Download 2015-12-08 AR Nutrition Information for Sleeve Gastrectomy Surgery

NUTRITION AND DIETARY INFORMATION
FOR
SLEEVE GASTRECTOMY SURGERY
DIETITIAN: ____________________
CONTACT NUMBER: 9272 0408
Suite 1A, Level 2, Mercy Medical Centre, Ellesmere Road, Mount Lawley WA 6050
Telephone: (08) 9272 0400 Fax (08) 9370 9732
Email: [email protected] Website: www.mercybariatrics.com.au
DIETARY PROGRESSION POST-SURGERY
Following Sleeve Gastrectomy Surgery, it is important to follow a modified diet
for the first six weeks. This diet will ensure that your body heals and adapts to
the changes in stomach size and digestion. You will start with a liquid diet and
progress through a range of textures and thicknesses until you are back to
regular foods.
LIQUID DIET
A liquid diet should be followed for TWO WEEKS following your surgery.
There are two components to the liquid diet,
the clear fluid phase and the nourishing fluid phase.
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Avoid ALL solid foods during the liquid diet
Increase the quantity of fluid slowly. Start with small sips (max. 50mls)
 Wait to see if you feel any discomfort
 If no discomfort, begin slowly sipping again
 If you feel discomfort or start to feel full, do not drink
again until the feeling has passed
It can take up to 30 minutes to get through one cup of nourishing fluids
Progress through liquid stages gradually, starting with small trials of
liquids until you feel comfortable
CLEAR FLUIDS
A clear fluid diet should be followed for the first 2-3 days post surgery


Clear fluids are fluids that easily pass through a straw
Examples include juice, milk, clear broths or decaf tea or coffee
NOURISHING FLUIDS
A nourishing fluid diet should be followed from
approximately day 3 post surgery
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After the clear fluid phase you will begin to increase the thickness of
fluids as tolerated
The nourishing fluids provide enough protein, energy, vitamins and
minerals during required to help you recover post surgery
The table below describes what nourishing fluid and how much of the
nourishing fluid you will require EACH DAY
How much
each day
What to start
with
(initial)
Protein
2 cups
Dairy
½ - 1cup
Fruit
½ cup
Vegetables
½ cup
Optifast or
Optislim
Low fat ice
cream
Fruit juices
V8 vegetable
juice
Ensure
Nutritional
Supplement
Low fat milk
(can be
flavoured
with Milo)
Sustagen
Sanitarium
Hospital Formula Up and Go
What to
Pureed
Yoghurt
progress to
meat/chicken/fish
when
based soups
comfortable
Low fat
(progression)
custard
Notes



Avoid citrus
as they can
aggravate
reflux
Pureed
fruits
Packaged
puree fruit
tubs
Prepare
meat/chicken/fish
+ vegetable soup
prior to surgery.
Freeze small
portions. Defrost
and puree to
desired thickness
Pureed
vegetable
soups
Pureed
vegetables
If you have
pre-prepared
a pureed
meat and
vegetable
soup, this
equals a
protein and
vegetable
serve
This will total 1L of nourishing fluid.
You require a minimum of 1.5-2 L of total fluid each day.
You will need to drink 0.5-1 L of other fluids to reach this.
OTHER FLUIDS
In addition to nourishing fluids, you will 0.5-1L of extra fluid per day
To reach the desired 1.5-2L of fluid, sip on the following options between
meals.
Aim for one litre of:
 Water – can add lemon or low joule cordial
 Tea/Coffee/Herbal Tea
 Bonox
Sample Nourishing Fluid Meal Plan – initial
Meal
Breakfast
Lunch
Dinner
Snacks x 2
Option
1/2 cup low fat milk
Optifast shake
Optifast shake
½ cup fruit juice
½ cup V8 juice
Nutrient
Dairy ½ cup
Protein 1 cup
Protein 1 cup
Fruit ½ cup
Vegetables ½ cup
Sample Nourishing Fluid Meal Plan – progression
Meal
Breakfast
Lunch
Dinner
Snacks x 2
Option
½ cup yoghurt
+
1-2 tbsp pureed fruit
1 cup meat and
vegetable soup
1 cup chicken and
vegetable soup
¼ cup tinned fruit
½ cup Sustagen
Nutrient
Dairy ½ cup
Fruit ¼ cup
Protein ¾ cup
Vegetables ¼ cup
Protein ¾ cup
Vegetables ¼ cup
Fruit ¼ cup
Protein ½ cup
Quantities are a guide only; consult your dietitian if you have any concerns
regarding the quantities you can manage
Shopping list
1. Multivitamin
You will require a multivitamin supplement to help you achieve your
recommended dietary intake of nutrients. The multivitamin must contain
adequate iron, zinc, magnesium and other minerals to maintain your
nutritional status long term.
We recommended Elevit – 1 per day in the morning.
There are also chewable bariatric specific multivitamins that are available for
purchase at Mercy Bariatrics, or online. These require 2 tablets to be taken
per day.
2. Benefibre
Benefibre can help with both constipation and diarrhoea, which can occur due
to the lack of solids or adequate fibre in the diet. You need to drink at least
1.5L of fluid/day for Benefibre to work.
Take Benefibre only when required - 2 tsp / day or as tolerated
Difficulty Drinking after Surgery
In some cases, the swelling associated with having surgery may make it
difficult to drink and keep fluids down. The following strategies can help you to
maximise your fluid intake.

Begin with small amounts of fluids, 40-50ml over 30 minutes, and build
up your intake as you feel comfortable.

Sit upright when drinking. If you are able to, walk around between
drinks, to aid digestion.

Water can be difficult for some people immediately after surgery. A
small dash of juice or slice of lemon can make water easier to tolerate.

Trial different temperatures. You may find cold or hot beverages work
better than those at room temperature.

Choose very thin fluids to start with as they will be easier to manage.
Reduce the thickness of thicker fluids by diluting with milk, water or ice.

Aim for a minimum of 1.5L total fluids over the day. This will include
fluids such as jelly, soups, juice and other nourishing liquids.

If you are struggling to achieve the required fluid quantities, try freezing
nourishing liquids into icy-pole form and sucking on these slowly over
time.

In some circumstances, rehydration solutions, such as Hydralyte, may
be beneficial to increase hydration.
If you are concerned about your fluid intake, speak to your Bariatric Surgeon
or Dietitian regarding further strategies to increase your fluid intake.