![]() PCA will not let you take too much medication. When you want to administer a dose of medication, you just push a button. After surgery, a nurse in the recovery room will set up your PCA and instruct you on how to use it. PCA allows you to receive small doses of pain medicine frequently, which provides steady pain relief. Medication such as Demerol or Morphine will be given through an IV or an epidural, and the dosage is controlled by the patient within pre-set limits. Patient Controlled Analgesia (PCA) is the method of pain management used for Gastric Bypass patients. G-tubes are often used for patients who are having revisional surgery. If you have had stomach surgery in the past, you are more likely to need a G-tube. G-tubes are not routinely placed, but may be necessary to keep the bottom part of your stomach from getting too bloated. This tube is called a Gastrostomy tube or G-tube. Rarely, your surgeon may also choose to place a tube through your skin into the bottom part of your stomach. In our program, a nasogastric tube is rarely used and is reserved for only complicated situations. The tube removes secretions from the upper portion of the stomach and helps prevent distention of the upper pouch. This nasogastric tube will remain in place postoperatively until it is determined that your stomach is healing well. Occasionally, a tube may be placed through the nose into the stomach at the end of surgery. This soreness will usually go away in a day or two. You may have a sore throat from the tube in your nose and the breathing tube used during surgery. ![]() The catheter will stay in until the day after your surgery or possibly longer. When you are asleep in the operating room, two other tubes will be placed while you are under anesthesia: a tube to breathe for you while you are asleep and a catheter in your bladder to collect urine. If all goes well and the oxygen levels in your blood are okay, you will move to a regular hospital room the next day. Once your breathing is normal and vital signs are stable, which usually takes several hours, you will be taken to a monitored hospital room. When you wake up from surgery, you will either be in the recovery room or you will go there shortly. The surgeon will speak with them after the surgery is completed. Surgery lasts less than 3 hours however, it may be 4 or 5 hours before your family and friends see the surgeon. An epidural catheter may be placed for pain management, depending on you and your surgeon's preference. Nurses, physicians, and anesthesiologists will ask you questions and will tell you what to expect in the operating room. You will wait on a stretcher or chair in the pre-operative area. A nurse will get you ready to go to the operating room when you arrive. If you have heart problems or if the surgeon wants special monitoring, you may be admitted one day before your Gastric Bypass. Smoking is the number one cause of preventable death in the US. Call your primary care physician if you need medicated patches or gum to help you quit. This is important because smoking greatly increases you risk of pneumonia and other lung problems after surgery. If you are a smoker, you MUST quit smoking at least one month and preferably two months before your surgery. A series of preoperative blood tests and x-rays are performed following the initial evaluations usually one week before surgery. All patients considering surgical treatment of clinically severe obesity will be evaluated by the surgical team, clinical dietitian and a psychologist, each of whom must individually agree that the patient is a good candidate for surgery.
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