diet
How long will I be off of solid foods after surgery?
Most surgeons recommend a period of four weeks or more without solid
foods after surgery. A liquid diet, followed by semi-solid foods or
pureed foods, may be recommended for a period of time until adequate
healing has occurred. Your surgeon will provide you with specific
dietary guidelines for the best post-surgical outcome.
What are the best choices of protein?
Eggs, low-fat cheese, low-fat cottage cheese, tofu, fish, other seafood, chicken (dark meat), turkey (dark meat).
Why drink so much water?
When you are losing weight, there are many waste products to eliminate,
mostly in the urine. Some of these substances tend to form crystals,
which can cause kidney stones. A high water intake protects you and
helps your body to rid itself of waste products efficiently, promoting
better weight loss. Water also fills your stomach and helps to prolong
and intensify your sense of satisfaction with food. If you feel a
desire to eat between meals, it may be because you did not drink enough
water in the hour before.
What is Dumping Syndrome?
Eating sugars or other foods containing many small particles when you
have an empty stomach can cause dumping syndrome in patients who have
had a gastric bypass or BPD where the stomach pylorus is removed. Your
body handles these small particles by diluting them with water, which
reduces blood volume and causes a shock-like state. Sugar may also
induce insulin shock due to the altered physiology of your intestinal
tract. The result is a very unpleasant feeling: you break out in a cold
clammy sweat, turn pale, feel "butterflies" in your stomach, and have a
pounding pulse. Cramps and diarrhea may follow. This state can last
for 30-60 minutes and can be quite uncomfortable - you may have to lie
down until it goes away. This syndrome can be avoided by not eating the
foods that cause it, especially on an empty stomach. A small amount of
sweets, such as fruit, can sometimes be well tolerated at the end of a
meal.
Is there a problem with consuming milk products?
Milk contains lactose (milk sugar), which is not well digested. This
sugar passes through undigested until bacteria in the lower bowel act
on it, producing irritating byproducts as well as gas. Depending on
individual tolerance, some persons find even the smallest amount of milk
can cause cramps, gas and diarrhea.
Why can't I snack between meals?
Snacking, nibbling or grazing on foods, usually high-calorie and
high-fat foods, can add hundreds of calories a day to your intake,
defeating the restrictive effect of your operation. Snacking will slow
down your weight loss and can lead to regain of weight.
Why can't I eat red meat after surgery?
You can, but you will need to be very careful, and we recommend that
you avoid it for the first several months. Red meats contain a high
level of meat fibers (gristle) which hold the piece of meat together,
preventing you from separating it into small parts when you chew. The
gristle can plug the outlet of your stomach pouch and prevent anything
from passing through, a condition that is very uncomfortable.
How can I be sure I am eating enough protein?
50 to 65 grams a day are generally sufficient. Check with your surgeon to determine the right amount for your type of surgery.
Is there any restriction of salt intake?
No, your salt intake will be unchanged unless otherwise instructed by your primary care physician.
Will I be able to eat "spicy" foods or seasoned foods?
Most patients are able to enjoy spices after the initial 6 months following surgery.
Will I be allowed to drink alcohol?
You will find that even small amounts of alcohol will affect you
quickly. It is suggested that you drink no alcohol for the first year.
Thereafter, with your physician's approval, you may have a glass of wine
or a small cocktail.
Will I need supplemental vitamins?
B12 will be given to you while you are in the hospital. Some patients
may also be expected to continue to take B12 either by injection or
sublingually (under the tongue).
What vitamins will I need to take after surgery?
Most surgeons recommend a daily multivitamin for the rest of your life.
Is it important to take calcium, iron, trace elements or female hormone replacements?
Some patients require these supplements, but your need for these can be determined by your surgeon.
Do I meet with a nutritionist before and after surgery?
Most surgeons require patients to consult with a nutritionist before surgery. Counseling after
surgery is available on an individual basis as needed or required by your physician.
Will I get a copy of suggested eating patterns and food choices after surgery?
Yes, this is provided to patients at their nutritional evaluation. This
material clearly outlines expectations. After surgery, health and
weight loss are highly dependent on patient compliance with these
guidelines. You must do your part by restricting high-calorie foods, by
avoiding sugar, snacks and fats, and by strictly following the
guidelines.
