Procedures

Bariatric (Weight Loss) Surgery: After Recovery

January 1, 0001

Bariatric (Weight Loss) Surgery

After Recovery

After surgery, your weight will continue to decrease and soon you will have recovered physically from the surgery. It is then that the success of the surgery equally depends upon you as much as the surgery. It will require a lifetime of lifestyle and nutritional changes for best and sustained results. Problems (like weight gain) can occur after, but should not be inevitable. There are a few tips that when followed can help you cope with the changes to your stomach after surgery

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Bariatric (Weight Loss) Surgery: Choosing the right operation for you

January 1, 0001

Bariatric (Weight Loss) Surgery

Choosing the right operation for you

Once you have decided that weight loss surgery is for you, the next major step is which operation is best for you. This can sometimes be straight forward but commonly requires deciding between the "pros and cons" of each. For instance, smoking and acid reflux would generally mean that a Gastric Sleeve and Gastric Bypass respectively would be best for you.

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Bariatric (Weight Loss) Surgery: Clinical Nurse Specialist

January 1, 0001

Bariatric (Weight Loss) Surgery

Bariatric Nursing Services - Tauranga

Chloe McCormick, Registered Nurse

As part of your care team, I provide dedicated nursing support throughout your weight loss surgery journey.

My role is to support you through each stage of the process, from preparation for surgery through to your recovery. This includes providing clear guidance, practical education, and ongoing support to help you feel informed and well prepared.

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Bariatric (Weight Loss) Surgery: Cost

January 1, 0001

Bariatric (Weight Loss) Surgery

Cost

The cost of surgery includes Private hospital, Surgical and Anaesthetist charge. Please note that there will be additional costing if a repair of hiatal hernia, or if you have had previous weight loss surgery ( "Redo surgery").

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Bariatric (Weight Loss) Surgery: Dietician advice

January 1, 0001

Bariatric (Weight Loss) Surgery

Dietician advice

Before your Surgery

What is Optifast?

Optifast is a meal replacement which is very low in calories and high in protein. It is available in shakes, soups, bars, and as a dessert.

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Bariatric (Weight Loss) Surgery: GP info

January 1, 0001

Bariatric (Weight Loss) Surgery

GP info

Nutritional deficiencies - What to look for post bariatric surgery

Protein malnutrition / protein energy malnutrition

Protein malnutrition can occur for a number of reasons including poor dietary choice, anastomotic stricture or protein malabsorption (short gut). It may present several years following surgery. Protein energy malnutrition is accompanied by oedema. In all cases of suspected protein malnutrition the patient must be fast tracked back the Bariatric team

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Bariatric (Weight Loss) Surgery: How does weight loss surgery work?

January 1, 0001

Bariatric (Weight Loss) Surgery

How does weight loss surgery work?

The Gastrointestinal tract (gut) is a complex system of hormones, enzymes and feedback-systems that control the absorption of food, the bodies response to and desire for more food (Satiety). Surgery alters the gut to achieve both weight loss and better metabolic control of the absorbed calories / glucose. This is achieved by RESTRICTIVE, MALABSORPTIVE (or a COMBINATION OF RESTRICTIVE / MALABSORPTIVE) types of surgery.

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Bariatric (Weight Loss) Surgery: Optifast Diet Instructions

January 1, 0001

Bariatric (Weight Loss) Surgery

Optifast Diet Instructions

You will have told you how long you need to follow this diet before surgery. This depends on your personal treatment plan.

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Bariatric (Weight Loss) Surgery: POST OP PROTOCOL; Gastric Bypass

January 1, 0001

Bariatric (Weight Loss) Surgery

POST OP PROTOCOL; Gastric Bypass

Day 0: Day of surgery

  • May have sips of water up to 30mls per hour
  • Encourage mobilisation
  • IV Omeprazole as charted
  • STOP all diabetic medication
  • Regular anti-emetic as charted
  • Strict fluid balance - show patient how to record this themselves
  • Sub-cut Clexane as charted
  • TEDS should still be in place from admission

Day 1: Post op

  • Start sips of water 30ml/hr. If well tolerated increase to 60ml/hr. by mid-day
  • Stop IV fluids once tolerating 60ml per hour
  • Strict fluid balance - patient to record fluids themselves
  • Can change to oral medication - these must be crushed or capsule opened

IV Omeprazole change to oral Pantoprazole 20mg daily

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