Contents
1 Bariatric diet recipes
2 Bariatric diet before surgery
3 Bariatric diet after surgery
4 Diet from 1 to 4 weeks
5 Healthy snacks
6 Week 5 and beyond – cautious introduction of new foods
7 8 tips for healthy eating after bariatric surgery

Bariatric diet recipes

Bariatric diet before surgery

Bariatric surgery is a life-saving procedure. you will lose weight. Obesity-related comorbidities will improve. You will feel more confident and look better. However, to be successful, you must absolutely change your current diet. It sounds simple, but it’s not. Get ready for the challenges. You’ve spent most of your life building and perpetuating bad eating habits. This is one of the reasons why you are now eligible for bariatric surgery.

The pre-operative bariatric diet is designed to prepare you for elective bariatric surgery and is essential to reduce the size of your liver and the amount of fat surrounding your internal organs and gastric congestion. This is very important for the safety of your procedure. The earlier you start it, the better the results will be.

Bariatric surgery is a life-saving procedure. you will lose weight. Obesity-related comorbidities will improve. You will feel more confident and look better. However, to be successful, you must absolutely change your current diet. It sounds simple, but it’s not. Get ready for the challenges. You’ve spent most of your life building and perpetuating bad eating habits. This is one of the reasons why you are now eligible for bariatric surgery.

The pre-operative bariatric diet is designed to prepare you for elective bariatric surgery and is essential to reduce the size of your liver and the amount of fat surrounding your internal organs and gastric congestion. This is very important for the safety of your procedure. The earlier you start it, the better the results will be.

Before bariatric surgery, it is necessary to follow a calorie-reducing, high-protein diet. The energy value of this diet should be between 1000 and 1500 calories per day.

For the last 5-7 days before the procedure, please stay only on a liquid diet in order to better prepare the stomach and liver for bariatric surgery.
All drinks and liquids should be taken very slowly. Drinks should not be taken with meals, it is recommended to wait at least 30 minutes after each meal before consuming any liquids. Please plan your meals and drinks regularly throughout the day. The time distribution of solid and liquid meals is recommended after surgery, but it is advisable to develop this habit before the planned surgery.

7-14 days before the procedure, the mandatory pre-operative bariatric diet should include:

  • Only sugar-free, caffeine-free, non-carbonated and alcohol-free drinks.
  • Low-fat natural yogurt, milk, milkshakes
  • Mixed soups.
  • Cooked vegetables.
  • Natural fruit juices, low in sugar.
  • Fresh vegetables and fruits.
  • 1 x daily steamed fish or a portion of poultry.
  • At least 2 liters of fluids a day, at regular intervals.
  • 2-3 times a day Nutri-protein drinks as a meal replacement (Nutritia, Nestle).

If you have any questions, ask the KCM Coordinator!

Important:

The bariatric diet requires that patients who are taking anti-diabetic drugs consult their doctor for dose adjustments. Talk to your doctor, it may be necessary to reduce the dose of antidiabetic drugs in parallel with reducing food intake. To avoid hypoglycaemia, check your blood sugar more frequently.

Additional notes before surgery:

  • Talk to your doctor about what medications you should reduce or discontinue before surgery.
  • The following drugs are usually discontinued 5-7 days before the planned procedure: Warfin, Acenocoumarol, Marcumar, Xarelto, Pradaxa, other anticoagulants such as: Aspirin, Acard, Polocard, Clopidogrel, Plavix, Agregex, Brilique.
  • If you have sleep apnea and use a CPAP machine, take it with you to the hospital.
  • Stop smoking cigarettes. Nicotine increases the risk of blood clots and complications during and after surgery.

Bariatric diet after surgery

Basic principles of diet after bariatric surgery in the first 6 weeks:

  • Consume food and drinks of moderate temperature.
  • Eat only small portions of food (up to 150g) every 2-4 hours.
  • Do not consume carbonated products.
  • Chew all foods thoroughly.
  • Drink liquids 8-10 times a day, 100 ml-150 ml per serving.
  • Drink no later than 30 minutes before and only 30 minutes after a meal.
  • Avoid foods that are too sweet, spicy, acidic, fatty, hot or too cold.
  • Avoid foods that are too sweet, spicy, acidic, fatty, hot or too cold.
  • Eat slowly and stop eating as soon as you feel full, even if it means leaving food on your plate.
  • Avoid foods with asparagus, spinach, leaves, cauliflower, broccoli stalks, green beans, leeks, cabbage and onions.
  • Avoid small products that can be swallowed whole, for example: broad beans, cherries, nuts, etc.
  • Cross out high-energy foods from your list and replace them with a variety of low-calorie foods to provide your body with plenty of vitamins and minerals.
  • Take medications and vitamins as directed.
dieta bariatryczna bariatric diet

Diet from 1 to 4 weeks

Week 1: clear liquids, plain yogurt, protein nutri drinks.

In the first 5 days after surgery, the basis of the diet is clear liquids: water, summer tea without sugar. In addition, natural yoghurt and protein Nutridrinks, and the products described below: Don’t worry, most patients do not feel hungry after the procedure. The part of the stomach responsible for the secretion of the hunger hormone is almost completely removed during the operation. Remember, all products should be sugar-free (or low-sugar) and non-carbonated!

