Our Summary

This research paper discusses a popular weight loss surgery performed in the UK, known as the one anastomosis gastric bypass (OAGB). It explains the changes that occur in the body due to this surgery and gives information for nurses on how to look after patients who have had this procedure. It also covers how to recognize and handle any potential problems that might occur after the surgery. In simple terms, it’s a guide for medical staff to provide the best possible care for patients who have had this specific type of weight loss surgery.

FAQs

  1. What is the One Anastomosis Gastric Bypass (OAGB) procedure?
  2. What are the anatomical and physiological changes associated with OAGB?
  3. What is the routine short and long term care for patients who have undergone OAGB surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about gastric bypass is to make sure to follow a strict post-operative diet plan to ensure proper healing and successful weight loss. This may include avoiding certain foods, eating smaller portions, and staying hydrated. Additionally, it is important to attend follow-up appointments and communicate any concerns or changes in symptoms with your healthcare provider. Regular exercise and maintaining a healthy lifestyle will also be important for long-term success after gastric bypass surgery.

Suitable For

Patients who are typically recommended for gastric bypass surgery are those who have a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, hypertension, or sleep apnea. Additionally, patients who have tried and failed to lose weight through diet and exercise may be candidates for gastric bypass surgery. It is important for patients to have a thorough understanding of the risks and benefits of the procedure, as well as a commitment to making necessary lifestyle changes post-surgery.

Timeline

Before Gastric Bypass:

  • Patient undergoes extensive medical evaluations to determine if they are a candidate for gastric bypass surgery
  • Patient meets with a multidisciplinary team including a surgeon, dietitian, psychologist, and other healthcare professionals to discuss the procedure and post-operative care
  • Patient undergoes pre-operative preparation which may include dietary changes, exercise programs, and counseling
  • Patient undergoes the gastric bypass surgery procedure which typically takes a few hours

After Gastric Bypass:

  • Patient is closely monitored in the hospital for a few days post-surgery for any complications
  • Patient follows a strict post-operative diet plan which typically includes liquids and soft foods before transitioning to solid foods
  • Patient attends regular follow-up appointments with their healthcare team to monitor progress and address any concerns
  • Patient may experience rapid weight loss in the first few months after surgery
  • Patient may also experience changes in their appetite, digestion, and overall health as their body adjusts to the changes from the surgery

Overall, gastric bypass surgery can significantly improve the quality of life for patients who struggle with obesity and related health issues. It is important for patients to follow their healthcare team’s guidance and make lifestyle changes to ensure long-term success after surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with gastric bypass surgery?
  2. How will my diet and eating habits need to change after surgery?
  3. What kind of follow-up care will I need after the surgery?
  4. How much weight can I expect to lose after the surgery?
  5. What are the long-term effects of gastric bypass surgery on my overall health?
  6. How will the surgery affect my ability to absorb nutrients and vitamins?
  7. Will I need to take any additional supplements or medications after the surgery?
  8. How long will it take to recover from the surgery and when can I resume normal activities?
  9. What lifestyle changes will I need to make to ensure the success of the surgery?
  10. What support resources are available to help me before and after the surgery?

Reference

Authors: Mahawar K. Journal: Br J Nurs. 2019 Feb 14;28(3):157-160. doi: 10.12968/bjon.2019.28.3.157. PMID: 30746972