Sunday, April 14, 2024

How Long Is Bariatric Surgery Recovery

Surgery 1 To 4 Hour Procedure Time

RECOVERY AFTER BARIATRIC SURGERY | How Long Is the Recovery Process?

On average, your procedure will take between 1 and 4 hours to perform, depending on the procedure:

  • Gastric sleeve: About 2 hours
  • Gastric bypass: About 4 hours
  • Lap-Band: 1 hour or less
  • Duodenal switch: About 4 hours

If following ERAS protocols, before and during your procedure your surgical team will:

  • Give you 8 mg IV dexamethasone at the same time anaesthesia is given
  • Use standardized anaesthesia
  • Use intraperitoneal local anaesthetic
  • Avoid prophylactic nasogastric tubes and abdominal drains

When Can I Go Back To Work After Weight Loss Surgery

The decision to undergo weight loss surgery is exciting! Youre imagining the positive ways your life will change after surgery, and how your health and confidence will improve. But surgical weight loss does require some recovery time, which means you may need to consider taking some time off work.

How long will I need to take off work?

The answer is: it depends on your job and your daily tasks! If youre unsure about how much recovery time youll need, be sure speak directly to your surgeon and nursing team. Theyll be able to provide the most accurate guidance, based on your profession. To provide a sample guideline, here are a few examples of the amount of time off required, depending on your profession:

  • If you work behind a computer all day and your employer will allow you to work from home for a week or two, you may only need to take a week off to recuperate after your surgery.
  • If your job requires you to be physically present at your workplace and spend most of your time sitting behind a desk, you should plan to take at least two weeks off.
  • If your job requires you to be physically present at your workplace and lift heavy objects , you should plan to take at least four weeks off.

Why do I need to take time off work?

You should also avoid lifting heavy object or engaging in intensive physical activity for about four weeks after your surgery. This is to ensure you dont pull any stiches and accidentally open your surgical cuts while theyre healing.

Incision Healing And Caring For Your Wound

After the laparoscopic gastric sleeve, the incisions must be kept clean using only soap and water. Keep it fully covered with thick gauze and bandage tape. Once the wound scabs and closes completely, you may stop covering incisions. It is important to keep it dry as much as possible besides when you shower. This means no ointments, bathing, swimming, and blanketed from sweat.

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How Is Gastric Bypass Surgery Performed

Most Roux-en-Y surgery operations today are performed by laparoscopy, a minimally-invasive surgery technique. The laparoscopic gastric bypass was introduced almost 30 years ago and has since become the standard of care for most people.

Laparoscopic surgery involves three to five small incisions in your abdomen, each about a half an inch. Smaller cuts mean fewer complications, less bleeding, less pain and a faster recovery. Your surgeon will perform the operation through these openings, using long, narrow tools.

Sometimes laparoscopic operations such as Roux-en-Y are done with robotic assistance. Robotic surgery is still controlled by the surgeon. It just means that the surgeon attaches robotic arms to the laparoscopic tools. They control the arms with a computer.

While 90% of Roux-en-Y surgeries are performed laparoscopically, some people may need to have open surgery to manage their specific conditions. Rarely, some laparoscopic Roux-en-Y surgeries may need to convert to open surgeries to be completed safely.

Stick With Your New Eating Plan

Gastric Bypass Surgery Recovery Time: Complete Guide

Youll have to significantly alter the way you eat after your surgery, which will likely be a large adjustment. Heres a short list of the changes you can expect:

  • Eat very slowly
  • Eat only small quantities of food at a time, and keep in mind that your new stomach is much smaller
  • Chew thoroughly and dont swallow your food until after you have thoroughly chewed it to a mashed consistency
  • Dont eat and drink at the same time, as this can cause food to move through your new stomach too quickly instead, drink a beverage about 30 minutes before you eat a meal

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Why Is Bariatric Surgery Done

Bariatric surgery is the most successful long-term treatment for class III obesity. According to the National Institutes of Health , it is nearly impossible for people with class III obesity to sustain weight loss through diet and exercise alone. Once your body has registered your higher weight as normal, it continues to try to return to that weight. Bariatric surgery works by changing how your body manages what you eat, allowing healthy diet and lifestyle changes to be effective for sustained weight loss and health.

Ask A Question Share Your Experiences & Read Stories From Other Patients

Have questions about what to expect during recovery? Use the form to submit your question, and please be as detailed as possible with your question and circumstances so we can get you the answers you need.

Already had surgery? Other people considering weight loss surgery would really benefit from your experiences and advice, so please use the form below to share!

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Walking And Exercising Immediately After Gastric Sleeve

As soon as three or four hours after surgery, you must start walking as much as possible. Walking prevents inflammation in the abdominal wall, so you are reducing this risk by walking often. It also speeds up recovery, improves healing, and decreases pain. If you cannot walk, you need to move to recover faster even if its as simple as moving in your bed.