What you can eat:

  • Water
  • Tea
  • Yogurt
  • Jelly, jelly or pudding (low sugar)
  • Lean broth

Avoid:

  • Sugar and caffeine as well as carbonated and sweet drinks

Week 2: high protein liquid diet, nutri drinks.

In week 2, your diet can include all of the products from week 1 plus:

  • Diluted applesauce (low sugar).
  • Semi-skimmed or skimmed milk varieties.
  • Almond milk or coconut milk is also a great protein shake.
  • In addition, 1 Nutridrink a day, which you can mix with yoghurt or milk.
  • Pudding or sorbet without sugar.
  • Broth with soft noodles or mixed vegetable soup.
  • Other watery soups.
  • Low-sugar ice cream.
  • Watery oatmeal (low sugar).
  • Diluted juice with no added sugar.

Week 3: soft, blended products.

3 weeks after stomach surgery is difficult. But the good news is that your bariatric diet will be enriched with some “real” food. Nevertheless, the food must still be eaten in a soft or mashed form. You still need to be careful to limit sugar, fat, and salt. Goals for Week 3 include: Eat 60 grams of protein daily (e.g. 150g cottage cheese + 1 cup skim milk + 100g fresh fish + 1 Nutridrink) Eat slowly, chew food thoroughly Introduce new foods one at a time and carefully.

Dishes may taste different and will be tolerated differently than before the procedure. Give your body some time to react to any new food. This will help you identify foods you can tolerate that are causing stomach irritation or diarrhea or gas.

The following foods are usually accepted in the 3rd week after surgery:

  • Fruit or vegetable purees, e.g. mashed bananas, avocados.
  • Low-fat cottage cheese.
  • Grain products – soften them before consumption.
  • Steamed or boiled soft vegetables.
  • Blended or “overcooked” soups.
  • Cooked blended chicken, turkey (remember to chew well and slowly).
  • Eggs or scrambled eggs (a great source of protein).
  • Steamed fish, e.g. tuna or salmon.
  • Fruit or vegetable purees, e.g. mashed bananas, avocados.
  • Mashed potatoes or carrots with a little olive oil or butter
  • Well cooked soft rice or noodles.

Avoid:

  • Sugar, fats, salt.
  • Fibrous vegetables such as asparagus, raw leafy vegetables, peas.

Week 4: we expand the diet and introduce new foods.

The first three weeks of the diet are behind you. Now it’s time to start introducing new foods. Your stomach is still sensitive, so still be careful, introduce foods slowly and remember to chew each bite thoroughly. You no longer need to blend food, but you should still choose soft foods.

  • Continue drinking protein shakes / Nutridrink daily (1x / day).
  • Eat fruit.
  • You can introduce cooked beef very carefully (make sure you chew thoroughly).
  • Any type of fish.
  • Eat vegetables (steamed or soft-boiled).
  • Potatoes (mashed or boiled).
  • Breakfast cereals.
  • Caffeine in small amounts.
  • Soft bread or rolls without seeds.

Avoid:

  • Sweet or carbonated drinks.
  • Fried foods.
  • Fibrous vegetables, beans, broad beans.
  • Candies, chocolate.
  • Foods high in carbohydrates and low in nutrition, such as pizza.
  • Whole milk and whole milk dairy products.
  • Nuts.

Healthy snacks

It is recommended to eat 5 small meals a day (3 main and 2 small snacks) and to stay hydrated between meals.

We propose:

  • Hummus with rice crackers or boiled and chilled baby carrots.
  • Boiled egg.
  • A quarter cup of oatmeal.
  • A quarter of a baked potato.
  • Banana, strawberries or other fresh fruit.
dieta bariatryczna bariatric diet

Week 5 and beyond – cautious introduction of new foods

Continue to introduce new foods one at a time as described to see if they are well tolerated. Remember to eat the bites very slowly and carefully to avoid stomach discomfort or vomiting. Watch out for constipation, diarrhea and indigestion.

  • Eat several small meals every day, control portions.
  • Stay hydrated throughout the day.
  • Do not drink fluids later than 30 minutes before each meal.
  • Avoid snacking, if you do, choose foods rich in nutrients (fruits, vegetables in small portions).
  • Take your recommended daily dose of vitamins and supplements.
  • Make sure you consume a minimum of 60 grams of protein a day.
  • You can continue your daily supplementation with a protein shake / Nutridrink.
  • Keep avoiding carbonated drinks.
  • Incorporate exercise/gymnastics into your daily routine – make it a habit.

8 tips for healthy eating after bariatric surgery

  1. Eat appropriate, nutrient-rich foods (e.g. apple, banana, fish). Avoid processed canned foods or ready meals.
  2. Don’t “drink” calories. You won’t be full after this. Avoid sugary drinks.
  3. Expect an emotional rollercoaster. But do not let food be your consolation and always prepare your diet plan for each day.
  4. Chew your food thoroughly and never rush while eating.
  5. Always control your portions. Plan what you’re going to buy when you go out and ask for half a portion at a restaurant. You can get a discount and you won’t feel like overeating.
  6. Make water your new best friend. Drink regularly throughout the day. Make sure you drink a whole bottle of still mineral water every day, but remember not to drink it with meals (this will prevent your stomach from distending).
  7. Get plenty of exercise, introduce new types of activities.
  8. Join our support group and make friends with other patients who can help you in difficult times. FB: KCM Clinic – Surgical Treatment of Obesity.

Contact the coordinator
+48 75 645 2011

WhatsApp
+48 535 098 999

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