Guest guest Posted September 20, 2003 Report Share Posted September 20, 2003 My surgical date is Oct. 20, and my surgeon told me that he doesn't require a bowel prep (laxitives or enemas to clean out the bowel). I was happy to hear that at the time, but now I wonder why it isn't necessary when the surgery involves the bowel. As a nurse, I know that even a tiny bit of fecal matter let loose in the abdominal cavity can cause BIG problems. Have you had surgery without any bowel prep? I will be on clear liquid for 24 hours pre-op, but that isn't enough to have a clean bowel. Thanks. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2003 Report Share Posted September 20, 2003 JoAnne, I didn't have to have a bowel prep either. Just the standard not allowed to eat after midnight. I've am three months out today and have had no problems. I wonder why that is? 432/370/170 Lap RNY 6/20/03-Houston, Dr. Adam Naaman Re: No bowel prep? My surgical date is Oct. 20, and my surgeon told me that he doesn't require a bowel prep (laxitives or enemas to clean out the bowel). I was happy to hear that at the time, but now I wonder why it isn't necessary when the surgery involves the bowel. As a nurse, I know that even a tiny bit of fecal matter let loose in the abdominal cavity can cause BIG problems. Have you had surgery without any bowel prep? I will be on clear liquid for 24 hours pre-op, but that isn't enough to have a clean bowel. Thanks. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2003 Report Share Posted September 20, 2003 hi, i'm a RN also and i agree with the bowel prep being necessary IMO - i am a pre and post op nurse and for reg surgeries it was nothing by mouth after MN but for abdominal surgery i think more is needed. my orders read - 3 days b4 avoid beef - 2 days b4 soft diet (soup, grits, potatoe, pasta, baked fish NO FRIED FOODS. the day b4 clear liquid diet (jello, sprite, juice w/o pulp broth, popsickles, water water and more water. 2 bottles of magnesium citrate in the early evening and continue with clear liquids until MN (don't want to dehydrate), hibiclense shower, NOTHING past MN (no gum, mints or water) brush teeth but don't swallow water - if you are advised by the doc to take a certain med b4 surgery (high BP pill) take it with a sip of water - just enough to get it down. the only thing to me on here that does not make sense is the hibicleanse shower b/c we don't live in a sterile environment - the second you step out of the shower and get dressed you are contaminated again. you aren't sterile until you are in the OR and they clean the area with a betadine item. it is VERY dangerous and possibly FATAL to have fecal matter outside of the intestine - it can cause sepsis -- we had a female patient going for some minor surgery - i forget what but nothing major) and the dr nicked her bowel - immediately in the recovery room she started showing signs - bad vital signs - high BP - high fever and distended abdomen - they called the dr and he was too busy to come see her and told them to do what it takes to get her VS in check then ship her to her room - she ended up in ICU and was still having these problems and getting worse by the sec so they called him and said the same thing - this 36 yr old mom with young kids died b/c her doc is an asshole. so please be careful and listen to your body and tell your spouse or whoever to be aware of changes and make sure somebody is aware of a complication and demand it be handled or mention the nursing supervisor - do what it takes.... sorry - i don't want to scare anyone but just trying to help. visit our website www.geocities.com/tanyarn96/countryside.html www.poncetihomes.com -- Re: No bowel prep? My surgical date is Oct. 20, and my surgeon told me that he doesn't require a bowel prep (laxitives or enemas to clean out the bowel). I was happy to hear that at the time, but now I wonder why it isn't necessary when the surgery involves the bowel. As a nurse, I know that even a tiny bit of fecal matter let loose in the abdominal cavity can cause BIG problems. Have you had surgery without any bowel prep? I will be on clear liquid for 24 hours pre-op, but that isn't enough to have a clean bowel. Thanks. