Your Liver Prior To Surgery
Your stomach is located just to your left of your liver. To access your stomach for most bariatric procedures, your surgeon will use a liver retractor. This is a device that lifts the liver up and out of the way so your surgeon can safely operate on the stomach without the liver getting in the way.
You have Non-Alcoholic Fatty Liver Disease
You probably dont know it, but you have fatty liver disease. If you dont and youre morbidly obese, youre lucky. Fatty liver disease is when fat cells accumulate in and around your liver cells. This causes the liver to function poorly.
It also increases the size of your liver. A larger liver makes gastric sleeve surgery much more difficult and increases the risk of complications.
Ive witnessed a handful of cases where the surgeon decides that the liver is so large that they cannot perform surgery safely. The surgery either then becomes an open procedure or they close and cancel until the patient decides to follow their 2 week pre-op diet.
Gastric Sleeve Pre Op Diet Guidelines
Gastric sleeve pre op diet includes a scientifically created eating plan for a few weeks leading up to your surgery. Gastric sleeve pre surgery diet is vital because it will set the foundation for a safe and complication-free surgery. At the same time, when you begin your pre op diet for sleeve in a correct manner, it will be the start of new habits and a readiness to make a lifelong commitment to eating healthy.
Guidelines for pre op diet for gastric sleeve patients in Mexico include:
- Reduce or eliminate saturated fats, such as fatty meats, whole dairy products, and fried foods.
- Reduce or eliminate foods with high carb content .
- Avoid consuming sugary beverages, including sodas and juices.
- Eat smaller portions in each meal.
- Do not indulge in binge eating.
- Quit smoking and drugs, including recreational drugs.
- Minimize the consumption of alcohol.
- Avoid drinking beverages along with meals.
- Take protein and vitamin supplements as necessary.
Week 1 Clear Liquids Only
In week one you are limited to clear liquids only. This sounds tough. And it is tough. However, most patients have very little desire to eat. The hunger hormone ghrelin is almost non-existent after surgery.
The part of the stomach that produces the majority of ghrelin is removed during surgery.
Make sure all items listed below are sugar free.
- Sugar free, nonfat ice cream
- Thinned applesauce. Check sugar content.
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Below Are Some Additional Tips For Meeting The Goals Of Phase 1 Diet:
In order to maintain hydration, consider the following:
- Carry a beverage container at all times and take small, frequent sips throughout the day
- Aim for drinking 1-2 ounces every 15-30 minutes or 4-6 ounces every hour but no more than 8 ounces per hour
- Dont rely on your thirst to tell you when to drink a fluid
- Avoid using a straw as it can introduce air and contribute to feeling bloated
- If you are feeling full or having nausea, use it as a sign to stop drinking fluids temporarily until the fullness feeling subsides
- Know the signs of dehydration, which include dry mouth, thirst, dry skin, nausea, constipation, fatigue, headache, and dark-colored urine
- At least ½ of your fluids should include protein
- Avoid carbonated beverages that may contribute to gas or bloating
- Avoid sugar or high sugar beverages
Recommended Meal Plan For Weeks Two To Eight Until Two Months Post
At this time, your caloric intake will probably be no more than 500 calories a day, divided into six to eight small meals. Recommended portion sizes are 1/4 cup for solids and 1/2 cup for liquids.
This sample menu includes different foods that are safe for you to eat. You may adjust the menu to fit your tastes and tolerance.
Breakfast1/4 cup hot cereal made with non-fat milk
1/2 cup low-fat chicken noodle soup
Mid-Afternoon1/4 cup low-fat cottage cheese
Late Afternoon1/4 cup sugar-free, nonfat yogurt
Dinner2 ounces lean ground meat1/4 cup puréed or well-cooked vegetables
Bedtime Snack1/4 cup non-fat milk
* Add 1 tablespoon non-fat dry milk powder to each 1/4 cup nonfat milk for additional protein.
Remember to drink 1 cup of water or other non-caloric fluids between meals. It is important to take a multivitamin and mineral supplement every day, plus additional iron if required, and calcium and vitamin D supplements two to three times per day.
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Post Op Gastric Sleeve Food Stage 3
At about one month after your surgery, you can finally move towards the most awaited of all gastric sleeve food stages the solid food. However, make sure you start the transition slowly and choose only soft adaptive foods for about three to four weeks. As your body heals and adjusts to soft solid foods, you can gradually move to a more normalized diet. However, continue to avoid fats, sugars, and starchy, fried, and fast foods.
