Bariatric surgery – endoscopic procedures

You will be admitted the same day of your procedure and the letter your receive notifying you of this will outline instructions regarding when to stop eating prior to surgery. 

On arrival you will be allocated a bed as soon as possible.  You will be allocated a named nurse and an estimated date of discharge will be identified.

Your personal details will be checked.  Your observations ie Blood pressure, pulse temperature will be recorded alongside your weight.  A checklist will be completed by a registered nurse and yourself,

Name bracelets and allergy bands will be checked.

You do not need to change into a gown for the procedure.

If able you will be walked to the Endoscopy Unit by a member of nursing staff otherwise arrangements will be made for you to be transferred to the unit by the portering staff (accompanied by a nurse).

On return to the ward you will remain “nil by mouth” for the period of time highlighted by endoscopy staff, following which fluids will then be re-introduced.

A doctor will review you and your medications and ensure you are commenced on a daily injection, which you will receive in your tummy daily whilst an inpatient. You will also be supplied with anti thrombolytic stockings.

Medications to assist with nausea, pain and reflux will also be prescribed.

If nausea or vomiting occurs then you may require intravenous therapy (drip) and the nursing staff will monitor your intake.

It is normal for the majority of patients to experience some discomfort, nausea and vomiting following insertion of a gastric balloon, however nursing staff will attempt to alleviate this by administering medications as required.

Puree diet is commenced Day 1 following procedure.

You will be seen and counselled by the bariatric dietitian prior to discharge home.

The majority of patients soon settle and once puree diet and fluids are being tolerated well you will be discharged home.  Often this occurs on Day 2.

However some patients are not as fortunate and require further intervention by surgical and nursing staff and a continuous infusion of anti sickness medication may be commenced.  You will be reviewed daily by the surgical team whilst an inpatient, with blood tests taken to ensure you are well hydrated.