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Bariatric Surgery - OMA Obesity Algorithm 2023

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Page 13 of 25

14 Bariatric Surgery Perioperative and Post-Operative Medications   ➤ Some medications that increase perioperative risks may be held prior to surgery, such as: • Anticoagulants, with risk of holding or bridging medications weighed against bleeding risk • Steroids and other medications that impair wound healing • Weight loss medications • Hypoglycemic medications   ➤ Typical post-operative medications include analgesics, antiemetics, bowel regimen, and antacids.   ➤ Patients at increased thrombotic risk may be temporarily placed on anticoagulant.   ➤ Some medications may be decreased or stopped after surgery, such as: • Anti-hypertensives • Anti-hyperglycemics Staged Diet Progression   ➤ Clear liquid diet (CLD): Anything liquid that is see-through and is easy to swallow. • CLD is often the f irst intake following bariatric surgery. • CLD may last several days to multiple weeks.   ➤ Full liquid diet (FLD): Any liquid or semisolid that is easy to swallow and requires minimal chewing. • FLD is the consistency of yogurt, oatmeal, cream of wheat, or baby food. • FLD is also sometimes referred to as pureed/ blended diet.   ➤ Soft diet: Any food that is easy to chew and swallow. • Soft diets include most f ish, ground meat, well-cooked vegetables, most grains, and thicker foods like peanut butter.   ➤ Long-term dietary changes (commonly used recommendations): • Drink 64 ounces of water every day. • 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 fatty and fried foods; limit carbonated and caffeinated drinks. • Specifically for patients after gastric bypass, limit spicy and acidic foods.

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