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Guide to Bariatric Surgery

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Guide to Bariatric Surgery Your Guide to Bariatric Surgery Table of Contents Chapter One – General Information Chapter Five – Surgery and Recovery Welcome to the BayCare Comprehensive At the Hospital .........................................................................14 Bariatric Surgery Program .......................................................2 Keeping You Safe ......................................................................14 Meet Your Team .........................................................................2 About Anesthesia .....................................................................15 My Life Goals After Surgery ....................................................3 Managing Your Pain ................................................................15 How to Get Here ........................................................................5 Pain Medications ......................................................................16 Tobacco-Free Campus ..............................................................5 Preventing Complications ......................................................16 Postoperative Respiratory Exercises .....................................16 Chapter Two – Your Digestive System Patient Care Plan – Gastric Bypass and Gastric Sleeve .....17 The Normal Digestive System ..................................................6 When Can I Go Home? .........................................................18 The Role of Leptin and Ghrelin ...............................................8 Management of Postoperative Complications ....................19 The Importance of Sleep ...........................................................8 Vitamin and Mineral Supplementation ...............................21 Weight Loss Surgery Options ..................................................9 Protein Supplement Comparisons ........................................24 Chapter Three – Getting Ready for Surgery After Weight Loss Surgery: The First Few Weeks ...............25 Medical History and Physical Exam .....................................11 After Weight Loss Surgery: The First Year ...........................25 Insurance Coverage .................................................................11 After Weight Loss Surgery: Year Two and Beyond ............25 Health Care Directives ............................................................11 FAQs ...........................................................................................26 Discharge Planning..................................................................11 My Medical Questions and Notes .................................29 Home Health Care ...................................................................11 A Final Note .............................................................................29 Chapter Four – Caring for Yourself: Presurgical Preparations Preparing for Your Return Home .........................................13 What to Pack .............................................................................13 The Day Before Your Surgery ................................................13 The Morning of Your Surgery ................................................13 Your Guide to Bariatric Surgery | 1 Chapter One – General Information Chapter One – General Information Welcome to the BayCare Bariatric Program Manager My Bariatric Team Your bariatric program manager coordinates your Comprehensive Bariatric preoperative appointments and care and helps guide you through the surgery process. Your program manager Bariatric Surgeon: Surgery Program will also help coordinate your care while you’re in the This guide will help you learn more about weight loss hospital and will assist you and your family during your ______________________________________ surgery and how to move toward weight loss success. hospital stay. Learning as much as you can about your digestive system and your surgical procedure will help you play Nurse Manager Physician Assistant: an active role in your recovery. Please read this entire Registered nurse managers will oversee your care guide before your surgery and bring the it with you while you’re in the hospital. Your satisfaction is very ______________________________________ when you come to the hospital for your procedure. important to them. Don’t hesitate to contact the Review any questions with your doctors, nurses, appropriate manager for any reason. Nurse managers dietitian, fitness expert or bariatric program manager. wear royal blue or white scrubs with a white lab jacket. They’ll answer questions and help you and your family Bariatric Surgery Coordinator: on your weight loss journey. Patient Care Leader (PCL) This is a specialized nurse who will help coordinate your ______________________________________ This guide is for information only. It shouldn’t be care with your doctor, primary nurse and other health considered a substitute for medical advice. care professionals. They wear royal blue or white scrubs. Bariatric program manager: Meet Your Team Patient Care Tech (PCT) Gretchen Miller, MSHS, BSN, RN, ONC The patient care tech works under the direction of (727) 825-1490 | [email protected] At the hospital, your surgeon is supported by a strong an RN or LPN. They take your vital signs and assist and talented team. These team members will help you with activities such as bathing or getting to the you prepare for surgery, make your hospital stay as bathroom. The PCT wears dark green scrubs. comfortable as possible and help you recover as quickly My Life Goals After Surgery as you can. Members of your team include: I want to be able to enjoy: Internal Medicine Specialist/Hospitalist (Physician) A medical doctor may follow your care and manage 1. _________________________________________ your conditions during your hospital stay. Nurses 2. _________________________________________ Licensed nurses will help coordinate your activities and provide your care. Along with your bariatric program manager, your nurse will be in charge of your personal 3. _________________________________________ care, pain management and discharge planning. The registered nurse (RN) and licensed practical nurse (LPN) wear royal blue or white scrubs. 2 | TampaBayWeightLoss.org Your Guide to Bariatric Surgery | 3 Chapter One – General Information How to Get Here th Ave. N. th Ave. N. t. N. t. N. t. N. t. N. St . st th S th S th S vd Jackson S EXIT B th Ave. N. Bl ing Jr th Ave. N. ther K Lu St. Anthony’s t. N. t. N. Hospital Martin r. th S th S Burlington Ave. N. t. N. N. / D St th S Arlington Ave. N. th st Ave. N. EXIT EXIT Central Ave. Tobacco-Free Campus To promote a healthy lifestyle, BayCare hospitals are want to consider stopping prior to surgery. If you tobacco free and there are no smoking areas. Studies need a nicotine patch during your hospital stay, have shown that smoking negatively impacts healing, let your physician know and one will be ordered. including the internal healing necessary with weight loss Free resources include QuitNow at QuitNow.net/Florida surgery. If you or a loved one smokes, you might or (877) U-Can-Now (877-822-6669). 4 | TampaBayWeightLoss.org Your Guide to Bariatric Surgery | 5 Chapter Two – Meet Your Digestive System Chapter Two – Meet Your Digestive System The Normal Digestive System Liver and gallbladder: The liver is a triangular organ Mixing and movement: The digestive system uses three located to the right of the stomach, near the diaphragm main processes to mix and move food: The digestive system is a group of organs that work and the small intestine. It weighs about three pounds Swallowing: Uses muscles in the mouth, tongue and together to convert food into energy and help basic and is the second largest organ in the body. The liver’s pharynx to push food out of the mouth, through nutrients feed the entire body. Food passes through main function is the production of bile. The gallbladder the pharynx and into the esophagus the alimentary canal or the gastrointestinal (GI) tract. is a small, pear-shaped organ located near the liver. The Peristalsis: A muscular wave that travels the length The alimentary canal is made up of the oral cavity, gallbladder is used to store and recycle excess bile from of the GI tract, moving partially digested food. pharynx, esophagus, stomach, small intestines and large the small intestine so that it can be reused for future It takes many waves for food to travel from the intestines. There are also several important accessory food digestion. organs that help your body digest food, but food doesn’t esophagus, through the stomach and intestines, to reach the end of the GI tract. pass through them. Accessory organs include the teeth, Pancreas: The pancreas is a large gland located near the tongue, salivary glands, liver, gallbladder and pancreas. stomach. It’s about 6 inches long and shaped like a short, Segmentation: Short segments of the small intestine To provide energy and nutrients to the body, six major lumpy snake. The pancreas emits digestive enzymes into contract to mix food and increase absorption of functions take place in the digestive system: Ingestion, the small intestine to complete the chemical digestion nutrients secretion, mixing and movement, digestion, absorption of foods. and excretion. Digestion: Digestion is the breakdown of large pieces of Large intestine: The large intestine is a long, thick tube food into smaller pieces. This begins with the chewing Digestive System Anatomy about 2 inches in diameter and about 5 feet long. It’s
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