Years Post Op Gastric Sleeve Diet
Your bariatric sleeve diet in Mexico at two years should be based on the lifetime commitment of eating a low sugar, low fat and high protein foods. For your 2 years post op gastric sleeve diet, make it a practice to always eat proteins first on your plate, fruits and vegetables second, and finally carbohydrates . The best would be to choose lean proteins where the visible fat has been removed.
Feel free to eat three nutritious meals a day and one or two small, healthy snacks if you feel the need. But do not develop the habit of grazing, which means eating too many small snacks throughout the day. Take your calcium or multi-vitamin supplements as advised by your physician. Continue to avoid fizzy drinks, candies, and chewing gum even as part of your 2 years post op vsg diet plan.
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Diet For Weeks Two To Four Post
Begin adding very small portions of puréed and soft foods as tolerated. Take very small bites and chew everything very well. Do not take more than two bites every 20 minutes when adding a new food.
Recommended puréed and soft foods:
- Scrambled egg whites or egg substitute
- Canned fruits
- Lean ground meats or poultry
Avoid all bread and meats that are not easily chewed.
What About My Excess Skin After Gastric Band Or Gastric Sleeve Procedures
Gastric sleeve surgery and other weight loss procedures can leave you with extra sagging baggy skin. Redundant Skin is the medical term used for the post-weight loss skin and it typically needs to be surgically reduced , usually along with liposuction.
Sadly, you cant exercise skin off. Excess skin, along with stubborn fat stores, even after significant weight loss, means youll probably require more surgery. This is so you can achieve the body contours you are wanting after working so hard to get a healthier, more natural body shape after a massive weight loss.
If you need your redundant skin reduced to achieve smoother body contours, our leading Plastic Surgeons Directory offer many various Body Contouring procedures. The most common cosmetic surgeries or plastic surgeries after significant weight loss occurs include:
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Week Post Op Gastric Sleeve Diet
Gastric Sleeve Complications . The excess portion of the stomach is removed, leaving a vertical tube – – sleeve – – that considerably limits your food intake. The procedure was developed as the first stage of a more extensive operation that involves rerouting the digestive system as well as removing most of the stomach.
The gastric sleeve may also be used as a stand- alone procedure in high risk people, including those with a complicated medical or surgical history, or a very high body mass index. As with any surgery, people who undergo gastric sleeve surgery are at risk for certain complications.
The surgeon performs the gastric sleeve laparoscopically using an instrument with a tiny camera that is introduced into the belly through several small incisions. Although this is a minimally invasive procedure compared to one that is performed through a large abdominal incision, any surgical procedure involves some risks. Early complications may include bleeding, blood clots, leaking at the surgical site, or infection. Possible anesthesia complications could include breathing problems and allergic reactions. There is also some risk of damage to the stomach, intestines or other organs, internal scarring or leaking from the surgical site.
Tips Healthy Eating After Gastric Sleeve Surgery
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Calories 1 Year After Gastric Sleeve
As a general guideline, the Academy of Nutrition and Dietetics suggests 1,200 to 1,500 calories per day for women for weight loss and 1,500 to 1,800 calories per day for men for weight loss.
However, its quite common for bariatric clinics to recommend a diet of around 900-1,200 calories after the 6-month mark post-op. This is considered a Very Low-Calorie Diet and should be approved by your doctor or dietitian before starting.
If youre worried about cutting your calories too low, then start at the higher end of the range provided and follow it strictly for a few weeks. If you dont see any change do 2 things:
Remember, at its simplest explanation, the success of your weight loss comes down to total calories consumed. If you eat too many calories your weight will go up. If you eat fewer calories than your body burns, your weight will go down.
Removing other factors like social, psychological and other less quantitative measures, weight loss is about energy balance.
What Should I Eat Before Gastric Sleeve Surgery
The pre-op diet is your food-consumption plan for the period leading up to your gastric sleeve procedure. Your diet is critical to the surgerys success for three reasons:
- It makes the procedure safer and easier. The pre-op diet helps reduce fatty deposits around the liver, which improves surgical access to the stomach.
- It lowers the risk of complications. Obesity increases the risk of medical complications during and after surgery weight loss can counteract that risk.
It starts you on the habits youll need to make a lifelong commitment to weight control. Youll gain the confidence that comes with settings goals and achieving them.
In many cases, you should begin your pre-op diet for a gastric sleeve surgery three weeks before your procedure. Please talk to your program dietician or coordinator for more details on when to begin your diet.
