Post-Bariatric Surgery Guidelines

Post-Bariatric Surgery GuidelinesMany people have a hope that weight-loss surgery is a magic bullet that will cure their weight problems forever. This is wishful thinking that can lead to weight regain from patients taking a passive approach toward lifestyle change. The truth is that while bariatric surgery has been literally life-saving for some severely obese people, to have long-term success the bariatric patient must be committed to making life-long changes after surgery.

All bariatric surgery patients should receive follow-up care from a multidisciplinary team of experts that includes a primary care physician, endocrinologist, and gastroenterologist. This team can work together to help prevent weight regain and provide guidance about options for staying well after surgery.

All bariatric surgery patients should participate in nutrition educational programs, and they should be followed closely to prevent, detect, or treat nutritional deficiencies. This is essential among those who have malabsorptive surgeries such as gastric bypass.

General dietary guidelines after bariatric surgery:

  • Eat balanced meals with small portions.
  • Follow a diet low in calories, fats, and sweets.
  • Eat slowly, and chew small bites of food thoroughly.
  • Avoid rice, bread, raw vegetables and fresh fruits, as well as meats that are not easily chewed, such as pork and steak. Ground meats are usually better tolerated.
  • Do not use straws, drink carbonated beverages, or chew ice. They can introduce air into your pouch and cause discomfort.
  • Avoid sugar, sugar-containing foods and beverages, concentrated sweets and fruit juices.
  • For the first two months following surgery, your calorie intake should be between 300 and 600 calories a day, with a focus on thin and thicker liquids.
  • Daily caloric intake should not exceed 1,000 calories.
  • Drink extra water and low-calorie or calorie-free fluids between meals to avoid dehydration.
  • Sip about 1 cup of fluid between each small meal, six to eight times a day.

If you are considering weight-loss surgery, make an appointment for a consultation with Dr. Tsuda.

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