POST BARIATRIC SURGERY NUTRITION AND DIET PLAN
Bariatric Surgery is done for morbid obesity (BMI ˃32.5) or metabolic surgery is done for Diabesity ( Diabetes, Obesity & Metabolic syndrome) is on a rise in India.
This surgery aims to create restrictions on food intake. The Common procedures done in India are laparoscopic sleeve gastrectomy ( LSG), Roux en Y gastric bypass ( RYGB), Mini gastric bypass ( MGB)or a non-surgical treatment such as Intragastric balloon.
Since the eating capacity has reduced, the eaten food has to be nutritious enough to complete the body requirements in a limited quantity of food. It is important for patients to lose weight in a healthier way, consume limited nutritious food & stay fit after bariatric surgery
The typical food plan in the immediate post-op period is as follows –
| Type of diet | Days | Foods | AllowedFoods | Not allowed |
| Post-op Period
Liquid diet. | 1-15 days | Clear followed liquids
Followed by regular liquids | Soup, Juice, water, coconut water, protein shakes, tea, coffee | Sweetened beverages, milkshakes |
| Semisolid diet | 15-30 days | Pureed foods | Oats,upma, Ragi, smashedChapatti & dal, Thalipeeth, etc | Potato, sweet potato, sago banana, Rice. |
| Soft diet | 30 days | Easy to digest Regular food. | Regular Homemade food preferably boiled, steamed than varied food. | Dried, dehydrated food, nuts, pizza, pasta, bread. |
One has to take supplements mainly Iron, Calcium, multivitamin, folic acid & protein along with food.
Common instruction for all Procedures:
- Eat slowly & chew properly
- Eat Proteins, fruit/soups prior to regular meals.
- Separate solid & liquids food.
- Stop eating when full or may lead to vomiting.
- Drink adequate water
- Have small frequent meals, have healthy snacks
- Keep a food diary & record the food eaten prior to visit with dietician.
It is important to emphasize regular follow up, exercise & supplement intake regularly to all patients.
- Some food rich sources recommended after bariatric surgery -:
Sr no Iron Calcium Vit B12 Folic acid Vit D 1. Haliv Milk & milk products Egg Egg Best source – Sunlight 2. Bajara,jwari Rajgira,nachani Liver Sheep liver Cod liver oil 3. Masoor,Mataki Rajmah,Kulith Milk Harbhara Shrimp 4. Shepu Methi, Gawar Skim milk powder Bhendi, Aambat chuka Liver 5. Black currents Almonds, Fish Til, groundnuts Egg yolk
- Concentrated sweets:
Most of these foods & beverages contains empty calories in the form of sugar. These products mainly provide calories with limited nutritional value (for e.g. vitamins, minerals, proteins and fibers). Every bite counts after surgery. The items listed below easily flow through the restrictions thus allowing you to eats and absorb more calories. Filling up on these “concentrated sweets” can prevent weight loss and can replace healthier foods in your diet. Avoid it totally.
- Foods to be avoided
| Ice cream | Soft drinks |
| Chocolate milk | Lemonade |
| Pudding | Sugar added ice tea |
| sweetened fruit | Marmalade |
| Frozen yogurt | Fruit drinks |
| Dry fruits | Table sugar |
| Canned or frozen fruit syrup | Honey |
| Cakes | Jams & Jellies |
| Sharbat | Cookies |
