Obesity is a chronic illness, so after surgical treatment it is necessary to follow the doctor's recommendations on dietary nutrition during life. This is especially important in the postoperative years (1,5-2), which are crucial in acquiring new eating habits. Healthy nutrition and recovery after bariatric surgery are interrelated.
Properly selected nutrition promotes rapid healing of sutures in the stomach and intestine in the postoperative period. In addition, it prevents excessive stretching of the newly formed stomach (the patient can eat well and eat a variety of foods). Properly selected nutrition provides a long-term weight loss before its normalization, as well as well-being. It is important to remember that changes in dietary behavior, as well as in the daily diet, need to be fixed. This is the only way to maintain the achievements gained through overweight successful surgical treatment. The body needs time for this!
BASIC PRINCIPLES OF NUTRITION AFTER BARIATRIC SURGERY
After weight loss surgery, dietary nutrition is prescribed, which includes four specific periods.
The first period begins on the first day after the surgical procedure and usually lasts a week or a little longer (this is determined individually). The most important thing these days is to prevent dehydration, so the patient should drink at least 1.2 liters of liquid per day. Drinks that can be consumed:
How to eat and drink after stomach reduction surgery? It is necessary to drink often and necessarily with small throats. You should not wait for thirst, because sometimes after the operation the desire to drink does not arise. Do not drink through a straw, as this will swallow air, which can cause belching with chest pain. Caffeinated beverages should be avoided because they increase the excretion of fluid from the body. Sweet sugary drinks should be avoided too, they can cause dumping syndrome.
Drinks should not be very cold or hot. If the urine becomes cloudy and dark (normally it is straw yellow color), you need to increase the amount of liquid drinks during the day.
The second period lasts 2-3 weeks, characterized by the introduction of soft foods low in fat and high in protein into the diet. It can be:
Towards the end of the second period, semi-liquid high-protein low-fat foods can be carefully introduced into the diet. These are poultry and fish in the form of puree soup (mashed soup). A small portion (2 tablespoons) usually gives a feeling of satiety. Eat 4-5 times a day, be sure to take calcium, vitamins D and B12, as well as multivitamins. Do not drink water or any beverages less than 15 minutes before and not earlier than 30 minutes after a meal (this rule must be followed in the future).
The third period (end of the third or beginning of the fourth week) is a time of soft food that can be easily crushed with a fork. The main focus is on high quality protein sources. The diet should include foods rich in protein: lean poultry meat, fish, cheese, eggs, low-fat cheese. The menu should be varied with several portions of vegetables, drink at least 1.5 liters of fluid a day.
The fourth period (beginning after the fourth week) is characterized by the introduction of solid foods into the diet. It is important to do this carefully and gradually. During this period of active weight loss (lasts 1-2 years) and until the end of life, the diet should consist mainly of protein products with the addition of vegetables, fruits and berries. It is also necessary to limit the amount of carbohydrates (especially fast) as much as possible, and completely exclude the consumption of refined sugar.
In general, such a diet is not too different from general recommendations for healthy and balanced nutrition. Eating should be stopped as soon as there is a feeling of satiety, otherwise the stomach will stretch, the amount of food consumed will increase, and the body weight will increase accordingly.
NUTRITION AFTER STOMACH REDUCTION SURGERY: DOCTOR'S ADVICE
Andrian Reity is a Candidate of Medical Sciences, a member of the International Federation of Obesity Surgery, and works at the Kyiv Center for Metabolic Surgery. The doctor has 19 years of experience in laparoscopic surgery and conducts successful bariatric operations using the most modern effective methods of operative treatment of obesity.
Andrian Reiti's medical activities are not limited to surgery. He actively participates in the rehabilitation of the patients he operated on. Together with the nutritionist and dietician of the Center, they develop a postoperative diet for each patient with a personalized list of products. In addition to the specifically set goals for reducing and maintaining a normal BMI, personal tastes of the patient are necessarily taken into account when compiling the diet. Among the general tips are important recommendations about the need to change not only the choice of food, but also the habits regarding its intake.
YOU SHOULD CONTACT YOUR DOCTOR IF:
All these phenomena require a mandatory doctor's consultation and diet adjustment.