Abstract
The goal of this manuscript is to describe standard postoperative management of patients undergoing laparoscopic bilio-pancreatic diversion with duodenal switch (BPD-DS). We present our standard peri-operative care including thromboprophylaxis, pain management, adjustment of medications, diet progression, and vitamin supplementation. The goal is to offer a proven standardized postoperative course and promote early recovery after surgery for patients undergoing BPD-DS surgery. Similar to what has been described for other bariatric surgeries, emphasis should be placed on pre-emptive treatment of pain and nausea, early ambulation, avoidance of any drainage, bladder catheter, or NG tube, as well as promotion of early feeding and prevention of deep vein thrombosis and ulcers. As one of the most complex weight loss surgeries, this is of particular importance to decrease postoperative complications and improve patients’ safety. We also emphasize the importance of vitamin supplements and peri-operative contraception, specific to hypo-absorptive procedures. Most data presented are based on our experience since the early 1990s with malabsorptive procedures, in a public healthcare system.
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Bouvet, L. (2023). Postoperative Care. In: Teixeira, A., et al. Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-25828-2_13
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DOI: https://doi.org/10.1007/978-3-031-25828-2_13
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