Gastric Bypass Guideline

Quit smoking at least two weeks before surgery.
Cease alcohol consumption at least one week before surgery.
Avoid drinking anything with meals.
Reduce caffeine intake.
Abstain from eating or drinking after midnight to ensure an empty stomach for the surgery.
Follow a strict diet to prepare for lifestyle changes and begin a healthier journey.
Discontinue blood thinners such as Aspirin and its derivatives (Coraspin, Alca-Seltzer, etc.).
Stop using drugs like Glucophage or Metformin three days before the surgery.
If taking diabetic medications, consult with your doctor to ensure suitability for the preoperative diet and other medications.
Avoid fizzy drinks and alcohol.
Focus on protein-based foods in every meal.
Eliminate refined sugar from the diet.
Steer clear of sugar-added drinks and foods.
Stay away from fried food and fast food.
Take supplements for essential vitamin and mineral needs due to restricted food intake; any multivitamin tablet will be sufficient.
On the last day before the surgery, adopt a clear liquid diet.
Refrain from eating or drinking after midnight as surgery is scheduled for the next day.
Never consume solid food a day before the surgery.
Mix fruit juice with skimmed milk and drink vegetable broth after draining it.
Make the day more comfortable by adding plenty of cinnamon to soy milk or milk.

Day 1

On the surgery day, refrain from chewing gum, drinking liquids, or taking medications.
After the surgery is complete, rest and avoid movement during this period.
Experience pain or discomfort in the incision area, and possibly neck or shoulder pain.
Notice decreasing pain each day, managed with IV medication.
Start drinking clear liquids after passing the "leak test."
Engage in short walks, getting out of bed and walking around at least three times per day.

Days 2-3

Most patients leave the hospital 2 or 3 days after surgery and transition to the at-home recovery plan.
Keep the incision clean with a gentle wash using soap and water; cover with sterile bandages.
Take prescription pain medication as needed.
Continue with clear liquids only.
Incorporate walks into the routine, aiming for at least three times a day.

Day 5

Shower and start light activity around the fifth day of gastric bypass recovery.
Take showers or baths (avoid hot tub or jacuzzi).
Avoid heavy lifting to prevent undue pressure on stitches and torso.
Experience normal, albeit potentially painful, bowel movements in the first week post-operative.
Take pain medication as needed and follow prescribed instructions.
Potentially receive a prescription for Protonix to reduce stomach acidity.
Resume regular medications unless otherwise advised by the surgeon.

Day 7

At the 7-day mark, resume eating and driving.
Pain should mostly be gone, no longer requiring prescription-strength medication.
Add thicker drinks and smooth foods, avoiding chunks.
Continue walking, leg, and breathing exercises.

Day 14

Healing incisions may no longer need bandages but may remain puffy, itchy, or irritated.
After wounds close completely, apply special lotions and sunscreen to minimize scarring.
Continue walking, leg, and breathing exercises.
Limit physical activity to light tasks, avoiding lifting more than 10 lbs/4.5 kg.

4-6 Weeks

Transition into the "new normal" during weeks 4 to 6, resuming heavy lifting and adopting a new diet and exercise routine.
Return to normal daily activities and exercise, including heavy lifting.
Start a full long-term maintenance diet.
Experience little to no pain; use over-the-counter medications if needed.

Patient Planning

Engage in telephone and online video consultations with the surgeon before arrival.
Participate in a detailed consultation with the doctor before treatment.
Undergo medical tests and health checks in the hospital.
Stay in the hospital for at least 3 days.
The day after surgery, have a consultation with the doctor for a personalized diet list.
Post-treatment, the doctor will check health conditions and explain medication usage.
Attend additional consultations with the surgeon and PCP.