Dietary management in surgical condition
The following are general dietary management for a
patient after gastric
bypasssurgery. This is a type of
surgery that helps the patient to lose weight by changing how thestomach and small intestine handle the food that the patient eats. After the
surgery, your stomach will be smaller
and the patient will feel full with less food.
patient after gastric
bypasssurgery. This is a type of
surgery that helps the patient to lose weight by changing how thestomach and small intestine handle the food that the patient eats. After the
surgery, your stomach will be smaller
and the patient will feel full with less food.
After surgery
For the first day or so after surgery, the patient
is only allowed to drink clear liquids,only 59 to 89millilitres at a time. Once
the patient is able to handle clear liquids, he or she can start having other
liquids, such as skim or low-fat milk.
is only allowed to drink clear liquids,only 59 to 89millilitres at a time. Once
the patient is able to handle clear liquids, he or she can start having other
liquids, such as skim or low-fat milk.
Liquids
you can have during stage 1:
you can have during stage 1:
- Broth
- Unsweetened juice
- Decaffeinated tea or coffee
- Milk (skim or 1 percent)
- Strained cream soup
- Sugar-free gelatin or
popsicles
Pureed
foods
Once the patient is able to tolerate liquids for a
few days, he or she can begin to eat strained and pureed (mashed up) foods.
During this phase, he or she can only eat foods that have the consistency of a
smooth paste or a thick liquid, without any solid pieces of food in the
mixture.
few days, he or she can begin to eat strained and pureed (mashed up) foods.
During this phase, he or she can only eat foods that have the consistency of a
smooth paste or a thick liquid, without any solid pieces of food in the
mixture.
To puree your foods, choose foods that will blend
well, such as:
well, such as:
·
Lean
ground meats
Lean
ground meats
·
Beans
Beans
·
Fish
Fish
·
Eggs
Eggs
·
Soft
fruits and cooked vegetables
Soft
fruits and cooked vegetables
Blend solid foods with a liquid, such as:
·
Water
Water
·
Skim milk
Skim milk
·
Juice
with no sugar added
Juice
with no sugar added
·
Broth
Broth
Soft
foods
After a few weeks of pureed foods, the patient you
can add soft foods — in the form of small, tender, easily chewed pieces — to his
or her diet.
can add soft foods — in the form of small, tender, easily chewed pieces — to his
or her diet.
During this stage, the diet can include:
·
Ground or
finely diced meats
Ground or
finely diced meats
·
Canned or
soft fresh fruit (without seeds or skin)
Canned or
soft fresh fruit (without seeds or skin)
·
Cooked
vegetables (without skin)
Cooked
vegetables (without skin)
Solid
foods
After about eight weeks the patient can gradually
return to eating solid foods. But foods must still be chopped. They should
start slowly with regular foods to see what foods you can tolerate.
return to eating solid foods. But foods must still be chopped. They should
start slowly with regular foods to see what foods you can tolerate.
Foods to avoid:
·
Nuts and
seeds
Nuts and
seeds
·
Popcorn
Popcorn
·
Dried
fruits
Dried
fruits
·
Carbonated
beverages
Carbonated
beverages
·
Stringy
or fibrous vegetables, such as celery, broccoli, corn or cabbage
Stringy
or fibrous vegetables, such as celery, broccoli, corn or cabbage
·
Tough
meats
Tough
meats
·
Fried
foods
Fried
foods
·
Breads
Breads
Sample
menu post operation
menu post operation
Wake-up
6 ounces’ warm herbal tea (no
milk/cream) or broth (warm fluids help in relaxing the stomach muscles)
milk/cream) or broth (warm fluids help in relaxing the stomach muscles)
Breakfast
o 8:00 am –
6 ounces JUICE – Apple or cranberry, white grape, Gatorade, vitamin water
(fifty percent water, fifty percent juice)
6 ounces JUICE – Apple or cranberry, white grape, Gatorade, vitamin water
(fifty percent water, fifty percent juice)
o Sugar-free
Jell-o
Jell-o
Mid-morning snack
o 10:00 am-
6 ounces’ warm tea (no milk/cream) or broth
6 ounces’ warm tea (no milk/cream) or broth
Lunch
·
12:00 – 6 ounces Vitamin water
12:00 – 6 ounces Vitamin water
·
Sugar-free Jell-O
Sugar-free Jell-O
Mid-afternoon snack
·
3:00 pm – 6 ounces’ herbal tea or broth
3:00 pm – 6 ounces’ herbal tea or broth
Dinner
·
5:00 pm 6 ounces’ white grape juice ((50% water,
50% juice)
5:00 pm 6 ounces’ white grape juice ((50% water,
50% juice)
·
Sugar-free Jell-O or Sugar-free Popsicle
Sugar-free Jell-O or Sugar-free Popsicle
Evening snack