Description of the Procedure
An IV line will be placed in your arm to give you fluid and medications. A breathing tube will be placed through your mouth and into your throat. This will help you breathe during surgery. You will also have a catheter placed in your bladder to drain urine.
Several small cuts will be made in your abdomen. Gas will be pumped in to inflate your abdomen, making it easier for the doctor to see. A laparoscope and surgical tools will be inserted through the incisions. A laparoscope is a thin, lighted tool with a tiny camera. It sends images of your abdominal cavity to a monitor. Your doctor will operate while viewing the monitor.
Surgical staples will be used to divide the stomach vertically. The new stomach will be the shape of a slim banana. The rest of the stomach will be removed. Your new stomach can hold 50-150 mL (milliliters) of food—about 10% of what a normal adult stomach can hold. Incisions will be closed with staples or stitches.
In some cases, the doctor may need to switch to open surgery.
At the Hospital
- A small tube with a camera may be used to look down your throat and into your stomach to check for problems.
- You will receive nutrition through an IV, but then slowly start eating again.
In the hospital, you may be asked to:
- Use a device called an incentive spirometer to prevent breathing problems
- Wear elastic surgical stockings or boots to promote blood flow in your legs
- Get up and walk daily
During your stay, the hospital staff will take steps to reduce your chance of infection, such as:
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
There are also steps you can take to reduce your chance of infection, such as:
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
For a smooth recovery:
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Do not drive or lift anything heavy for at least two weeks or until advised by your doctor.
- Take walks daily.
- Your doctor may recommend that you meet with a therapist to help you deal with emotional changes after surgery.
- Follow your doctor’s instructions.
You should be able to return to normal activities in 2-3 weeks.
For good nutrition:
clear liquid diet
for about one week.
- Begin with 4-6 small meals per day. A meal is two ounces of food.
- Your diet will progress from soft, pureed foods to regular foods.
- Solid food must be well-chewed.
- Get enough protein.
- Do not eat too much or too quickly.
- Avoid high-calorie foods.
by drinking fluids before or after meals.