A Step In The Right Direction
Preparing for any kind of bariatric procedure involves a lot of information and personal preparation that can all feel very overwhelming. However, its important to keep in mind that rather this is a step in the right direction.
As restrictive as the liquid diet before surgery is, remember that this is you taking back control of your health and your life. After their operations most patients lose between 100-200 pounds of unhealthy body weight or more. Imagine how that would feel! Its time to start living the healthy energetic lifestyle you want, and the pre-op liquid diet before your surgery is the first step.
Days Prior To Bariatric Surgery
Some medications may need to be discontinued before surgery depending on the instructions of your SURGEON.
Specific medications to STOP: Coumadin, ANY ANTICOAGULANTS, OR BLOOD THINNERS Plavix, Aspirin, Ibuprofen, Motrin, Advil, Nuprin, Aleve or any other nonsteroidal anti-inflammatory medication. *Remember this also includes baby aspirin and most arthritis medications. As these can cause stomach irritation and possible more bleeding postoperatively.
If there are any medications you need to stay on, talk directly with our surgeon liaison.
Blended Or Pureed Diet
Step 2 also lasts one to two weeks and includes blended or pureed food that is high in protein and low in fat . This includes:
- Lean meats: Chicken, turkey, tuna, etc.
- Soft foods: Scrambled eggs, cottage cheese, Greek yogurt, etc.
While the thought of eating blended or pureed food is hard for some people, patients have been on a liquid diet for so long by this point that theyre usually just happy to be getting solid food in their body, Lisa said.
Also, even though the liquid diet step is over, its still important for you to maintain the commitment to drink 64 ounces of fluids per day to avoid dehydration . This must be a lifelong commitment.
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A Simple Gastric Sleeve Pre
Your dietitian may have a pre-surgery protocol, but if you need one we have turnkey options that you can order today. They include everything you need in the perfect amounts so you dont have to do any shopping or guesswork no matter how long you need to be on the diet.
All you need to do is order the bundle that corresponds to your required pre-op diet duration, follow the instructions and youll be ready for surgery!
Sugar Sweetened Beverages And Weight Gain
- The opinions expressed either in video, word, or verbal are subjective and the opinions of the individual.
- These are not to be interpreted as typical results as that may vary.
- In no way shall Dr. Rosen or Weight Zen be responsible for damages by following a written patient testimonial.
- Bariatric Surgery is a safe and effective form of treating obesity. To read the most recent case studies please visit this link.
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How Long Is The Gastric Sleeve Pre
The duration of your pre-op diet is determined by your current BMI. Like we learned a moment ago, the lower your BMI, the lower your chances of complications happening. So it stands to reason that the higher your BMI, the longer youll be on the pre-op diet.
Specifically, heres how the diet-duration relates to BMI values:
- BMI < 38: Exempt from the diet, but you will follow the 2 days of liquids prior to surgery*
- BMI 38 39.9: Youre on the diet for One Week
- BMI 40 44.9: Youre on the diet for Two Weeks
- BMI 50 49.9: Youre on the diet for Three Weeks
- BMI > 50: Youre on the diet for Four Weeks
Heres a simple calculator to see how long you will likely be on the pre op diet.
Staying Healthy On The Pre
It can be challenging to stay healthy on the pre-op diet plan, but it is important that you give your body only the healthiest of foods. The liquid-only diet should consist of 800 to 1,000 calories daily.
This might seem challenging but can happen very easily. In fact, some patients will go over this amount and then suffer symptoms such as mood swings, headaches, and other difficulties. Caffeine should be avoided as much as possible during this time.
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What Does The Pre
Two weeks before surgery, youll go on a mostly liquid diet, though some solids may be permitted depending on your situation. In general, your diet will consist of:
- Protein powder in low-calorie fluids>
- Other high-protein, low-calorie fluids and foods
The goal is to keep your calorie and carbohydrate intake to a minimum while also increasing protein. By reducing calories, youll shrink your liver, which is perhaps the most important goal here. This is because obese patients often have whats called fatty liver disease, and your surgeon will need to get around your liver to access your stomach for surgery.
Liquid Diet Before Gastric Bypass Surgery
The question of how to survive liquid diet before bariatric surgery is sometimes more important for gastric bypass patients, particularly when they also have type 2 diabetes. For these patients, it becomes important to manage their blood sugar levels while achieving the goals of a liquid diet before gastric bypass surgery.
Here are the core elements of pre bariatric surgery liquid diet for Roux-en-y gastric bypass patients:
- Exclude all types of solid, pureed, or soft foods from the diet two weeks before gastric bypass.
- Low carb / high protein shakes containing about 25g of protein per 10 oz. serving are recommended.
