The following information includes general guidelines for patients who have undergone bariatric surgery. NOTE: This is not medical advice. If you are a weight- loss surgery patient, please follow the instructions given to you by your surgical team. Day 0 (Day of Surgery)In the hospital you will not be able to eat or drink by mouth until an esophagram (barium swallow) has been performed. This will happen the day after your surgery. Post- Op Day One. Once you have had your esophagram and have been cleared to drink liquids, you should aim to drink of 2. A laparoscopic adjustable gastric band, commonly called a lap-band, A band, or LAGB, is an inflatable silicone device placed around the top portion of the stomach to treat obesity, intended to slow consumption of food and thus. A Ready to Use Lap Band Eating Plan by Georgie West, All About Lap Band Here is the eating plan that my nutritionist gave to me for the different stages of eating after having surgery. I found it very easy to follow and stick to during. RECOMMENDED ACTIVITIES AFTER LAP-BAND SURGERY LAP-BAND patients are encouraged to become as physically active as possible. It is highly recommended that you engage in at least 30 minutes of exercises a day. Try sipping one ounce (3. Stop when you feel full. Clear liquids include: Sugar- free, diet, non- carbonated beverages such as Crystal Light, sugar- free Kool- Aid, sugar- free Tang, Diet Snapple, FUZE, Powerade Zero, Diet V8 Splash, Propel, Fruit. O, coffee, tea and water Low- sodium broth soups (chicken, vegetable or beef). Tomato soup and other creamy soups are not broth soups. It needs to be a clear liquid and can NOT contain bits and pieces of meat, tofu, noodles or vegetables. Each serving should not contain more than 1. Bullion cubes are not acceptable as they are too high in sodium. The best places to find low- sodium broth (1. Trader Joe’s, Sprouts and Whole Foods. Sugar- free Jell- O and sugar- free popsicles Isopure or Syntrax Nectar (clear protein drinks) Few tips to meet your daily fluid needs: Carry a large water bottle with you wherever you go. Drink the things on the clear liquid list that you enjoy the most. Doctor Search LAP-BAND . Once you have progressed thru your post-op diet of liquids and pureed foods and. Home > Bariatric Surgery > LAP-BAND Those who are looking for an effective solution for how to lose weight may think that the Lap Band is a cure-all method that does all of the dieting work for you. The truth is that the real work begins after surgery. Make a slushy by adding ice to your beverage and blending it. Post- Op Day Two You should aim for a goal of 4. Your goal is to consume two ounces (6. L) every hour. Remember 6. If you aren’t able to drink this amount of fluids just yet, don’t worry; just continue to shoot for that goal each day. Your food will continue to be in the liquid form because your stomach is still swollen and tender on the inside, and your stitches need time to heal. Muscle Milk (Costco, Target, GNC and major grocery chains)b. Pure Protein Shakes (Trader Joe’s)c. Premier Protein Shakes (Costco)d. EAS 1. 00% Whey Protein Powder (Walmart)e. Jay Robb Protein Powder (strawberry, vanilla, chocolate and unflavored – available at Sprouts and Whole Foods)f. Jay Robb Egg White Protein Powderg. Soy protein powder (for those with lactose intolerance – available at Sprouts and Whole Foods)h. Syntrax Nectar or Isopure (GNC and Vitamin Shoppe – for those with lactose intolerance or just wanting different juice like flavors) Note: Lactose- free products include Jay Robb Protein Powders, soy protein powders, Syntrax Nectar or Isopure. Post- Op Weeks Three and Four. Pureed and blended foods are added. In week three you may begin eating . Start focusing on your food intake. Keeping a food journal is a great way to stay on track. From this point forward your daily goals are: 1,0. Remember your stomach is still healing during this phase. In order to allow these areas to heal properly without stress to your stitches and to allow your small stomach pouch to get used to its new role, the food you eat must already be broken down and liquefied (blended or pureed). If you attempt to eat solid food now, your stitches and your procedure will be unsuccessful. Remember this area is still tender and needs time to heal. Please note, everyone heals at a different rate, therefore, you may feel absolutely no restriction or a lot of restriction at this point. Regardless, you must follow the progression of the post- surgery diet to assure healthy healing. Examples of foods that can be blended or pureed: Cooked, canned or steamed vegetables Tuna, chicken or egg salad (hard- boiled egg, nonfat or light mayo, mustard and relish) Low- sodium soup Oatmeal Small curd nonfat or low- fat cottage cheese Homemade smoothies (nonfat or light yogurt, Greek yogurt, soy yogurt, fresh fruit) Beans Note: The above foods need to be pureed during post- op weeks three and four. Avoid Drinking Liquids with Your Meals. Liquids make the stomach pouch expand and won’t allow enough room for the blended food. If the food passes through the stomach, you will be hungry sooner and more likely to snack. Aim to stop drinking liquids at least 3. Post- Op Week Five and Six. Soft foods are reintroduced. Slowly introduce new foods into your diet. A soft diet does not mean the foods have to be blended, but it does mean that they should be foods that are easy to tolerate, such as bland foods. There will be some foods that you may not be able to tolerate at this time and therefore should wait until at least seven weeks post- op before trying them. If intolerance does happen, please do not feel like you can never have this particular food again. You may just need to prepare it differently the next time. There is no need to lock yourself in a box! Just give your body a few more weeks and then try the food again. If the food is still intolerable, it is probably best to avoid that food for the time being. Appropriate soft foods for the soft diet include: Tuna, chicken, or egg salad (hard- boiled egg, nonfat or light mayo, mustard, relish) Fresh or frozen fish Eggs or Egg Beaters Beans Cooked, canned or steamed vegetables Fruit without skin Sugar- free pudding Nonfat or light yogurt, Greek yogurt, or soy yogurt Nonfat or low- fat cottage cheese Low- sodium soups Baked potato (regular or