What Side Effects Might I Experience During Recovery

How long will I need to be out of work after bariatric surgery?

Your body will be experiencing huge shifts during this time. You may notice:

  • Fatigue. Recovery is hard work, and your liquid diet may not provide much energy at first.
  • Mood changes. Weight changes can cause hormone changes, and these cause mood changes.
  • Poop changes. Your shortened small intestine wont be able to digest or absorb water from your food as fully as it did before. This affects the consistency and smell of your poop.

The rapid weight loss and limited nutrition of the first few months may cause:

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How About Your Long

Getting gastric sleeve surgery affects not only what you eat but also the way you eat for the rest of your life. It is important for you to understand that while undergoing surgery is a great starting point, youll also need to make other changes to getand stayas healthy as possible.

The following tips will help you prepare for and navigate your post-surgery life:

What If I Cant Afford To Take Time Off Of Work For Gastric Bypass Surgery

That is a great question! This is a very common concern for individuals who require weight loss surgery. Although each patients financial situation is unique, we would like to pass along two possible suggestions. 1.) Look into your current insurance coverage and see if you are covered for a short-term disability 2.) Look into non-surgical endoscopic sleeve gastroplasty to see if you may be a candidate.

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What Will The Recovery Be Like

Most gastric bypass surgery is laparoscopic, which means the surgeon makes small cuts. That makes for shorter recovery time.

Most people stay in the hospital for 2 to 3 days, and get back to normal activities in 3 to 5 weeks.

If the surgery must be “open,” meaning the surgeon has to make a larger cut, healing takes longer.

Year 1 Thru 3 Avoiding Pitfalls

HM 19: Bariatric Gastric Sleeve Surgery Recovery w/ Eric Glass ...

Weight loss generally slows as you reach year 2 after surgery. Now its important to avoid stretching your pouch and overeating.

Your doctor will lay out guidelines for you during your gastric sleeve recovery process. You must go over all of these guidelines before and after the surgery so that you make sure to follow them completely.

The first one and half years after surgery are a crucial time. It must comply with the post-op diet and take bariatric-specific vitamins, such as Emerge Bariatrics, for long-term success.

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Diet After Weight Loss Surgery

You’ll be given a diet plan to follow after surgery.

These vary from person to person, but a typical plan is:

  • first few days water and fluids
  • first 4 weeks runny food
  • weeks 4 to 6 soft food
  • week 6 onwards gradually return to a healthy, balanced diet

You will also be advised to:

  • eat slowly, chew carefully and only eat small amounts at a time particularly during the early stages of your recovery
  • avoid, or be careful when eating, foods that could block your stomach, such as soft white bread

The charity WLS Info has more information about eating after your operation.

What Are The Different Types Of Bariatric Surgery

Gastric sleeve

The gastric sleeve, also called sleeve gastrectomy, is the most commonly performed bariatric surgery in the U.S. This may be because its a relatively simple procedure that’s safe to perform on most people with little risk of complications. The gastrectomy simply removes a large portion of your stomach about 80% leaving behind a small, tubular portion, like a sleeve. This naturally reduces the amount of food you can consume in one sitting and makes you feel fuller faster. But it also reduces the hunger hormones that are normally produced in your stomach. This helps to stabilize your metabolism, decreasing your appetite and regulating your blood sugar.

Gastric bypass

The gastric bypass is also known as the Roux-en-Y,” which is a French term meaning in the form of the letter Y. With this procedure, your small intestine will end up in that form. First, surgeons create a small pouch at the top of your stomach, separating it from the lower portion with surgical staples. Then they divide your small intestine and bring the new segment up to connect to the stomach pouch. Food will now flow through the new, smaller stomach and lower segment of your small intestine, bypassing the rest. This restricts how much your stomach can hold and also how much nutrition your small intestine can absorb. Restricting the small intestine makes this method more effective than gastric restriction alone.

Biliopancreatic Diversion with Duodenal Switch

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Ask For Assistance If You Need It

It may be difficult to handle your responsibilities around the house in the immediate aftermath of your surgery, so ask for assistance from friends or relatives if you need it. You may also want to look into temporarily bringing in hired help.

Follow your new eating plan

During the first six weeks after surgery, your staple lines will be all thats holding your new sleeve together, so its important to follow your eating plan and give these staple lines a chance to properly heal.

Youll drink clear liquids for the first day after surgery and will then probably be placed on a liquid-only diet for the first week or so. After that, youll transition to soft pureed foods for two weeks. Its very important that you dont transition to solid foods too soon, as this could damage your stomach and lead to side effects such as nausea, vomiting and stomach cramps.

