Good morning jasper11-ga. In answer to your question, I think it
would be hard for any one person to pinpoint the ?best? guide to your
new diet. However, I have found many sources, which can give you a
better understanding of the diet you should follow after gastric
bypass surgery and can guide you in creating your own special diet.
In general, the gastric bypass diet includes foods that are high in
protein, and low in fat, fiber, calories, and sugar. Important
vitamins and minerals are provided as supplements.
Protein is the nutrient that the body uses to build new tissue. It is
important to get enough protein right after surgery, to make sure that
wounds heal properly. Over the long term, protein in the diet will
help preserve muscle tissue, so that weight can be lost as fat
instead. Foods like lean red meat or pork, chicken or turkey without
the skin, fish of almost any type, eggs, and cottage cheese are high
in protein and low in fat.
Sugary foods include candy, cookies, ice cream, milkshakes, soda,
sweetened juices or gelatin, and most desserts. The gastric bypass
diet is low in sweet and sugary foods for three reasons.
1. These foods are high in calories and fat. Even in small amounts,
they could make weight loss difficult.
2. Eating sweet or sugary foods promotes "dumping," a reaction which
can occur after the gastric bypass operation. Experiencing the
unpleasant symptoms of dumping syndrome may limit the desire to eat
sweet foods.
3. Most sweet and sugary foods don't provide many vitamins or
minerals for the calories they take up and since calories are so
limited on the gastric bypass diet, it is important that every food
contribute its fair share of nutrients.
Fat may be difficult to digest after gastric bypass surgery. Too much
fat delays emptying of the stomach and may cause reflux, a back-up of
stomach acid and food into the esophagus that causes heartburn. Fat
may also cause diarrhea, nausea, or stomach discomfort. High-fat,
fried foods and fatty meats are common offenders.
Fiber, found in foods like bran, popcorn, raw vegetables, and dried
beans, is also limited on the gastric bypass diet. There is less space
in the stomach to hold these bulky foods, and less gastric acid
available to digest them. Some kinds of fiber could get stuck in the
pouch itself, or block the narrow opening into the small intestine. DO
NOT TAKE ANY FIBER PILLS OR LAXATIVES WITHOUT THE ADVICE OF A
PHYSICIAN.
Vitamins & Minerals are an important part of the gastric bypass diet.
Since the diet allows only small amounts of a limited variety of
foods, it may be difficult to get enough vitamins and minerals from
food alone. Deficiencies can develop in a matter of months. Iron,
folate, vitamin B-12, and calcium are the nutrients most affected.
Most physicians require their gastric bypass patients to take a
multivitamin/mineral supplement.
The gastric bypass diet unfolds in several stages, from "liquids only"
to small meals of soft, high-protein foods. Meals on the new menu will
be much smaller than normal, and the foods eaten must be very smooth
in texture. On all stages of the diet, it is especially important to
drink enough water, and to take vitamin and mineral supplements as
prescribed.
CLEAR LIQUIDS: The first stage of the gastric bypass diet, clear
liquids (meaning beverages that you can almost see through), usually
lasts for a day or two after the operation. The clear liquid diet
starts with sips of water, and then allows foods like sugar-free
juice, diet gelatin, boullion or clear broth, and flat (no fizz) diet
soda in small amounts, usually 2-3 ounces at a time.
LOW-FAT FULL LIQUIDS: f no problems are experienced with clear
liquids, the gastric bypass diet advances to high-protein liquids like
diet Carnation Instant Breakfast, Ensure or Sustacal. This stage of
the diet is started before discharge from the hospital and lasts for 1
to 2 weeks. Most patients also begin taking a chewable multivitamin/
mineral supplement at this stage.
SOFT/PURÉE DIET: Your physician will indicate when it is time to
advance to the soft or purée diet. Some patients are able to start
this diet after they have been out of the hospital for about two
weeks. Others may need to wait longer. The purée diet includes very
soft, high-protein foods like scrambled egg, low-fat cheese or cottage
cheese, or blenderized lean meats like tuna fish, chicken, or pork.
