Gastric Bypass


I am on several medications and a multi-vitamin every day.  What should I do after the bypass?
We suggest that, unless told otherwise by a physician, you maintain your level of medications just as you did before surgery.  We recommend that you crush all your medication, and put them in juice or applesauce, or find liquid substitutes.

Why do I need to take chewable multi-vitamins on a regular basis?
Since you are eating less food, smaller amounts of vitamins and minerals are entering your system.  You also absorb fewer vitamins and minerals.  When you take a multi-vitamin/mineral supplement that provides 200 percent of the U.S. Recommended Daily Allowance (U.S. RDA) you make up for the fewer nutrients you absorb from food.

Can I take anti-inflammatories (such as ibuprofen, Motrin ®, Aleve ®, Naprosyn®, aspirin) after surgery?
Anti-inflammatory medications can irritate the stomach, cause ulcers or bleeding, and should be discussed with your surgeon before taking.

My New Stomach Pouch

I’m afraid that I will stretch my pouch and regain all my weight.  How can I avoid stretching my pouch?
Following a low fat, low sugar, low calorie diet and routine exercise will help you achieve and maintain your goal weight.  Try to gauge what the feeling of fullness feels like and be careful not to press beyond that feeling.

What happens to the larger stomach portion that is no longer used?
The larger, lower part of your stomach no longer receives food, but its gastric juices from this part of the stomach pass into the intestine and mix with food as they did before surgery.

Can the pouch narrow down and cause vomiting?
Patients heal at different rates and scar differently.  In a few patients, scaring at the pouch’s outlet can cause their outlet to narrow.  This is called stomal stenosis and is usually managed by endoscopic dilatation.

Are staples used in the surgery?
Yes, staples have been used in abdominal surgery for the past 30 years, and there are very few gastrointestinal operations done without them.  As healing progresses over the three-four week period after surgery, tissue grows over the staples.  They are there permanently and will show up on x-ray.

How much food will my new stomach hold?
When your new stomach pouch has healed, an average meal will be approximately 2-4 oz. of food or liquid.  Using baby silverware helps control bite size.

How can I avoid vomiting?

  • Chew your food very carefully.  Eat slowly, sip all liquids.
  • Stay away from high fat and sugary foods. Avoid alcohol and carbonated beverages.
  • Eat only those foods allowed during each stage of the diet.
  • When you begin pureed or solid foods, avoid liquids with meals.  Wait about 30 minutes after fluid intake to eat and about 30 minutes after eating to take fluids.
  • Remember to put yourself in slow motion around food – small portions, eat slowly, and chew, chew, chew.

If vomiting persists and the above does not work, or if you vomit bright red or dark brown liquid, call your physician’s office.


Why is activity so important to me after surgery?
Exercise maximizes weight loss and helps to maintain a healthy body.  After surgery, you not only need good nutrition, you need to take the time for regular activity.  You can build exercise into your daily schedule, or it can be as easy as walking to do your errands.

How much exercise should I be doing?
You will be expected to start back on a modified version of your pre-operative exercise program the day you get home from the hospital.  Exercise will become easier after your surgery as you lose excess weight, build stamina, and develop cardiovascular fitness.  Your exercise may become a regular activity that you actually look forward to.  The majority of the patients start back on a walking program.  If all you can do is walk down the block and back on your first exercise day, THAT’S OK!  What matters is doing your exercise a minimum of 5 days a week, working up to 30 minutes a day and increasing your exercise in intervals you can tolerate.  Exercise is your ticket to a long life.  Make it as common to your daily life as brushing your teeth, eating your dinner, and taking a shower.  Do not do abdominal exercises for 8 weeks.  Do not lift anything greater than 30 pounds for two weeks for laparoscopic surgery and six weeks after open surgery.

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