Your Roux en Y Gastric Bypass journey

A summary

Initial Steps:

  1. Make an appointment: No referral needed! Call, email, or use the online form on our website (details on our Contact Us page).
  2. Pre-consultation preparation:
    • Receive and review “Module 1 – Overview” about obesity and surgical options.
    • Get a blood test (form provided) to check for deficiencies.

Initial Consultations:

  1. Consultation with Mr. Jon Morrow:
    • Review your medical history and suitability for surgery.
    • Discuss different surgical options and potentially schedule surgery.
    • Appointments with dietitian and wellness coach will be scheduled.
  2. Meeting with dietitian:
    • Receive “Module 2 – Dietetics” before your appointment.
    • Discuss pre- and post-operative diet, including the pre-operative VLCD.
  3. Wellness coaching with Sherman Waitai-Cross:
    • Receive “Module 3 – Wellness” beforehand.
    • Discuss motivations, set goals, and receive a personalized fitness program.
    • Learn how to use an incentive spirometer for post-surgery recovery.

Review and Surgery:

  • If needed, further investigations or psychological assessment will be conducted before confirming surgery date.
  • Up to 4 weeks before surgery, start the VLCD with Optifast (or alternative).
  • One week before surgery, receive hospital arrival time and pay the surgical package fee.
  • Day before surgery, discuss anesthesia with Dr. Harper or Dr. Afsari.

Day of Surgery:

  • Surgery takes place at Kakariki Hospital.
  • Follow standard pre-surgery procedures in the admissions and pre-op area.
  • Mr. Morrow and Dr. Adam Harper or Dr Mahnaz Afsari (anesthetist) will see you before surgery.
  • The surgery will be performed under general anesthesia.

Recovery and Follow-Up:

  • Wake up in the recovery room, then transfer to the ward after an hour.
  • Gradually progress from fluids to soup broth.
  • Start using the incentive spirometer and begin gentle movement around the ward.
  • Receive daily motivational text messages.
  • Day one, review with Mr. Morrow and discharge with medication prescriptions.

Post-Operative Follow-Up:

  • Follow-up appointments in the first few weeks.
  • Transition to a soft diet in week 3, full diet in week 6.
  • Resume normal activities gradually in week 4.
  • Regular appointments recommended for best long term results.
  • Lifelong monitoring by us or your family doctor.