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Q: Bariatric Surgery: Diet ( Answered 5 out of 5 stars,   1 Comment )
Question  
Subject: Bariatric Surgery: Diet
Category: Health > Fitness and Nutrition
Asked by: noshtzy-ga
List Price: $9.50
Posted: 28 Apr 2004 14:11 PDT
Expires: 28 May 2004 14:11 PDT
Question ID: 337849
I would like to know the exact diet plan that people who have had
baratric surgery must follow throughout their lifetime, from just
after surgery, to long term, including what supplements must be added
to make up for lost nutrients.
Answer  
Subject: Re: Bariatric Surgery: Diet
Answered By: djbaker-ga on 28 Apr 2004 15:53 PDT
Rated:5 out of 5 stars
 
Howdy Noshtzy,
The road to recovery after under going Bariatric surgery can be a very
long and painful one.  The diet that is prescribed must be followed to
a T to prevent the body from having severe reactions.

The intial diet after surgery as recomended by www.stronghealth.com
calls for a tiered eating pattern which spans the course of the first
9 - 11 weeks after surgery.  At this point a person should be able to
resume a restricted diet of solid foods.

During the first week the patient is limited to small liquids only. 
This means water at first, followed by clear liquids like jello and
clear juices.  According to www.stronghealth.com, the patient should
expect to be only able to "eat" a few spoonfuls of these liquids at a
time.
  
After the following week the patient can begin working on foods with
the consistency of baby food.  The important thing here is that the
food has no chunks.  This phase of the diet last for a month.

The next month is all about the soft foods. This means "blended meat,
meat paste, liverwurst, yogurt (not raspberry), cottage cheese, sliced
cheese, egg dishes, and fish. You may slowly add soft canned fruits
and vegetables, baked potatoes (without the skin), rice, macaroni,
noodles, crackers and prepared corn or rice
cereals"(www.stronghealth.com).

The final major stage of the post-surgery diet is the move back into
real food.  Patients should eat well balanced, low on fat and sugar
meals, staying between 1,200 - 1,400 calories per day.  It is
important that the food is chewed thoroughly and completely.

The above information can be found at the following link:

http://www.stronghealth.com/services/surgical/bariatric/recovery.cfm

Because of the nature of the surgery the body is unable to aborsb all
the nessasary vitamins and minerals from food alone.  To supplement
this it is recomended that a multivitamin is taken.  Either 1 adult
tablet or 2 children.

In addition to this it might be nessasary to take extra iron, calcium,
or vitamin B-12.

These can all be found at www.cvs.com or www.gnc.com.  

This information can be found at:
http://www.endowsec.com/pated/edtgs22.htm

Patients should be careful to avoid dehydration.  To do this the West
Shore Endoscopy Center recomends:
"*Drink 1 Cup of water or low-calorie beverage between meals
*Fluids should add up to at least 6 cups each day.
*Sip slow.
*Finish drinking 45 - 60 minutes betfore meals."

http://www.endowsec.com/pated/edtgs22.htm



Other useful Bariatric diet information:

Post-Op Instructions:
http://www.drchampion.com/postop.htm

Sample menu (at the bottem of the page):
http://www.endowsec.com/pated/edtgs22.htm

Recipes:
http://www.angelfire.com/ok3/vbowen2/index.html

Helpful tips:
http://www.stronghealth.com/services/surgical/bariatric/diet.cfm

Note:
As always please do not take the above information in lieu of a Doctor's advise.

Hope this helps.  Have a wonderful day!

Cheers,
Dan (djbaker-ga)

research method: Search: bariatric diet information, bariatric diet

Request for Answer Clarification by noshtzy-ga on 29 Apr 2004 13:16 PDT
If I could make one more request. I find the link with the sample diet
very informative (http://www.endowsec.com/pated/edtgs22.htm) But I was
curious if there is a resource, a chart of all the types of foods
(indeed, maybe the foods themseves) that should be consumed after
recovery. Not the stages after surgery, but all of the foods that the
patient can expect they will be limited to, and are recommended, after
a year, or 10 years, have passed.

Clarification of Answer by djbaker-ga on 29 Apr 2004 13:53 PDT
Hello again!
Let me take a look and see what I can find. I should have an answer
for you sometime this evening.

Thanks :)

djbaker-ga

Clarification of Answer by djbaker-ga on 30 Apr 2004 08:33 PDT
Good Morning!
Sorry that I didn't post this last night.  Anyway, I was not able to
find something exactly like the grid you mentioned.  However, I did
find a number of things close to it for each stage of recovery.

Holyname Hospital offers another good description of everything we
have covered all ready.
http://www.holyname.org/bariatrics/offer/nutritional_counseling.asp

As I mentioned they offer sample diets for each phase of recovery. 
For the first stage, i.e. the clear liquids stage their is not much by
way of a real menu.  It is really just a matter of drinking clear
liquids on the schedule the doctor provides.  Information about this
can be found here:

http://www.holyname.org/bariatrics/offer/stage1.asp

For the next stage, the puree stage, Holy Name offers a number of
interesting resources.  First there is their page of general
recomendations and special suggestions.

http://www.holyname.org/bariatrics/offer/stage2_puree.asp

Then the section on what food groups one should be eating with some
good suggestions.

http://www.holyname.org/bariatrics/offer/stage2_food_groups.asp

Finally the sample menu for day 1:
http://www.holyname.org/bariatrics/offer/stage2_sample_menu1.asp

Day 2:
http://www.holyname.org/bariatrics/offer/stage2_sample_menu2.asp

(I think the idea of having 2 days is to alternate between the two so
one doesn't get bored of having the same meal every day for a number
of weeks)

The grid you mentioned covers stage three, but it is always good to
have extra resources.  First there is Holy Name's general stage three
info:

http://www.holyname.org/bariatrics/offer/stage3.asp

Then the food group recomendation:
http://www.holyname.org/bariatrics/offer/stage3_food_groups.asp

and then finally the actualy sample menu itself:
http://www.holyname.org/bariatrics/offer/stage3_sample_menu.asp

From what I can tell the long term term diet is the stage three diet. 
The idea of Bariatric Surgery is so the patient can eat a balanced,
healthy diet without feeling hungry.

Northwest Weight Loss Surgery has this to say on the long term diet.

"You can eat normal foods in smaller quantities....You will need to
concentrate on the number of calories you are eating.  Sugar gives you
a lot of calories that will need to be burned.  You should eat
sugar-free foods and use sugar substitutes like Equal and Splenda."

"Protein is very important.  The body needs 60 grams of protein per
day.  You should eat your protein first, because you can only eat a
half of a cup of food for each meal."

http://www.nwwls.com/faqs.php




Other Sample Menus and Information you might find interesting:

Casco Bay Surgery:
http://www.cascobaysurgery.com/Bariatric%20Surgery%20Program/nutrition%20-%20first%20month.htm

Center for Obesity related illness -- Full of good information:
http://www.coricenters.com/diet.php#PUREED

School of Osteopathic Medicine:
http://www3.umdnj.edu/dsbpweb/program/


I hope this helps!  If you need anything else clarified don't hessitate to ask.

Cheers,
djbaker-ga
noshtzy-ga rated this answer:5 out of 5 stars and gave an additional tip of: $5.00
That's the best answer I could hope for, thank you very much.

Comments  
Subject: Re: Bariatric Surgery: Diet
From: djbaker-ga on 30 Apr 2004 19:28 PDT
 
I'm glad your happy.  Thanks for the rating and the tip :)

-djbaker-ga

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