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Postoperative Diet 代謝減重手術後飲食

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Postoperative Diet 代謝減重手術後飲食

2025/1/14

Diet Progress

  • Please followed by the diet progress: 1.clear liquid foods 2.liquid foods 3.soft foods 4.solid foods
  • Eat slowly. Thirty minutes for each meal.
  • Eat less but frequently. Chew slowly (at least 25 times) to prevent gastric outlet obstruction and vomiting.

Foods and Supplements

  • Eat foods in small pieces for all meals and snacks daily.
  • Drink 6-8 cups (1500-2000 cc) of fluid daily to prevent dehydration and constipation.
  • Take multivitamins and minerals daily as instructed by doctor.

Food Restrictions

  • Avoid concentrated sweets (such as sugar, cola, cake, ice cream), especially if you had gastric bypass surgery, which leads to “dumping syndrome” easily.
  • Avoid irritating foods and concentrated sweets to prevent gastroesophageal reflux after receiving sleeve gastrectomy, mini sleeve gastrectomy, sleeve gastrectomy bypass, and Lap-Band gastric placation surgery.
  • Avoid greasy foods to prevent vomit and weight gain.
  • Avoid drinking fluid and soup during meals. Drink water between meals or 30-45 minutes after meals.
  • Do not consume irritating foods such as iced water, coffee, tea, cocoa, alcohol, and anything spices (onions, ginger, garlic, chili, allspice, pepper), Chinese medicine and other irritants within 3 months after surgery, and raw food must be avoided, such as: Sashimi, lettuce, soft-boiled eggs, etc.

Others

  • The stomach only hold a small amount of food after surgery and only hold half of a cup to one cup (120-240 cc) of food when recovered completely. Vomit or discomfort may occur when eating too much. Please stop eating when feeling discomfort and vomiting.
  • If discomfort occurs after consuming some certain foods, please back to the previous diet, such as clear liquid, liquid, or soft foods for a week.

Diet Progress Guidelines

Time
1 Day after Surgery
1 Week after Surgery
2 Weeks after Surgery
3-4 Weeks after Surgery
4 Weeks and more after Surgery
Diet
Drink water or fasting as instructed by doctor
Clear liquid foods
Liquid foods
Soft foods
Solid foods

Instructions:

Clear liquid foods

  • Food choices: plain water, filtered soup (filtered vegetable tofu soup), sport drinks (dilute with water in 1:1), filtered no sugar added 100% juice (dilute with water in 1:2), honey water (dilute with water in 1:10).
  • Fluid consumption: take sips of water and clear liquid foods, about 120 c.c. per hour. Total liquid volume per day is 1500-2000 c.c. Do not devour or polish off to prevent bloating and vomiting.
  • Take multivitamin effervescent tablets.

Liquid foods

  • Food choices: low fat, low sugar, low fiber, ground and filtered foods, such as sugar-free soy milk, and low-fat milk.
  • Calorie intake: about 800 calories and 60 g of protein. Will adjust according to personal situation.
  • Others: Foods and drinks will impact weight loss. It will not be satisfying when you consume small amount of liquid foods but with high calories. On the other hand, when consuming low calorie liquid foods with insufficient protein, it will effect your health and make your immune system lower and hair loss.
  • Sample Menu: < 800 calories liquid diet >
Meals
Foods
Calories
Protein(g)
Breakfast
sugar-free soy milk 200cc + high protein powder (contain 5 g protein)
75
10
Morning Snack
Low-fat milk 200cc + high protein powder (contain 5 g protein)
140
12
Lunch
Low-fat milk 200cc + high protein powder (contain 5 g protein)
140
12
Afternoon Snack
Low-fat milk 200cc + high protein powder (contain 5 g protein)
140
12
Dinner
Low-fat milk 200cc + high protein powder (contain 5 g protein)
140
12
Evening Snack
Low-fat milk 200cc
120
7

Soft Foods

  • Calorie intake: about 800 calories and 60 g of protein.
  • Fluid intake: about 120-180 cc per hour. At least 6-8 cups (1500 – 2000 cc) of fluid daily.
  • Food choices: low sugar, low fat, and high protein foods.
  • Sample menu: < 800 calories of soft diet >
Meals
Foods
Calories
Protein(g)
Breakfast
Steamed egg + loofah (about 1/3 bowl)
100
5-7
Morning Snack
Low-fat milk 200cc + high protein powder (contain 10 g protein)
160
17
Lunch
Silky tofu + White gourd (about 1/3 bowl)
100
5-7
Afternoon Snack
sugar-free soy milk 200cc + high protein powder (contain 10 g protein)
100
17
Dinner
Fish + radish (about 1/3 bowl)
100
5-7
Evening Snack
Low-fat milk 200cc + high protein powder (contain 10 g protein)
100
17

Solid Foods

  • The amount of food to eat is adjusted based on personal endurance. The calorie intake may be increased gradually to 1200 calories with 60 g of protein.
Reference
  • American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists (2019) Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures https://asmbs.org/app/uploads/2020/04/Mechanick-2020-AACE-TOS-ASMBS-Guidelines.pdf
製作單位:國際代謝形體醫學中心 編碼:HE-20163-E
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