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2003 Report Share Posted September 20, 2003 I am having my sugery Nov 18th and my dr said no food only clear liquids and still do a bowel prep also, id be a little worried if you where not getting a bowel prep, just cuz i know stool can still be in the bowel even after 24 hours of no food. I wish you all the best of luck, i hope it all goes well... in Wichita Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2003 Report Share Posted September 20, 2003 , Would you then do a bowel prep even if your surgeon doesn't require one, just to be on the safe side? I thought about doing it even though I don't have to, but then was afraid it might hurt me. > hi, i'm a RN also and i agree with the bowel prep being necessary IMO - i am > a pre and post op nurse and for reg surgeries it was nothing by mouth after > MN but for abdominal surgery i think more is needed. my orders read - 3 days > b4 avoid beef - 2 days b4 soft diet (soup, grits, potatoe, pasta, baked fish > NO FRIED FOODS. the day b4 clear liquid diet (jello, sprite, juice w/o pulp > broth, popsickles, water water and more water. 2 bottles of magnesium > citrate in the early evening and continue with clear liquids until MN (don't > want to dehydrate), hibiclense shower, NOTHING past MN (no gum, mints or > water) brush teeth but don't swallow water - if you are advised by the doc > to take a certain med b4 surgery (high BP pill) take it with a sip of water > - just enough to get it down. > > the only thing to me on here that does not make sense is the hibicleanse > shower b/c we don't live in a sterile environment - the second you step out > of the shower and get dressed you are contaminated again. you aren't sterile > until you are in the OR and they clean the area with a betadine item. > > it is VERY dangerous and possibly FATAL to have fecal matter outside of the > intestine - it can cause sepsis -- we had a female patient going for some > minor surgery - i forget what but nothing major) and the dr nicked her bowel > - immediately in the recovery room she started showing signs - bad vital > signs - high BP - high fever and distended abdomen - they called the dr and > he was too busy to come see her and told them to do what it takes to get her > VS in check then ship her to her room - she ended up in ICU and was still > having these problems and getting worse by the sec so they called him and > said the same thing - this 36 yr old mom with young kids died b/c her doc is > an asshole. so please be careful and listen to your body and tell your > spouse or whoever to be aware of changes and make sure somebody is aware of > a complication and demand it be handled or mention the nursing supervisor - > do what it takes.... > sorry - i don't want to scare anyone but just trying to help. > > > visit our website > www.geocities.com/tanyarn96/countryside.html > www.poncetihomes.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2003 Report Share Posted September 20, 2003 , my guess about the no bowel prep is me do not store stool in our small bowel. Food passes fairly quickly to the large intestine. In your Dr.s experience 24 hours of clear liquid must work good. Otherwise all the other stuff would be ordered. Best of luck. Jill H. 10 /20/03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2003 Report Share Posted September 20, 2003 Oops sorry , I should have address that note to joanne. Jill H. > , my guess about the no bowel prep is me do not store stool in > our small bowel. Food passes fairly quickly to the large intestine. > In your Dr.s experience 24 hours of clear liquid must work good. > Otherwise all the other stuff would be ordered. Best of luck. > Jill H. > 10 /20/03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2003 Report Share Posted September 20, 2003 I had my surgery a month ago at Duke Medical Center, and they did require a bowel prep, IE magnesium citrate. Clear liquids the day before and nothing by mouth after midnight. I have read other obesity surgery sites where they do not require the MCitrate. So it seems to be a medical opinion situation. If you already have good faith in your Doc. I'm sure it will be ok. But it won't hurt you to take the MC if you really feel the need. > > , my guess about the no bowel prep is me do not store stool > in > > our small bowel. Food passes fairly quickly to the large > intestine. > > In your Dr.s experience 24 hours of clear liquid must work good. > > Otherwise all the other stuff would be ordered. Best of luck. > > Jill H. > > 10 /20/03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2003 Report Share Posted September 20, 2003 I guess a nicked bowel is rare but it would probably prevent a worse infection if the bowel was clean. I don't know what my doctor orders yet but am thinking of making sure my bowel is