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Laparoscopic Sleeve Gastrectomy

WHAT YOU NEED TO KNOW:

A laparoscopic sleeve gastrectomy (LSG) is surgery to remove most of your stomach. The remaining stomach forms a tube or sleeve. You will feel full faster and have a decreased desire for food. LSG is commonly done as a first surgery before a more involved weight-loss surgery can be done.

DISCHARGE INSTRUCTIONS:

Call 911 for any of the following:

  • You have trouble breathing.
  • You have chest pain that does not go away or gets worse.
  • You cough up blood.

Seek care immediately if:

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.
  • Your wounds are draining pus or look red or swollen. They may feel warm, painful, or tender.

Contact your healthcare provider if:

  • You have a fever higher than 101°F (38.3°C).
  • Your pain does not get better with medicine, or it gets worse.
  • You have nausea that does not get better with medicine, or it gets worse.
  • You are vomiting.
  • Your bowel movements are black or bloody.
  • You are constipated.
  • You have questions or concerns about your condition or care.

Medicines:

You may need any of the following:

  • A multivitamin may be recommended by your healthcare provider or dietitian. This will help replace lost vitamins and minerals since you will be eating less food.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Reflux medicine helps decrease stomach acid and heartburn.
  • Nausea medicine may be needed to help decrease nausea and prevent vomiting.
  • Prescription pain medicine may be given. Ask your healthcare provider how to take this medicine safely. Some prescription pain medicines contain acetaminophen. Do not take other medicines that contain acetaminophen. Too much acetaminophen may cause liver damage. Prescription pain medicine may cause constipation. Do not drive while you take prescription pain medicine.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her 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.

Care for your wound as directed:

Carefully wash your abdomen with soap and water. Gently pat the incisions dry with a towel. You may be able to shower and wash your hair 2 days after surgery. Dried blood and mild redness at your incision sites is normal after surgery. Check for bright redness, swelling, warmth, or drainage each day.

Nutrition:

Follow the directions given to you by your dietitian. Drink at least 64 ounces of liquids each day to prevent dehydration. Water is the best liquid to drink. Sip liquids throughout the day rather than drinking a large amount at one time. Your dietitian may recommend a full liquid diet starting on day 3. This stage may last for up to 2 weeks. You may need to drink nutrition supplements, such as protein drinks up to 3 times each day. These supplements provide protein, vitamins, and minerals if you are not getting them through food. Do not drink carbonated liquids, such as soda. These liquids increase gas in the stomach. Limit or avoid caffeine because it can cause dehydration.

Cough and deep breathing:

Take deep breaths and cough 10 times each hour or as directed. This will help prevent pneumonia. You may need to hold a pillow on your abdomen for support and comfort. Take a deep breath and hold it for as long as you can. Let the air out and then cough strongly. Deep breaths help open your airway. You may be given an incentive spirometer to help you take deep breaths. Put the plastic piece in your mouth and take a slow, deep breath, then let the air out and cough.

Activity:

Take short walks often throughout the day. Walks help prevent blood clots. Do not do any strenuous activity or lift more than 10 pounds. Ask your healthcare provider about the best exercise plan for you at your follow-up visit.

Follow up with your healthcare provider as directed:

You may need to return for blood tests. Ask when you can return to work. Write down your questions so you remember to ask them during your visits.

© 2017 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.

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