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Anesthesia. Postoperative nausea and vomiting (PONV) is the phenomenon of nausea, vomiting, or retching experienced by a patient in the post-anesthesia care unit (PACU) or within 24 hours following a surgical procedure. PONV affects about 10% of the population undergoing general anaesthesia each year. PONV can be unpleasant and lead to a delay ...
Gastric bypass surgery refers to a technique in which the stomach is divided into a small upper pouch and a much larger lower "remnant" pouch, where the small intestine is rearranged to connect to both. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different gastric bypass procedures (GBP).
Postoperative bleeding [7] The result of the surgery is typically successful at treating the patient's pyloric stenosis nearly 100% of the time with a quick recovery for most patients. [1] [7] Typically, the patient will have a special liquid diet for a few feedings following the procedure. In most cases the patient can be expected to be able ...
Late postoperative care involves careful observation for anastomotic leaks, patient change to a clear liquid diet, and managing potential nausea and vomiting. [12] After discharge, the focus shifts to dietary management, starting with a full liquid diet and gradually incorporating soft, solid foods.
Follow-up after surgery is typically focused on helping avoid complications and tracking the progress toward body weight goals. [35] Having a structure of social support in the post-operative time may be beneficial as people work through the changes that present physically and emotionally following surgery. [23]
[medical citation needed] A fluid diet is started after surgery and the diet is advanced as tolerated by the patient. [16] Liver function tests should be restudied as needed during the postoperative recovery period. The average hospital stay ranges from 3–8 days but patients can be discharged as early as postoperative day 4. [17]
After the operation, a high-fiber diet with plenty of liquids (approximately two litres per day) is recommended. For most patients, the procedure can be performed in a day-surgery setting [ 6 ] and normal activities can be resumed on average between two and three days post-operatively. [ 7 ]
A single dose of the corticosteroid drug dexamethasone may be given during surgery to prevent post-operative vomiting. [48] A dose of dexamethasone during surgery prevents vomiting in one out of every five children. A dose of dexamethasone may help children return to a normal diet more quickly and have less post-operative pain. [48]