clean just in case. Carol Beck pre-op 10/8/03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2003 Report Share Posted September 20, 2003 good idea - it can't hurt - KWIM..... visit our website www.geocities.com/tanyarn96/countryside.html www.poncetihomes.com -- RE: No bowel prep? I guess a nicked bowel is rare but it would probably prevent a worse infection if the bowel was clean. I don't know what my doctor orders yet but am thinking of making sure my bowel is clean just in case. Carol Beck pre-op 10/8/03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2003 Report Share Posted September 20, 2003 thats true - and just ask the pharmacist - its behind the counter but you don't need a prescription visit our website www.geocities.com/tanyarn96/countryside.html www.poncetihomes.com -- Re: No bowel prep? I had my surgery a month ago at Duke Medical Center, and they did require a bowel prep, IE magnesium citrate. Clear liquids the day before and nothing by mouth after midnight. I have read other obesity surgery sites where they do not require the MCitrate. So it seems to be a medical opinion situation. If you already have good faith in your Doc. I'm sure it will be ok. But it won't hurt you to take the MC if you really feel the need. > > , my guess about the no bowel prep is me do not store stool > in > > our small bowel. Food passes fairly quickly to the large > intestine. > > In your Dr.s experience 24 hours of clear liquid must work good. > > Otherwise all the other stuff would be ordered. Best of luck. > > Jill H. > > 10 /20/03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2003 Report Share Posted September 20, 2003 yes, i would do it on my own - i would tell them the morning of surgery though that i did it. its OTC by the pharmacist - not prescription - just drink tons of water b4 MN to prevent dehydration - that makes it more difficult to get the IV in -- visit our website www.geocities.com/tanyarn96/countryside.html www.poncetihomes.com -- Re: No bowel prep? , Would you then do a bowel prep even if your surgeon doesn't require one, just to be on the safe side? I thought about doing it even though I don't have to, but then was afraid it might hurt me. > hi, i'm a RN also and i agree with the bowel prep being necessary IMO - i am > a pre and post op nurse and for reg surgeries it was nothing by mouth after > MN but for abdominal surgery i think more is needed. my orders read - 3 days > b4 avoid beef - 2 days b4 soft diet (soup, grits, potatoe, pasta, baked fish > NO FRIED FOODS. the day b4 clear liquid diet (jello, sprite, juice w/o pulp > broth, popsickles, water water and more water. 2 bottles of magnesium > citrate in the early evening and continue with clear liquids until MN (don't > want to dehydrate), hibiclense shower, NOTHING past MN (no gum, mints or > water) brush teeth but don't swallow water - if you are advised by the doc > to take a certain med b4 surgery (high BP pill) take it with a sip of water > - just enough to get it down. > > the only thing to me on here that does not make sense is the hibicleanse > shower b/c we don't live in a sterile environment - the second you step out > of the shower and get dressed you are contaminated again. you aren't sterile > until you are in the OR and they clean the area with a betadine item. > > it is VERY dangerous and possibly FATAL to have fecal matter outside of the > intestine - it can cause sepsis -- we had a female patient going for some > minor surgery - i forget what but nothing major) and the dr nicked her bowel > - immediately in the recovery room she started showing signs - bad vital > signs - high BP - high fever and distended abdomen - they called the dr and > he was too busy to come see her and told them to do what it takes to get her > VS in check then ship her to her room - she ended up in ICU and was still > having these problems and getting worse by the sec so they called him and > said the same thing - this 36 yr old mom with young kids died b/c her doc is > an asshole. so please be careful and listen to your body and tell your > spouse or whoever to be aware of changes and make sure somebody is aware of > a complication and demand it be handled or mention the nursing supervisor - > do what it takes.... > sorry - i don't want to scare anyone but just trying to help. > > > visit our website > www.geocities.com/tanyarn96/countryside.html > www.poncetihomes.com Quote Link to comment Share on other sites More sharing options...
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