FAST FACTS SSM WEIGHT LOSS INSTITUTE ASSESSMENT DAY

Transcription

1 AGENDA TYPES OF SURGERIES COMPLICATIONS EXPECTATIONS NEXT STEPS QUESTIONS FAST FACTS SSM WEIGHT LOSS INSTITUTE ASSESSMENT DAY

2 ALL THREE SURGERIES Are considered major surgery Are laparoscopic procedures (using small incisions) Are excellent tools for weight loss Are tools that can be broken Can have complications- both short and long term Create internal scarring

3 ROUX-EN-Y GASTRIC BYPASS (RYGB) The stomach is divided and a small pouch is formed. A portion of the small intestine is then divided and sewn to the newly created small pouch. This process limits the amount of food consumed and the body s ability to absorb calories

4 SLEEVE GASTRECTOMY The surgeon removes approximately 85% of the stomach, with the remaining part of the stomach shaped like a tube or sleeve. This process limits the amount of food consumed at one time.

5 ADJUSTABLE GASTRIC BANDING The adjustable gastric band artificially reduces the capacity of the stomach. The silicone band is placed around the upper part of the stomach to create a small pouch. Food passes through the outlet from the upper pouch to the lower pouch to the lower stomach more slowly to help feel fuller longer.

6 POTENTIAL BARIATRIC COMPLICATIONS RYGB/SLEEVE Gastric Leak Stricture Gastro Gastric Fistula Gallstones Gastric Ulcers ADJUSTABLE GASTRIC BAND Slippage Prolapse Erosion Gallstones Gastric Ulcers

7 POTENTIAL GENERAL SURGICAL COMPLICATIONS Bleeding Wound Infection Blood Clots/Embolus Bowel Obstruction Respiratory Complications Heart Attack Hernia

8 EXPECTATIONS OF THE STAFF We are all in this together= If you are successful, we are successful! Surgery options and risks discussed with the surgeon Pre-operative and post-operative education by staff Clinical support during office hours 24 hour access to surgeon using the physician exchange

9 EXPECTATIONS OF PATIENT Preoperative weight management Start your dietary and lifestyle changes today! You will be expected to at least maintain your current weight before your surgery. Your surgeon may order a preoperative high protein liquid diet to start before your surgery date. This is based on your weight at the time of your preoperative consultation. If you gain weight at your final consultation or preoperative class visit, you may be required to 1) complete more dietary education, 2) increase the number of weeks for the high protein diet, and/or 3)worst case scenario, cancel your surgery and have another consultation with the surgeon.

10 EXPECTATIONS OF THE PATIENT Follow post-operative bariatric diet, fluid intake and vitamin/mineral/protein supplement protocol Exercise daily Regular follow up visits Support Group attendance

11 EXPECTATIONS OF THE PATIENT cont. NO non-steroidal anti-inflammatory (NSAIDS*), smoking or carbonated beverages. NSAIDS include: Advil, Ibuprofen, Mobic, Aleve, Motrin, aspirin, Celebrex, Lodine, Dolobid, etc (OTC and Rx) LIMITED caffeine intake, and no alcohol first year Keep in touch with your Primary Physician *

12 WHAT YOU NEED TO DO NEXT! It is your responsibility to call your insurance company to verify your specific coverage Discuss all medications with the prescribing physician re: no NSAIDs, no pills bigger than an regular aspirin (can check with pharmacist) Refer to Navigation checklist in folder for tests/clearances needed

13 WHAT YOU NEED TO DO NEXT! cont. Get Medic Alert tag No nasogastric tube without calling Fluid capacity 60cc or less Limit anti-inflammatory medication Bring WLI FOLDER to all appointments Access educational items at ssmweightloss.com under forms

14 PROGRAM REQUIREMENTS FOR SURGERY Complete Medical History= BMI/Co-Morbid Conditions Letters of Medical Clearance from Primary Care Physician and, if appropriate, Specialists/Consults Psychological Evaluation Dietary Evaluation Preoperative Consultation with Surgeon Tests and Labs as needed EMMI education RN Education class- within 2 weeks of surgery

15 NEXT STEPS Begin completing checklist Initial and sign Bariatric Surgery Contract EMMI Education- mandatory Risk Safety assessment to be completed You will be notified by our office when we get final insurance approval Visit your PCP to discuss your surgery QUESTIONS?