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➤ 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.
