from your incision.

  • You have nausea and vomiting.

  • You have pain or pressure in your abdomen or back, hiccups, and you feel restless.

  • You feel your heart beating faster than usual.

  • You have swelling or pain in your leg.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • You cannot stop vomiting.

  • You have sudden chest pain, shortness of breath, or are coughing up blood.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Roux-en-y Gastric Bypass (Discharge Care)

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