- Hot cereals and strained soups along with other low fat, sugar free liquids are acceptable.
- Just one decaffeinated coffee or tea may be consumed per day to improve hydration.
- One bottle of electrolyte beverage of up to 16 oz. may be allowed per day.
- A daily multivitamin to cover the essential nutrients may be a part of your liquid diet before gastric bypass surgery.
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Days Prior To Gastric Sleeve Surgery
Specific medications to discontinue: Coumadin, Plavix, Aspirin, Ibuprofen, Motrin, Advil, Nuprin, Aleve or any other non-steroidal anti-inflammatory medication. **Remember this also includes baby aspirin and most arthritis medications. As these can all cause stomach irritation and possibly more bleeding postoperative.
Discontinue Vitamin E
For a headache or minor pains, you may use Tylenol.
Do not take any herbal medications/remedies.
Bariatric Surgery Diet: What You’ll Eat Before Surgery
For patients who are scheduled to undergo bariatric surgery, your surgeon may require you to try a special diet prior to the procedure.
Bariatric surgeries are weight-loss procedures that involve making changes to the digestive system. Itâs a solution for patients with a body mass index of 40 or higher who have been unable to achieve a healthy weight-loss for a period of time.
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What Is A Gastric Sleeve
The gastric sleeve is the functional part of the stomach after gastric sleeve surgery, also called a gastrectomy. It represents about 15% of the stomachs original volume. The sleeve is separated from the rest of the organ, which plays no further role in the bodys digestive process. Its small size reduces appetite and aids in long-term weight control. Gastric sleeve surgery is permanent it cannot be reversed.
Disciplined Diet Before And After Weight
The decision to undergo bariatric surgery isnt easy. People suffering from obesity and its side effects come to this decision after years of struggling and failing to lose weight through diet and exercise.
Aside from choosing to undergo surgery after consulting with a physician, your biggest requirement is commitment to a lifestyle change of eating the right foods in the right portions, losing weight and keeping the weight off for the rest of your life. And that change must begin before surgery.
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Reason #: Decrease Liver Size
Reason number three is, in my opinion, the most important one. As you gained weight your liver grew with you. You get was its called a Fatty Liver.
The problem with having a large liver during bariatric surgery is that your surgeon might not be able to complete the operation.
Let me explain.
The stomach is located under the liver. During surgery, your bariatric surgeon will elevate the liver to get to the stomach so he can make it smaller so you can lose weight.
If your liver is excessively enlarged, the surgeon might not be able to get to the stomach. I saw two patients during my residency at the University of Florida in Gainesville prior to implementing the liquid diet that the surgery had to be aborted due to a large liver.
It is scientifically proven that just 2 weeks on a Low Fat, Low Carbs, High Protein, Low-Calorie diet will decrease your liver size by at least 25 percent.
So, dont take the chance. Stick to the diet and your surgery most likely will be completed as planned.
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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Week 5 Diet And Beyond
Now that you can eat solid food safely, its time to put your new-normal eating plan into long-term effect. Keep the emphasis on lean protein and vegetables, introducing one food at a time so that you can monitor your bodys reaction. Foods you should avoid entirely, or only eat on occasion from this point forward, include sugary sweets and soda. All other foods can be incorporated back in unless they trigger symptoms.
Choose your foods wisely, picking nutrient-dense options, and avoid empty calories. Eating three small meals a day, with minimal snacks, may help you stick to your plan. Also make sure to always remain hydrated.
General Bmi Guidelines For Pre
Since we understand that higher BMIs increase the risk for complications related to surgery, it makes sense that the duration of a pre-operative diet to reduce BMI before surgery should be longer for individuals with a higher BMI, and shorter for those with a lower BMI. Here is a handy chart that gives a basic outline of what it would look like .
Pre-Op Gastric Sleeve Diet Duration Chart
|Follow surgeon-provided instructions .|
|8 hours||Nothing to eat or drink! Nada, zilch, zero! This is very important for your safety during surgery. If you cheat on this, the surgeon will probably cancel your procedure, it is THAT serious.|
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What Is A Pre Op Bariatric Meal Plan
Pre op bariatric meal plan must include all the macronutrients in the prescribed limits . Generally, the diet allows you to consume 100 grams of carbohydrates per day.
Besides, your diet must be low in fats and moderate in terms of proteins. So, the total calorie intake during the day must not exceed 1000-1200 calories per day .
Reason #: Clean Stomach
I have a story that will explain reason #6 very well.
Back in 2009 when I was a chief resident I did a laparoscopic sleeve gastrectomy with one of my mentors. We did the case normally and the patient had absolutely no issues but a lot of things could have gone wrong for the patient just because he didnt follow the diet.
