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Pre & Post Surgery Diet Instructions
Pre-Op Diet
Meal 1 - 1 serving of 2 of the following: yogurt, fruit, eggs, cereal, toast, bagel, waffle, muffin (i.e., 1 serving of yogurt & 1 egg or an apple and a muffin).
Meal 2 - 1 serving of an approved protein drink (see list below)
Meal 3 - 1 serving (4-6 ounces) of any type of lean meat or fish (chicken, pork, turkey, beef)
- and -
1 serving of a green vegetable (lettuce, peas, broccoli, green beans, spinach, etc)
Meal 4 - 1 serving of an approved protein drink
DRINK PLENTY OF WATER!!!!
**Approved protein drinks include: Atkins, Glucerna, NuWhey, Slim Fast Optima, Fresh Start (www.FreshStartProtein.com), EAS, etc. (Preferably one with 10 - 20 grams of protein per serving).
****Do not drink BOOST or ENSURE (these are formulated for people trying to gain weight)
If you have any questions, please call our office 940.464.2263.
Learning to Eat After the Band
The First Week
The first week after the band is placed is very important, and you should only take in liquids. This is important to preserve the structure that was created at the time of the operation. It is very important that the "new stomach" (or pouch) is not stretched at this early stage. This is the time the band settles into position and adhesions develop to stabilize it in the future. The fluids pass through the band rapidly and therefore you will probably not feel full, but if you do feel fullness, stop drinking and let the feeling pass. You will find that you have very little interest in food and very little hunger, if any at all. This lack of interest in food is due to the swelling around the top of the stomach which occurred during surgery. Protein drinks and other calorie containing liquids are okay during this phase. You should not take anything in the first week that will not pass through a straw or you could block the opening in the band and lead to enlargement of the new stomach. You should not use a straw, but visualizing what will pass through a straw will help you make good choices. During the first week, some people may have nausea, headache and dizziness. This can usually be corrected by fruit juice, Gatorade, or a protein drink. Other good choices include soups (totally liquid), milk, V-8 juice, egg nog, fruit juice, water, coffee, tea, popsicles and fruit smoothies. These calorie containing drinks are only allowed the first week. Low calorie drinks, such as diet Coke or diet Dr. Pepper are okay, but let the bubbles settle before drinking and stop if any discomfort. You will have to sip and be careful not to gulp.
If you are taking medications, we suggest that you take them as usual. If you feel any discomfort you may need to crush or break them, but check with your pharmacist first, as some medications have to be taken whole. If this is the case, either the prescribing doctor or I can prescribe an alternative.
Drink as much water as you like. There is no limit on water, let your thirst tell you when you need to drink. This is also true for other liquids.
The Second Week
After the first seven days, you will start your transition to solid foods. I want you to do this slowly to avoid any vomiting. Start with thicker soups, mashed potatoes or scrambled eggs. Other good choices include pudding, cottage cheese, canned tuna or chicken, baby food, and applesauce. Stop as soon as you are no longer hungry, don't continue until you feel full. Do not eat more than 1/2 cup of food at a time.
The Third Week and Beyond
After post op day 15, you should start solid food and stay on solid food from then on. Some people can tolerate almost any food (just not much of it) and some people will have trouble with some foods like shrimp, bread or rice. White meat, like fish are usually well tolerated. If due to illness or error in eating (not chewing well or eating too fast) you begin to vomit, it is important to go back to liquids and progress back through the soft foods of week two. Once you have progressed to a diet based on solids, you will need to stay on solids permanently. From then on you need to avoid calorie containing liquids. These liquids go through the band quickly and offer no feeling of fullness. One important thing that is emphasized over and over is: if at any time you feel there is something wrong, please contact us!
You shouldn't worry, if during the second, third or fourth week you start to get hungry and are able to eat more and more. But, just because you are able to eat more than 1/2 cup-it doesn't mean you should. Stop at 1/2 cup. Remember the importance of not stretching the pouch. You are able to eat more at this time because the swelling from surgery has resolved and the band is not filled yet. This initial adjustment (putting fluid in the band) occurs at four weeks after surgery. If the band was filled at the time of surgery, it would be too tight because of the swelling in that area. You may need to eat more often after the swelling has resolved and until the band is filled. But do not overeat at any one meal.
For additional information on Pre & Post Surgery Diet Information, visit one of our AIGB partners at www.trueresults.com.
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