Bariatric surgery is for the purpose of weight loss and may involve reduction of the size of the stomach and/or modifications to the intestine to limit food absorption. Common surgeries include; gastric sleeve, bypass and banding. Most weight loss procedures are performed via keyhole surgery (laparoscopically) and are typically performed on those with a body mass index >35.
Bariatric surgery procedures require patients to undergo strict pre and post operation dietary changes in order to make successful weight loss achievable; the surgical procedure itself is only half of the job done.
Prior to the surgery, the patient will need to go on a typically liquid based pre-op diet, involving a shake diet plus free vegetables. The main aim is to remove fat from the liver, reduce post-surgical pain and possibly reduce surgical time. When there is fat in the liver, the organ is larger, more fragile and bleeds easily.
When it comes to the post-op on a post gastric sleeve diet plan, with our Tweed and Gold Coast Dietitians providing, like all weight loss plans diet and exercise still matter. Energy output still needs to exceed energy input in order for successful weight loss to occur even after such a surgery. Great Ideas in Nutrition can help you with advice on an after bariatric surgery plan, with Gold Coast Dietitians providing assistance for the fluid and puree regimes soon after surgery as well as long-term eating guides.
With all bariatric surgeries, it is common to achieve maximum weight loss at approximately 12 months post surgery and sometimes experience weight regain at 2 – 5 years post surgery. The Dietitians at Great Ideas in Nutrition recommend a maximum meal volume of 1 cup post-surgery to ensure maintenance of the restrictive component of the surgery.
There is nothing you can’t eat. It’s more about how much, how often and the way in which you eat. For example chewing well, keeping fluids separate and eating slowly.
For some people a major change to the type of food is required to provide a healthy intake. We often recommend a reduction in carbohydrate based foods such as rice, pasta and potatoes at main meals to leave sufficient space for protein and vegetables. It’s also a good idea to ensure snacks provide vital nutrition which may mean substituting fruit, dairy, vegetables or nuts for less healthy choices.
Sweetened beverages provide calories without significant nutritional value so are best avoided before and after any weight loss surgery. Carbonation may or may not be a problem causing burping and pain from trapped gas. This depends on how easily the gas can escape. It is very unlikely that even trapped gas would expand or stretch the stomach as some sites propose.
Amanda Clark has determined our most commonly prepared and bought meals and foods, and through careful analysis. Portion Perfection for Bariatrics has been designed for people around the globe, having undergone gastric sleeve, bypass or banding surgeries. The Complete Pack includes the Portion Perfection for Bariatrics Book (a gastric sleeve cookbook), Portion Perfection Bariatric Plate and Bowl in either porcelain or melamine, the 4 Week Weight Loss Menu Plan and the Healthy Snack Bible. Portion Perfection also produces a handy Free Vegetables cookbook – great for the pre-surgery regime and long-term eating, and handy snack containers in the right portion size.
Amanda Clark (Great Ideas in Nutrition owner for Gold Coast, Tweed Heads and Lismore) has joined with US nutrition expert Dr Susan Mitchell to produce the free podcast Beyond Bariatric Surgery – everything you need to move on. Together these professionals deliver fortnightly content that is practical and valuable to the bariatric surgery community. You can find the podcast on your favourite podcatcher.
Enquire about your gastric sleeve diet pre and post-op diet needs today!
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