Care for patients who have undergone one anastomosis gastric bypass surgery

Kamal Mahawar1

  • 1Consultant Surgeon, Bariatric Unit, Sunderland Royal Hospital.

British Journal of Nursing (Mark Allen Publishing)
|February 13, 2019
PubMed

Insights

The one anastomosis gastric bypass (OAGB) is a bariatric surgery procedure increasingly performed in the UK. This article details its anatomical changes, patient care, and complication management for healthcare professionals.

Area of Science:

  • Surgical procedures
  • Gastroenterology
  • Patient care

Background:

  • Bariatric surgery is common in the UK.
  • One anastomosis gastric bypass (OAGB) is an increasingly utilized bariatric procedure.
  • Nurses require specific knowledge for OAGB patient care.

Purpose of the Study:

  • To outline the anatomical and physiological changes following OAGB.
  • To describe routine short- and long-term patient care after OAGB.
  • To guide the identification and management of OAGB complications.

Main Methods:

  • Literature review on OAGB.
  • Synthesis of current clinical practice guidelines.
  • Clinical case study analysis (implied).

Main Results:

  • Detailed description of OAGB's anatomical modifications.
  • Guidance on pre-operative, immediate post-operative, and long-term follow-up care.
  • Information on common and rare complications, including diagnostic and therapeutic strategies.

Conclusions:

  • OAGB necessitates specialized nursing knowledge.
  • Effective patient management requires understanding anatomical shifts and potential complications.
  • This article serves as a resource for healthcare providers caring for OAGB patients.

Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.0K
Gastric Motility01:16

Gastric Motility

Gastric motility is the coordinated contraction and relaxation of stomach muscles that convert ingested food into chyme, a semi-liquid substance ready for further digestion in the intestines. The process begins with the vagus nerve inducing the relaxation of the smooth muscles in the fundus and body of the stomach, allowing these regions to expand and accommodate up to approximately 1.5 liters of food and liquid.
Peristaltic Waves and Chyme Formation
Upon food entry, the stomach initiates...
3.1K
Gastric Emptying01:16

Gastric Emptying

Gastric emptying occurs when the stomach gradually releases chyme into the duodenum. When the stomach is distended, it triggers the release of gastrin, a hormone that promotes gastric acid secretion to aid in digestion. Additionally, stomach distension contributes to peristaltic waves that propel gastric contents toward the pyloric region. The gastroenteric reflex, on the other hand, primarily stimulates peristalsis in the intestines, facilitating the movement of contents further along the...
3.7K
Gastric Phase of Digestion01:26

Gastric Phase of Digestion

The gastric phase of digestion begins as soon as food enters the stomach. The incoming food bolus triggers neural and hormonal mechanisms, which last approximately 3 to 4 hours. During this phase, the stomach undergoes significant changes to prepare the food for further digestion and absorption.
When food enters the stomach, it stretches the stomach walls and activates stretch receptors. This triggers local reflexes of the enteric nervous system, mediated through the myenteric plexus. These...
3.3K
Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.7K
Interdisciplinary Care: The Health Care Team-II01:18

Interdisciplinary Care: The Health Care Team-II

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.3K