OMA Guidelines Bundle

Bariatric Surgery - Obesity Algorithm 2024

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15   ➤ Long-term dietary changes (commonly used recommendations): • Drink 64 ounces of water every day. • Avoid drinking fluids within 30 minutes before or after meals. • Take nutrition supplements containing vitamins A, D, E, K, B-complex, iron, and calcium every day. • Eat smaller meals, more often throughout the day. • Eat a balanced diet of proteins, carbohydrates, and fat with every meal. • Track food intake, at least initially, to form healthy habits and understand food intake. • Limit foods and drinks with added sugar. • Limit carbonated and caffeinated drinks • Limit fatty and f ried foods • Specif ically for patients after gastric bypass, limit spicy and acidic foods Complications Early (First 30 Days)   ➤ General post-operative complications • Nausea/vomiting • Dehydration • Wound infection • Cardiac dysrhythmias • Deep vein thrombosis and/or pulmonary embolism • Atelectasis and pneumonia   ➤ Bleeding at the surgical site or rarely intraluminal/gastrointestinal (RNY, sleeve gastrectomy, BPD/DS) • Usually within 72 hours post-op, may require early intervention or reoperation. • Symptoms: tachycardia, hypotension, drop in hemoglobin/ hematocrit, oliguria. • From three to seven days out, cause is more likely due to erosions and ulcerations at the anastomoses or along staple lines.

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