For the first two weeks after surgery, you will need to restrict yourself to an intake of about 400 calories. This may have been daunting before your procedure, but because of the gastric sleeve surgery you will now naturally have decreased hunger which will make it easier for you to commit to the restricted portion sizes. As your body adjusts to the reduced number of calories while your recover from your surgery, you may feel more tired than usual, but dont worry: Once you begin to gradually eat more calories, youll feel your energy returning.

Give yourself time before resuming normal activities

How Painful Is Gastric Bypass Surgery

FAQ: How long is the recovery for bariatric surgery?

Youll feel moderate pain in the first few days, but youll have pain medication on demand through a catheter in your vein. You wont be discharged from the hospital until youve weaned from your pain medication and are able to move around comfortably on your own.

At home, youll have prescription pain medications to take. Most people wean from these within a week. You may continue to feel your incision wounds while they heal, but the smaller laparoscopic surgery incisions heal relatively quickly.

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Average Bariatric Surgery Recovery Time

The average length of time for full bariatric surgery recovery is five weeks. The average weight loss for the surgery is 61% of their excess body fat over the course of several years. Such rapid weight loss can take a toll on the body if you arent careful, so you should carefully follow the recovery protocol given to you by your doctor to ensure the quickest bariatric surgery recovery possible. There are numerous factors that determine the length of time it will take you to resume normal life, including the type of surgery, your age, your original weight, and overall health. Gastric bypass recovery tends to be quicker than other types of weight loss surgery, and healthier individuals recover faster on average.

Whats Involved In Preparation For Bariatric Surgery

Before scheduling your bariatric surgery, your healthcare provider will want to ensure that youre physically and mentally fit for the surgery. Youll meet with a team of specialists who will counsel you about the risks and benefits while evaluating your physical and mental health.

You may need to pass medical screening tests to make sure the surgery is safe for you. If you use tobacco, drugs or excessive alcohol, youll be required to quit before qualifying for surgery. Your healthcare team can help you with this.

Your surgeon may also ask you to follow a pre-bariatric surgery diet for a few weeks to prepare for your operation. This is to reduce the fat inside your abdomen, where the operation will take place, making the operation safer and reducing the risk of complications. Your surgeon will give you specific guidelines to follow.

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How Quickly Can You Get Back To Work After Weight Loss Surgery

Making the decision to undergo bariatric surgery requires a lot of planning. Part of that process is asking the right questions both about how to prepare for your procedure and what to expect after you leave the operating room.

Among the most common questions asked by gastric surgery patients pertain to the post-op recovery period. How long will it take you to recover? How long will you need to take off work? When will you be able to return to normal activity? What can you expect from the healing process? These are all real and valid questions.

While gastric surgery recovery times can vary by patient and procedure, most weight loss surgeries today are minimally invasive laparoscopic procedures which promise speedier recovery and fewer complications. Certain procedures may even allow patients to return home the same day. In other cases, however, patients may need to remain in the hospital for two or three days following surgery.

What Are The Advantages Of Roux

Gastric Sleeve Recovery Time, Timeline &  Off Work

This procedure has the advantage of decades of practice behind it. Its one of the most thoroughly studied surgeries in modern medicine. Compared to other weight loss procedures, it has one of the best success rates over the long term.

Follow-up studies of gastric bypass surgeries have shown consistent, significant weight loss decades later. Along with weight loss, many related health conditions improve or even resolve. Many people are able to discontinue medications for these conditions.

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+ Weeks Before Surgery Education & Goal Setting

Learn as much as possible about the procedure, including how to prepare and what to expect over the short- and long-term.

  • Attend at least one or two in-person support group meetings to learn real-life experiences from other patients
  • Schedule an in-person consultation with your surgeon to make final decisions and set diet, exercise, and lifestyle goals for long-term success. See our Diet & Life After section for more about whatthese goals will look like.
  • Recovering At Home After Weight Loss Surgery

    Regardless of whether you have had surgery or a non-surgical procedure, you will need someone to drive you home and stay with you for at least the first 24 hours.

    You will be given aftercare instructions by your surgeon that are unique to your individual circumstances. It is very important for your bariatric surgery recovery that you follow these instructions carefully. These instructions may include directions regarding wound care, pain medication, bathing, walking to prevent blood clots, dietary restrictions, driving, as well as doâs and donâts related to activities like lifting, household chores, etc.

    Patients who have undergone surgical weight loss procedures will have a longer and more involved recovery time than patients who have had a less invasive procedure.

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    Educate Yourself On The Entire Recovery Process

    What you can and should expect will change from day to day. The first day will be the most difficult and the day where the diet is the strictest because you can only have clear liquids while recovering. Many patients feel more pain between days three and six. The surgeon will give you a diet you are to follow to ensure that you are healing as expected.

    During the initial recovery after sleeve gastrectomy, your diet will be primarily liquid, but then you will be able to add increasingly solid foods until you move to complete solid foods. It is important to start small and work your way up as you learn which foods work well with your stomach and how much you can handle.

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