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What Can I Eat The Week After Gastric Sleeve Surgery
During the first week after gastric sleeve surgery, you will be drinking mostly liquids. The first day or two after surgery will be clear liquids like:
- Clear beef, chicken, or vegetable broth
- Water that is plain, infused with lemon or lime juice, or flavored with sugar-free sweetener
- Ice chips
- Sugar-free gelatin or popsicles
- Clear protein supplement shakes
Then, after a few days of this, you can start adding in other fluids on a full liquid diet like:
- Fat-free or low-fat milk
- No Sugar Added Instant Breakfast Shakes
- Light or fat-free yogurt
You will follow a full liquid diet for the first two weeks after gastric sleeve surgery before moving on to a pureed diet. If you are having trouble tolerating the full liquid diet, its important to visit your surgeon for advice and support to make sure there are not any complications affecting your digestion.
First Week Diet Post Op Gastric Sleeve Surgery
by drgirish·April 11, 2018
One of the most common concerns from our patients is related to the diet that they need to follow after gastric sleeve surgery. The initial doubts are various, like how much will they be able to eat, what can they eat, what they cant eat, how much time will the post op diet take and even if they will eventually be able to eat normally.
The gastric sleeve post op diet is mandatory for two main reasons: to reduce to the maximum the chances of complications and to give entry to the new lifestyle and eating habits that the patient should embrace. This does not mean that the patient wont be able to eat normal food eventually he will be able to do so, but in small healthy portions.
In this first phase, right after being discharged from the hospital, we indicate a Clear Liquid Diet, with this we refer to any liquid that is transparent and not thick in order to avoid it from accumulating and building up in your new stomach, this prevents you from discomfort because of increased pressure inside the stomach. It can be things like hydrating beverages, teas, flavored water, broths, juices, Jello, ice popsicles, etc. And of course plain water. this diet begins just 24 hrs after surgery.
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Gastric Sleeve Post Op Diet
The gastric sleeve post-op diet will vary from patient to patient but can generally be categorised by weekly stages of the diet to help the body heal from the procedure. The first couple of weeks will involve a nutritious and mapped out liquid diet after gastric sleeve, containing water, broth, milk, fruit juice, jelly and decaffeinated tea and coffee.
The following two weeks will involve soft, mashed and pureed foods to help your body to adapt to more textured foods. This post gastric sleeve diet will include things like yoghurt, pureed vegetables or meats, light smoothies, and thin soups. Week five to six of the diet after gastric sleeve surgery will have you moving to more tender cooked foods. This includes soft noodles, mashed potatoes, scrambled eggs, and basically any soft, lean proteins.
The gastric sleeve post-op diet aims to slowly introduce foods and textures to the stomach lining. Slowly moving from liquids to purees to solids will help to avoid the stomach lining to experience irritation and stress. Furthermore, during the post gastric sleeve diet, the patient will need to relearn food consumption behaviours and become more aware of their portion sizes. The stomach pouch has been significantly reduced in size, and the patient will have to get used to eating much smaller portions and knowing when to reduce intake.
What Is The Post
Your post-op diet what you eat in the weeks and months after your gastric sleeve surgery is just as important as your pre-op diet. You will begin with liquids and then gradually reintroduce solid foods.
Following your post-op diet is essential if you want to realize the benefits of a bariatric procedure. It will also help you avoid potential health complications, including diarrhea, nausea, vomiting, constipation, and gastric leaks. Here is a week-by-week diet plan detailing what to eat after a gastric sleeve surgery:
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Stage Three Of The Gastric Sleeve Diet: Pureed Soft Foods
Its time to break out the blender. Once you are around two weeks out from your gastric sleeve surgery, you can begin incorporating pureed soft foods into your diet. The key here is to eat slowly and chew thoroughly. You may find that your tolerance for certain foods has changed, so you should take your time testing new food options.
At this stage, your food should be the consistency of a thick liquid or smooth paste. You should continue to avoid chunky or fatty foods, sugar, seasonings, starches and fibrous vegetables like broccoli and asparagus.
Stage three of the gastric sleeve diet includes pureeing the following food items with water, skim milk, broth or sugar-free juice:
- Cooked vegetables
- Cottage cheese
- Plain yogurt
Remember to keep drinking liquids. It is easy to become dehydrated after gastric sleeve surgery because your body is no longer getting fluids from some of the foods you used to eat, so be diligent about your liquid intake.
Week 3 Gastric Sleeve Diet
If you are on post-op week 3 of your gastric sleeve diet, youll be looking for pureed and soft food options. This will last for a couple of weeks or until other foods may be tolerated and cleared by your provider. This article covers what you need to know about foods in week 3 of your post gastric sleeve diet.
Below, you will find a gastric sleeve food list with options that are typically safe during this food stage. We also include information on caring for yourself during recovery.
If you are unsure about anything, speak to your doctor or dietitian. Your doctor or dietitian may provide different food phase guidelines. Its best to stick with those because each case can be very individualized.
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