• Restrict diet to soft foods for three months (= nothing hard, sharp or crusty − e.g., no peanut brittle, Dorrito chips, hard tacos, crusty breads, etc.); also no stringy foods (= celery, fruits with skin – example apples, unless peeled).
  • Crush all medicines if possible or take in elixir form
  • Weigh at least twice weekly and record weights in a diary, and bring it with you to clinic for follow up appointment. Call for weight loss of 5 lbs or greater in 1 week.
  • Sit upright for all meals and for at least 30 minutes afterwards. No food or drink 2 hours before bedtime.
  • Continue night time feeds until seen in clinic for follow up if not taking PO well
  • Elevate head of bed 30 degrees.
  • Flush feeding tube with 60 cc warm water every 6 hours.
  • Do not put anything via jejunostomy except for feedings and flushes.
  • May shower and get incision wet after two days.
  • Do not soak wound in bathtub, swimming pool, or hot tub until healed (usually 4−6 weeks)
  • Call if redness or swelling occurs
  • Call if drainage from wound occurs
  • Call if swallowing becomes painful or difficult
  • Call if temperature > 101.0 F orally persists
  • Call if back pain or chest pain occurs out of the usual and ordinary
  • Do not drive or operate any kind of machinery or do any activity that requires your own strength or reflexes to keep either you or others out of harm’s way (e.g., do not try and cross a busy intersection, swim in the deep end of a swimming pool, climb ladders, etc.) for 6−8 weeks following surgery.

CALL (210) 450-0999 AND ASK FOR THE THORACIC SURGERY RESIDENT ON CALL. FOR ANY LIFE THREATENING EMERGENCY CALL 911