Some patients find it more convenient to use strained baby foods. It
is important to make sure that all foods are puréed or extremely soft
and smooth in texture.
REGULAR DIET: The regular diet starts about 8 weeks or later after
gastric bypass surgery. While this diet includes all 5-food groups, it
is important to start with high-protein foods, like lean meats or
milk, at every meal. Each meal or snack should be small, with liquids
consumed in between meals. Ask a dietitian for advice on planning an
individualized regular diet pattern.
SAMPLE:
Breakfast:
banana - 1/4 med
Scrambled egg - 1
toast, white -1/2 slice
margarine - 1 tsp
Lunch:
broiled chicken breast- 2 oz
carrots, boiled - 1/4 cup
margarine - 1 tsp
pasta salad - 1/4 cup
Dinner:
haddock, baked or broiled - 2 oz
green beans - 1/4 cup
dinner roll - 1/2
Morning snack:
graham crackers - 2
pudding, sugar-free, made with 2% fat milk - 1/2 cup
Afternoon Snack
fruit cocktail, water-packed - 1./2 cup
Evening snack
cheese, American - 1 oz
saltine crackers - 2
mustard - 1 tsp
Consume nonfat milk between meals, throughout the day. Drink no more
than 2 to 3 ounces at a time, for a daily total of 2 cups.
TIPS:
Eat slowly and chew foods until they are mushy.
Allow 30 - 60 minutes for each meal
Aim for 30 chews for each bite, chewing thoroughly to mush
Take small bites. Try a baby spoon. Cut food in the size of a "pea" to
make it easier to chew
Savor each bite, noting its taste, flavor, and texture
Sit down and be focused on eating, not other activities where you can
become distracted
Stop eating as soon as you feel full.
The following PDF links shows other samples of diets:
( http://www.stronghealth.com/services/surgical/bariatric/images/GASTRIC%20BYPASS%20DIET%5B1%5D.pdf
)
( http://www.stronghealth.com/services/surgical/bariatric/images/PostOpDiet2.pdf )
( http://www.stronghealth.com/services/surgical/bariatric/images/POSTOPDIET3.pdf )
( http://www.stronghealth.com/services/surgical/bariatric/images/POSTOPDIET4.pdf )
Additionally, please find below several books that might interest you:
Culinary Classics: Essentials of Cooking for the Gastric Bypass Patient
by David Fouts
Amazon
( http://www.amazon.com/exec/obidos/tg/detail/-/0971260192/102-4803860-2431347?v=glance
)
Eating Well After Weight Loss Surgery: Over 140 Delicious Low-Fat,
High-Protein Recipes to Enjoy in the Weeks, Months and Years after
Surgery
by Patt Levine, Michele Bontmpo-Saray, William B. Inabnet
Amazon
( http://www.amazon.com/exec/obidos/tg/detail/-/1569244537/qid=1117991557/sr=8-5/ref=sr_8_xs_ap_i4_xgl14/102-4803860-2431347?v=glance&s=books&n=507846
)
Before and After: Living and Eating Well After Weight Loss Surgery
by Susan Maria Leach
Amazon
( http://www.amazon.com/exec/obidos/tg/detail/-/0060567228/qid=1117991557/sr=8-8/ref=sr_8_xs_ap_i7_xgl14/102-4803860-2431347?v=glance&s=books&n=507846
)
Finally, many benefit from the help of a support group:
Weight Loss Surgery Support Group Directory
( http://www.wlsconnection.com/statelist.html )
Thinner Times ? Gastric Bypass Support Group
( http://www.thinnertimes.com/support/ )
I hope this answers your question. If you would like clarification
before rating my answer, please do not hesitate to ask!
Nenna-GA
Google Researcher
Sources:
Gastroenterology
( http://www.gicare.com/pated/edtgs22.htm )
Understanding Bariatric Surgery
( http://www.stronghealth.com/services/surgical/bariatric/diet.cfm )
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)
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