Question

EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5'6'' and 265 pounds. She has a history of Diabetes and hypertension, she is not on medications at the time.

What client education topics are important to reinforce for this client?

How will this client's diet be advanced?

What complications can occur after this surgery?

What is Dumping Syndrome and what are some interventions to help prevent its development?

Answer 1

Gastric bypass surgery is the condition in which the stomach smaller and reroutes the intestines. Gastric bypass surgery is a surgical procedure in which the stomach is divided into a small upper pouch and a much larger lower "remnant" pouch and then the small intestine is rearranged to connect to both.

For gastric bypass surgery, the patient must fall into one of the two categories: BMI of 40 or higher and BMI of 30 or higher, with at least one obesity related medical problem such as High Blood Pressure, Type II Diabetes. And according to the given patient's history, she is suffering from diabetes and hypertension. So, she can go for the gastric bypass surgery.

The client's diet can be advanced by avoiding some foods like:- Nuts and seeds, Dried fruits, Carbonated beverages, Stringy or fibrous vegetables, such as celery, broccoli, corn or cabbage, Tough meats or meats with gristle, and Fried foods.

The gastric bypass diet has several purposes:- (a) To allow your stomach to heal without being stretched by the food you eat. (b) To get you used to eating the smaller amounts of food that your smaller stomach can comfortably and safely digest, (c) To help you lose weight and avoid gaining weight. (d) To avoid side effects and complications from the surgery.

Patients are allowed to drink clear liquids. Sip slowly and drink only 2 to 3 ounces (59 to 89 milliliters) at a time, soft foods like green vegetables which can easily chewed by the patients, strained and mashed up foods.

complications after surgery may cause loss in weight, abnormally emptying stomach, weakness, gall stones, feeling of nausea, hernias, malnutrition, low blood sugar, ulcers. These are the main causes which may occur after surgery.

Dumping syndrome:- a group of symptoms, including weakness, abdominal discomfort, and sometimes abnormally rapid bowel evacuation, occurring after having meals in patients who have undergone gastric surgery.