Bariatric Nutrition Information
All patients are required to follow a 10-day liquid pre-surgery diet, which helps to shrink the liver and makes it easier for the surgeon to perform the procedure laparoscopically.
LAP-BAND® Patient Diet
The LAP-BAND surgery patient's diet is usually started the day of surgery, just a few hours after the procedure. Patients are started on a clear-liquid, low-sugar diet for one day and then progress to a full-liquid, low-sugar diet the following day. The full-liquid diet should be followed for the first two weeks at home after surgery. The full-liquid diet includes strained soups and a high-protein supplement. Patients are also free to eat two tablespoons three times per day of very soft foods like yogurt and sugar-free pudding.
Two weeks after surgery, patients are advanced to a soft diet. Some foods may need to be puréed on this diet including fresh fruits, vegetables and some meats. Patients are allowed to eat one-half to three-fourths of a cup of food three times per day. Patients are encouraged to stay away from red meat, pasta, white bread and rice during this time.
Six weeks after surgery, patients are able to eat most foods. (However, some patients might not tolerate red meat, pasta, white bread, rice, citrus membranes or dry foods ever again.)
For life, patients should eat no more than one cup of food three times per day. The goal is for patients to stay full for four to five hours between meals without snacking. (The fluid in the band will be adjusted to help patients achieve this goal.) It is also important to stop drinking fluids one hour before, one hour after and during all meals, which helps to hold the food in the stomach pouch for a longer period of time (this allows time for the brain to realize that the stomach is full).
Roux-en-Y Gastric Bypass (REY) Patient Diet
REY patients are started on a diet one or two days after surgery. Patients begin with water and low-sugar, clear liquids and advance to low-sugar, full liquids before leaving the hospital. Strained soups and high-protein liquids are allowed on the full-liquid diet.
For the first month after surgery, patients should purée or blend all foods. Patients should eat a blended protein item and drink a high-protein shake three times per day.
After the first month, patients are advanced to a soft diet for four weeks. At this point, some meats and raw fruits and vegetables will still have to be puréed, but soft protein items and canned or cooked fruits and vegetables are allowed.
Eight weeks after surgery, patients will be able to tolerate more normal food consistencies. Patients should eat five to six small, high-protein meals. (However, some patients might not tolerate red meat, pasta, white bread, rice, citrus membranes or dry foods ever again.)
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