Most patients are in the clinic for three to four days after the operation, but to sit in bed and gradually walk the doctors recommend as early as the first day.
Care after the procedure includes ensuring the sterility of the postoperative wound, catheter (it must be installed with laparotomy shunting), drug prevention of blood clots, anesthesia, etc.
The medical staff tracks blood pressure, the state of gas exchange in the lungs and the total metabolism after surgery (complete blood count, with prothrombin time and electrolyte level, kidney and liver function).
For prophylaxis of deep vein thrombosis after bariatric surgery, their condition is assessed on the basis of ultrasound or angiography. Patients are advised to use compression knitwear on their legs.
Immediately after the operation - the first two days - eating anything from food or drinks is strictly prohibited.
Diet and nutrition after gastric bypass surgery
Diet after gastric bypass during the first week (minus the first postoperative days) allows only clear liquids (no more than 30-45 mg per hour); it can be water (without gas), skim milk or broth, juice without sugar.
The next two weeks the patient eats only liquid food, consisting of protein cocktails, grated with skim milk or broth of low-fat soft cheese, cottage cheese or boiled white meat (65 grams of protein a day). In addition, you should drink at least 1.5-1.6 liters of water per day: in small portions, slowly, about half an hour before meals and every hour after eating.
Necessarily daily accepted polyvitamins and iron preparations, as well as calcium citrate (0.4 g twice a day) are prescribed.
Diet and nutrition after gastric bypass surgery for 4-5 weeks include the gradual introduction of soft food - chopped boiled meat (lean chicken, turkey), fish (also boiled) and boiled vegetables. Recommendations for drinking water are the same. To already taken vitamins and minerals, vitamin D3 (1000 ME per day) is added.
On the sixth week, patients begin to eat solid food. But this does not mean that you can eat everything. The diet limits the total daily intake to 800-1200 kcal during the first year and up to 1500 kcal, after 1.5 years the gastric bypass field. Also, avoid foods that are poorly digested (beef, pork, whole grains, mushrooms, grapes, corn, legumes), whole milk, canned food, fatty and spicy foods, sweets.
Experts in the field of bariatrics warn: gluttony after gastric bypass surgery is excluded. At the physiological level, overeating is prevented by the so-called dumping syndrome, which occurs due to too rapid or excessive absorption of food (especially sweet and fatty). The stomach, reduced by surgery, simply "drops" food into the small intestine, which causes vomiting, diarrhea, bloating, weakness, muscle cramps, hyperhidrosis, palpitations (this usually lasts for one or two hours). So patients after gastric bypass surgery, who tried a couple of times to return to the habit of "eat tightly", simply stop doing "experiments" on their stomach.
The portion size at each meal intake should not be more than your fist.