Download English - Columbia University Department of Surgery

New York Presbyterian
The University Hospital of Columbia and Cornell
Columbia University Center for Metabolic and Weight Loss Surgery
Columbia University Medical Center The Herbert Irving Pavilion
161 Fort Washington Avenue, 5th Floor, Room 524
New York, New York 10032
Telephone: (212) 305-4000
Fax: (212) 342-1996
Important Reminders After Weight Loss Surgery Surgery
1) Do not skip meals and do not go longer than 3-4 hours without eating.
2) Eat something for breakfast, lunch and dinner with 2 to 3 snacks to meet your protein
needs. A meal should consist of a lean protein and vegetables. Eat your protein food first.
3) Make sure that you meet your protein requirements every day: at least 60g – 80g.
4) Eat slowly. Take bites no bigger than the size of a dime.
5) Chew food thoroughly, 15-25 times or more, till liquid before swallowing.
6) Do not spend more than 20 continuous minutes eating a meal.
7) Consume one fruit serving (as a snack) and 2 non-starchy vegetable servings per day, if
possible, once you have covered your protein needs.
One serving of fruit = one piece, 1 cup berries, 1 cup melon cubes
One serving of vegetables = ½ cup cooked, 1 cup raw
8) Advance foods as tolerated.
** Beef (steaks, roasts, ribs), rice and pasta should NOT be added until 3 months
after surgery as they may cause discomfort. All breads and rolls should be toasted.
9) GASTRIC BYPASS PATIENTS ONLY: Avoid foods and beverages that contain too much
sugar to prevent Dumping Syndrome.
ALL PATIENTS: Stay away from beverages that contain sugar (e.g. regular soda, juice,
Gatorade®, POWERADE®) and that are high in fat (e.g. whole milk). Do not drink your
calories!!!
10) Do not drink carbonated beverages.
11) Do not drink liquids for at least 15 minutes before and 30 minutes after eating.
12) Aim for six to eight 8 oz. cups (48-64 ozs.) of fluid a day.
13) Take your multivitamins and minerals everyday as discussed with your dietitian.
14) Exercise with elevated heart rate for at least 30 minutes every day and incorporate
more physical activity into your daily routine, (i.e. taking the stairs, walking to the store).
Do not sit more than one hour without getting up and walking.
15) Don’t forget to make your follow-up appointments.
16) Call your dietitian with any diet related questions!
(OVER)
Sample Menu-Regular Food
(Start 5 or 6 weeks after discharge)
Breakfast (7am)
1 scrambled egg
½ slice whole wheat bread, toasted
1 tsp butter
7 grams protein
1.5 grams protein
Snack (10 am)
8 ounces high protein drink
25 grams protein
Lunch (1pm)
1-2 ounce(s) turkey meatloaf
¼-½ cup cooked green beans
7-14 grams protein
1-2 grams protein
Snack (4 pm)
1 ounce low-fat Swiss cheese
½ cup strawberries
7 grams protein
Dinner (7:30 pm)
1-2 ounce(s) baked fish
½-1 cup chopped salad
7-14 grams protein
1-2 grams protein
Snack (10:00 pm)
5 ounces Total 0% Greek Yogurt
15 grams protein
Total Protein: 71.5g-87.5g
Nancy Restuccia, MS, RD, CDN
Meredith Urban-Skuro, MS, RD, CDN
Revised 3/13, 6/16/2014