Weight Loss/Bariatric Surgery

Gastric Bypass and Sleeve Gastrectomy Follow-Up Care Plan

2 weeks Physical exam, vital signs, weight and wound check; staple removal, evaluation by surgeon
4 weeks Physical exam, vital signs, weight and wound check; advance diet, exercise program
2 months Physical exam, vital signs, weight and wound check
3 months Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids
4 months Physical exam, vital signs, weight and wound check
5 months Physical exam, vital signs, weight and wound check
6 months Physical exam, vital signs, weight and wound check; diet changes initiated, CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, Quality of Life
9 months Physical exam, vital signs, weight
12 months Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, bone densitometry, Quality of Life
18 months Physical exam, vital signs, weight and wound check CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids
24 months Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids bone densitometry, Quality of Life
36 months Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, Quality of Life
48 months Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, Quality of Life
60 months Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, bone densitometry, Quality of Life

Patients are evaluated by the nurse practitioner at every visit to include assessment of nutritional compliance, adherence to exercise program, hydration, medication requirements, and assessment for nutritional and metabolic complications.  Educational needs are assessed, instructions provided, and referrals to our dietitian or psychologist are made if indicated.  Repeat sleep study will be ordered when symptoms of sleep apnea resolve.