Later complications of bariatric surgery
Nutrition deficits Anastomotic stenosis Internal hernia Diarrhea Bacterial overgrowth Dumping syndrome
Early complications of bariatric surgery
Thromboembolism Hemorrhage Pulmonary insuff Peritonitis Wound infection Post op leaks
Symptoms of dumping syndrome
Abdominal pain Cramping Lightheadedness Tachycardia Syncope Flushing
Needed nutrition
Chewable vit Bit b 12 Folate Iron ferrous sulfate with vit c Calcium citrate and vit d
Needed for life
Monitoring of fat surgery pt
Labs: Vit d Calcium Phosphorus Para thyroid Alk phos
DXA EVERY 6 mo til wt stable
Yearly monitoring
CBC LFT GLUC CREATININE LYTES IRON VIT B 12 Folate Calcium Vit a d Zinc
Avoid these meds after surgery
NSAIDs
Salicylates Corticosteroid Oral biphosphonates Ethanol ER FORMULAS
Avoid if possible
Bb
Ccb
Anticholinergic
antihistamine
Pills may not be tolerated
Yea