Patient Education for Esophagectomy

	Before Surgery	Day of Surgery	Post-op Day 1	Post-op Day 2
What Test, procedures should I expect?	Pre– Surgical Testing / Bring your X-rays, CT scans Discs / Bring Cardiac Clearance if ordered / Bring any recent blood test / Usually a PET scan is ordered, please make sure Dr. Sukharamwala has a copy of the PET scan / Chest X-ray, Blood test will be done if not done recently	In Pre Op room you will have / an IV will be started / Compression boots on legs will be placed for blood circulation / Blood samples may be drawn in anticipation if Blood transfusion is need during or after the operation. / Meet Dr. Sukharamwala and the Anesthesiologist / In the operating room, after you are put to sleep following will be placed / Nasogastric (NG) tube / A Foley catheter / A Surgical JP drain may be placed in the neck.	You will expect to have / After your operaiotn, you may stay in the ICU for close monitoring. / On Post –op day , you will be transferred to a Step down floor. / Compression boots on when not walking / Depending on your urine out, Urinary catheter may stay or be removed / NG tube stays / IV fluids continues / Blood drawn to monitor your Blood counts and electrolytes / Continue with IV pain medications	You will expect to have / Compression boots on when not walking / IV fluids fluid rate will be reduced / Blood draw to monitor your Blood counts and electrolytes / Continue with IV pain medications. / NG tube stays
What type of diet can I have?	Clear liquids diet the day before surgery / Nothing to eat or drink after midnight.	DONOT eat or drink anything on the day of surgery .	Nothing by mouth. We need to give sufficient time for the new connection to heal.	Nothing by mouth. We need to give sufficient time for the new connection to heal.
Special Instructions	The night before surgery: / Wash with Hibiclens® at night and in the morning	Bring your BiPAP machine if using one at home.	Walk, Walk, Walk / Use your incentive spirometer 10 times every hour while awake / Rest in Bed	Walk, Walk, Walk / Use your incentive spirometer 10 times every hour while awake / May take a SHOWER

Patient Education for Whipple Operation

	Post-op Day 3	Post-op Day 4 / Important Day	Post-op Day 5	Post-op Day 6 - / Discharge
What Test, procedures should I expect?	IV fluids rate reduced / Blood tests	We will do a X-ray to check the new connection for a leak. You will swallow a contrast and X-ray of your chest will be taken / IV fluids stopped (IV catheter stays in) / Blood tests	Continue to advance your diet slowly / Blood tests / JP drain will be removed if no abnormal discharge.	IV removed / Discharge / Depending on your personal needs, social support you may be discharged to / Home / Rehab facilty / Long Term Acute Care (LTAC) Facility
What type of diet can I have?	Nothing by mouth. We need to give sufficient time for the new connection to heal.	Clear liquid diet will be started after the leak test. This will include Jell-O, broth, water , apple or grape juice.	Full liquid diet .	Regular diet / Soft t diet.
Special Instructions	Continue using your incentive spirometer every hour while awake / Sit in a chair for a longer period of time / Walk with help as instructed	Continue using your incentive spirometer every hour while awake / Sit in a chair for a longer period of time / Walk with help as instructed	Discuss with family and case manager about anticipated discharge.	· Pain Medication Rx will be given on discharge. / · Stool softeners prescription will be given / Do not lift more than 10 pounds for 6 weeks / JP drain may stay in the abdomen on discharge if the amount and type of fluid is abnormal.

#