Gastric Bypass Patient Management

Acid Suppression Strategies

• The FDA notes that H2 blockers do not interfere with antiplatelet therapy, making them a preferred option when patients are on dual antiplatelet therapy, as stated by the American Heart Association 1
• Patients should begin acid suppression immediately postoperatively, according to the National Institute of Nutrition 2
• Separate famotidine administration from calcium and iron supplements by 1-2 hours to avoid absorption interference, as recommended by the Obesity Society 3
• Consider switching to intravenous H2-antagonist therapy temporarily to ensure therapeutic levels, as suggested by the American Gastroenterological Association 4

Monitoring and Adjustment

• Assess for symptoms of peptic disease at each follow-up visit, according to the National Institute of Nutrition 2