Most patients remain in the hospital until the second post-operative day for the gastric bypass. Many adjustable gastric banding patients are discharged on the same day as their surgery. If there are circumstances that require continued monitoring or therapy the stay can be prolonged. Some patients are ready to leave the first post-operative day but this is relatively rare. You are required to remain in the area for a full week after your surgery.
That depends upon whether the other elements of the workup have been completed. The time it takes to obtain appointments for the pre-op workup will make a difference in how long it will be before we can send your insurance letter requesting prior approval. The turn-around time for insurance letters appears to be one to two weeks. We will contact you once we receive your letter of approval from the insurance company. You may receive your letter before you do but we will contact you as soon as we receive our authorization number in order to proceed with posting your surgery.
A patient can develop deep venous thrombosis (a blood clot in the leg) that can be life-threatening. If the blood clot travels to the heart and lungs it can cause death. A leak from the sites where the bowel is reconnected can occur and this can cause severe infection and lead to death. Re-operation may be necessary for a number of reasons. Leaks, narrowing of the connection sites, bleeding, injury to other organs are some of the reasons re-operation may become necessary. The goal of the surgery is to perform a gastric bypass laparoscopically however there is no guarantee that the operation will be completed laparoscopically. If the procedure cannot be completed safely with the laparoscopic method an open technique may become necessary although our intention is to avoid an open technique if possible. There is no guarantee that the patient will lose as much weight as they wish and likewise there is no guarantee that the patient will not lose too much weight. Vitamin and mineral deficiencies are a very real danger and strict attention must be paid by both the patient and the medical doctor that follows the patient in the post-operative period.