Www.sth.nhs.uk
|General Surgery |Northern General Hospital |
|Mr R Ackroyd MB ChB MD FRCS |Herries Road |
|Consultant Surgeon |Sheffield |
| |S5 7AU |
|Mr KA Patel | |
|Consultant Surgeon |Tel: 0114 2434343 |
| | |
|Secretary : Della Oldham | |
|( 0114 3052411 | |
|OBESITY CLINIC |
Your patient has been added to the waiting list for bariatric surgery and will undergo this in the near future.
The nature of the surgery is such that medications are advised to be taken in liquid, dissolvable or crushed form, for the first 4 weeks post surgery whilst he/she is on the liquid/pureed stage of the post- operative diet. Patients are also advised to also take a chewable multi vitamin and mineral supplement during this time, which can be purchased over the counter. Once he/she has progressed onto the soft, mushy, crispy stage of the diet he/she should be able to tolerate tablets in their usual form. We therefore advise that where possible, patients bring their medications with them, in an alternative form, when they are admitted to hospital for surgery.
All bariatric surgery patients require a complete A- Z multivitamin and mineral supplement once daily orally lifelong. Forceval is available on prescription in soluble/tablet form, although patients are encouraged to buy their own over the counter equivalent. Those undergoing gastric bypass or sleeve gastrectomy (BUT NOT GASTRIC BAND) surgery, also need routine 3 monthly Vitamin B12 (1 mg) injections lifelong. (Loading doses are not necessary unless a deficiency has been identified)
We do strongly recommend that all patients undergoing either gastric bypass or sleeve gastrectomy are given a PPI for at least 3 months post-op. We would recommend Lansoprazole FasTab 30 mg OD as this does not need to be swallowed (or dispersible equivalent). Plus it may be prudent to reconsider the use of NSAIDs in your patient as there is an increased risk of ulceration following these types of surgery.
Many thanks for your co-operation in this matter.
Kind regards.
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