sweet) Low- sugar, high- protein cereal Note: You do not have to blend or puree these foods, but make sure you chew them thoroughly. Post- Op Week Seven and Beyond. At this time, there are no texture restrictions. Remember that bariatric surgery restricts solid foods. If you are eating soft and/or mushy foods, you may not feel the restriction. Please follow a well- balanced diet with a focus on lean protein sources. Bariatric surgery is a tool to help you lose weight, you will still need to watch your calorie intake (by reading food labels and keeping a food diary) and. Remember to: Chew your foods 2. Pay attention to your body’s signals of fullness (often pressure or discomfort). Avoid drinking fluid for 3. Include protein as part of each meal, and eat your protein foods first. Protein assists with healing, maintaining muscle mass, preventing hair loss, and providing energy. It is digested slowly so it helps you continue to feel full. Choose from these health protiens: Chicken (soft, moist, canned, or thinly sliced deli meats; do not eat fried chicken) Turkey (soft, moist, canned, ground, thinly sliced deli meats) Fish (soft, moist, canned, or fresh fish, or shellfish) Lean ground beef (9. Yogurt (nonfat, light, artificially sweetened or plain) Cottage cheese (nonfat or light) Eggs or egg whites (Egg Beaters) 9. Soy Tofu Lentil, black bean or split pea soup Protein shakes (Pure Protein, Premier, Jay Robb Protein Powder, soy protein powder, EAS 1. Whey, Muscle Milk Light) Protein drinks (Isopure, Syntrax Nectar) Textured vegetable protein (TVP) Milk or nonfat dry milk Food Intolerances. Food tolerance varies from person to person and from day to day in a given individual. If you experience difficulty with a specific food that does not mean you will never be able to eat it again. You can try to eat it again a few weeks later. Time of day and stress levels can affect how you handle particular foods. If you are following the recommended eating practices it could be the texture of the food, preparation of the food or just the food itself that’s causing the problem. If you are experiencing tightness in your chest, nausea or vomiting, it could be you have an intolerance to that particular food at this time, but that does not mean you always will. Here are a few examples of foods that may cause problems: Dry or overcooked meats Skins of certain fruits and vegetables (potatoes, apples or oranges) Doughy or sticky foods (white bread, croissants, donuts, cakes, bagels) Rice or pasta Stringy or fibrous foods (broccoli, asparagus, celery, pineapple or artichoke – all of these foods are tolerated better if they are cooked thoroughly). Gastric Banding (Lap- Band) Surgery Post Operative Diet. Post- op Diet for Gastric Banding. Just as it is critical to follow a diet as directed by a patient. The time immediately following surgery is a time for scar tissue to form around the band that has been placed. This healing process ensures correct positioning. The band does limit the amount of food the stomach pouch can hold, but the patient is still in control of what kinds of foods are consumed. Eating improper food during the post- op period can cause damage. The stomach muscles during digestion squeeze and churn to break down food during the process. These actions place stress and pressure on the band and sutures placed during surgery. Surgeons and surgical clinics commonly have specific eating guidelines for their patients, but general guidelines for post- op gastric banded patients include the following: First Phase, Gastric Banding Surgery. Patients typically begin consuming sips of water the day of surgery. Additional fluids are introduced the day following gastric banding. Once fluids are easily tolerated, patients progress to a puree diet. Pureed foods are foods that are easy to swallow. They are the consistency of pudding or moist mashed potatoes. Food should be eaten in 4 to 5 small meals each day. Many patients report a poor appetite immediately following gastric banding. This sense of fullness will likely be felt more in the chest area than in the stomach area due to the gastric banding procedure. Drinking 6- 8 8 ounce glasses of water daily is highly advisable. Dehydration is a major problem linked to bariatric surgery patients since the stomach is so much smaller. Drinking also has a tendency to push food through the stoma that is not healthy for patients that have undergone gastric banding. Eating and drinking should be done separately. Sip water whenever possible. After the First Four Weeks. Many patients are ready for a solid diet at this phase of their recovery. Each will differ in the foods they can tolerate but the standards for healthy eating habits following a gastric banding procedure include: Eat three meals per day and avoid snacking between meals. Continue to eat slowly and stop as soon as you feel full. Eating too quickly with a band in place can result in a blockage, pain, or vomiting. Do not drink at meal times . Each patient is different but some foods that could cause potential problems such as stoma blockages include: Vegetables and fruits that contain stringy fibers. Sticky foods like pasta, rice, peanut butter and bread. Gum (Swallowing gum could lead to an obstruction that requires medical intervention)Meat needs to be chopped into very tiny pieces and chewed extremely well. Some providers advise avoiding steak for at least the first six months following surgery. Crunchy foods such as popcorn and nuts are high- risk foods that can contribute to blockages. Multivitamins after a gastric band. Patients undergoing gastric banding will likely experience an altered ability to absorb nutrients. Many surgeons recommend a regimen of various supplements that may include: Multivitamin with 1. Calcium Citrate with Vitamin DB- Complex. Six Rules of Dieting After Lap Band Surgery. Protein is important; protein should be 5. Water should be consumed 6. Drinking liquids should be consumed at a different time from consuming food; avoid liquids for a period of 1. Eat only three times per day once you begin solid foods ( phase 4). Avoid foods that contain sugar; sugar will add calories to your diet and will slow your weight loss progress. Eat slowly will help you as the food enters your stomach. Eating slowly will help ensure that you don.
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