Post-Surgery

• During the post surgery stage a registered nurse will monitor your post-surgical recovery and vital signs. You will be administered medications for pain and nausea. The nurse or aide will work with you on breathing exercises and assist you in getting up out of bed and walking the first time after surgery.

• Patients will not be capable of driving themselves home after surgery due to the sedative effects of pain medications.

• Patients with diabetes must schedule one week follow up appointment with an endocrinologist or their primary care physician.

• Patients must schedule a four week follow up with OWLS and a dietician. Laparoscopic adjustable banding patients will be required to have a barium swallow x-ray.

Key Terms:

REE = Resting Energy Expenditure             BC = Body Composition
BD = Bone Density                                      NP = Nurse Practitioner
RD = Registered Dietician / Nutritionist        PT = Physical Therapist
Psy = Psychologist                                      UGI = Upper GI X-ray

Follow-up After Surgery

Gastric Banding

Time     Staff     Other Staff     Labs     Tests     1 Month      Surgeon       Nutritionist (RD)      None       BC & UGI       2 Months      Surgeon or Physician Asst       None      None      None      3 Months      Surgeon or Physician Asst      RD, PT, Psy      Yes       BC & REE as needed      4 months       Surgeon or Physician Asst       None      None      None      5 months       Surgeon or Physician Asst      None      None      None      6 months       Surgeon or Physician Asst      Rd, PT, Psy      Yes       BC & REE as needed      8 months       Surgeon or Physician Asst      None      None      None      10 months       Surgeon or Physician Asst      None      None      None      1 year       Surgeon      RD, PT, Psy      Yes      BC & REE as needed      15 months       Surgeon or Physician Asst      None      None      None      21 months       Surgeon or Physician Asst      None      None      None      2 years       Surgeon      RD      Yes      BC & REE as needed      Alternate Annually       Surgeon or Physician Asst      RD      Yes      BC & REE as needed      5 years       Surgeon      None      None      None

Bypass & Sleeve

Time     Staff     Other Staff     Labs     Tests     3-4 Weeks      Surgeon       Nutritionist (RD)      None       Body Comp (BC)      6 Weeks      Endocrinologist       Psychologist (PT)      None       None       3 Months      Endocrinologist      RD & PT      Yes      BC & REE as needed      6 months       Surgeon & Endocrinologist       RD, PT, Psychologist (Psy), Nurse Practitioner (NP)      Yes      BC & REE      9 months       None      NP      Yes      BC & REE as needed      1 year       Surgeon & Endocrinologist      RD, PT, Psy      Yes      BC, Bone Density (BD) & REE as needed       18 months       None      NP, RD      Yes      BC      2 year       Surgeon or Physicians Assistant       RD      Yes      BC & REE as needed      Alternate Annually       Surgeon or Physician Asst      NP and/ or RD      Yes      BC & REE as needed      5 years       Surgeon      None      Yes      BC & REE as needed