During his surgery, we notice that the patients stomach was larger and heavier than normal but we divided the stomach without issues. At the end of the procedure, we did a routine endoscopy to evaluate the sleeve and to check for leaks. An endoscopy is basically putting a camera through your mouth down to the stomach so we can see the stomach from the inside.
To our surprise, we found pieces of chicken between the staple lines.
Are you kidding me? The patient put his own life at risk for a piece of chicken right before surgery. Again nothing happened to the patient but the learning point here is dont do it.
Its not worth it.
Apparently this patient was a sleepwalker and the night before the surgery he went to the fridge and eat some leftover Chinese food with chicken broccoli.
We need your stomach clean. Old pieces of food inside the stomach will increase the chances of complications. It also increases the number of bacteria inside your stomach, again increasing the chance of infection.
Also, it will feel very good to you knowing that you put your best foot forward. Yes, You did it.
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Get Ready For The Post
The gastric sleeve pre-op diet sets the stage for adopting healthier habits. These habits are necessary for finding long-term success with bariatric surgery.
After surgery, you will follow the gastric sleeve post-op diet.
For the first week following your procedure, youll continue consuming clear liquids as you did in the days preceding surgery. This clear liquid diet helps to avoid postoperative complications, such as gastric leakage, bowel obstruction, dehydration, constipation, and diarrhea.
Drinking clear liquids also gives your body time to heal. The post-op diet will contribute to adequate healing as well.
During this time, drink plenty of clear liquids. Try not to drink anything containing sugar. Consuming sugar as a gastric sleeve patient can leave you open to suffering from dumping syndrome.
The Bottom Line On The Gastric Sleeve Pre
No matter what bariatric procedure youre having, you must follow a pre bariatric surgery diet in order to properly prepare yourself for surgery.
Its not something you can get around and if you cheat on the pre-op diet your surgeon will know and in some cases cancel your surgery if they think its going to compromise your health and safety.
Take this seriously and follow it to a T. Its such a short period of time in the grand scheme of things. Remember why youre having surgery and use your goals as motivation to stay the course.
You got this!
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Bienvenidos To Elias Ortiz And Company
We welcome you into our circle of friends and family. We promise that we will help support you along every step of your journey. With preparing for the pre -op diet, we believe in keeping it SIMPLE.
The pre op diet is designed to help you prepare for your surgery in several ways:
- Physically it helps to clean out the stored glycogen from the liver which helps to shrink and make the liver less inflamed. It does help to reduce intra-abdominal belly fat .
- Mentally it will help you adjust to eating smaller portions, and eating a lean, green and clean diet unprocessed foods.
Week 4 Introducing Foods
Youve followed your diet up to week four. Now its time to start introducing real foods.
Your sleeve and stomach are still sensitive, so go slow and remember to chew each bite thoroughly. Youre done with pureed foods, but you should continue to look for softer versions of food during this week.
- Continue your daily protein shakes
- Introduce chicken and beef very slowly. Ensure you chew thoroughly.
- Any type of fish.
- Strawberries or fresh fruit.
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What Happens If I Cheat On My Pre
The pre-op diet is critical for two reasons:
The main reason you are asked to follow a specific diet before a surgical procedure is to ensure your safety, so you are not doing yourself any favors if you cheat. Not following the required diet may result in negative consequences. The medical team will be monitoring your BMI in the weeks leading up to your surgery so if they are not seeing the required improvements, they may re-schedule your surgery.
If your surgeon begins the laparoscopic gastric sleeve procedure and can not gain access to the stomach due to an enlarged liver, they may stop the surgery and postpone it until a later time. It would be disappointing to have made it that far just to have to repeat the process at a later time.
Remember Why Youre Doing It
When youve taken the time to research and prepare for a major procedure like the gastric sleeve, you should want everything to go off without a hitch.
Keep your surgeons recommendations and valuable time in your thoughts. Not adhering to the pre-op diet can hinder your health and may delay surgery for safety reasons.
To stay on schedule and convey to your surgeon that you are committed to success, do your best to stick with the pre-op diet, no matter what.
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A Special Note For Diabetic Patients: How To Modify The 2 Week Pre Op Diet
If you use insulin and/ororal medication to treat your diabetes, youre at risk of experiencing lowblood sugars as you reduce carbs and calories on the bariatric 2 week liquidpre op diet.
Contact your doctor todiscuss your blood sugar management before starting the pre surgery livershrinking diet plan. Its likely youll need to reduce your insulin or oralmedication because the bariatric preop diet is low in carbohydrate and caloriesand will make your blood sugars go lower than normal.
Monitor your blood sugarcarefully and contact your doctor as needed