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Phase I Clear Liquid Diet
This phase generally begins within 24hrs post your surgical procedure. All the liquid meals will be provided at the hospital. These are some helpful tips for you all to follow and make your journey smooth.
  • Only clear liquids allowed
  • Avoid sweetened beverages
  • Sip very slowly
  • No straws
  • Avoid caffeinated, carbonated and alcoholic beverages
  • STOP drinking if you feel fullness, pain or discomfort
Phase II Full Liquid Diet
This second phase is very crucial, as you are or on your own, Most probably this phase will begin when you get discharged from the hospital. So these tips will help you feel more comfortable at home.
  • STOP drinking if you feel fullness, pain or discomfort
  • Avoid meal skipping
  • Plan meals in advance
  • Drink Slowly
  • Consume protein foods first
  • Start use of Protein Supplement
  • Regular scheduled meals.
  • No straws
  • Avoid added sugars and high fat foods
  • VARIETY!
Phase III Puree Diet
The third phase is a progression towards soft and pureed food items. A good quality hand blender will be a must buy. Following these instructions will be very useful for you.
  • Blended and pureed food to be introduced, adding one new solid food at a time
  • Pureed meats, pulses, vegetables and fruits.
  • Chew slowly
  • Food intolerances vary
  • Prioritize protein rich foods
  • Gradually increase meal size to 150 - 200ml
  • Avoid meal skipping
You fall under Phase IV Diet Plan
Long Term Post Operative Nutritional Guidelines
  • Gradual increment from mechanically altered soft diet to normal diet is very vital.
  • The bariatric soft diet provides foods whose texture is modified, requiring minimal chewing, and which passes easily from the gastric pouch created. After this the person comes to a normal low fat, high protein diet.
  • After the surgery is being performed patients are advised to avoid 5 “S” i.e. Sugar, Spirits, Straw, Soda and Smoking, until the desired weight loss is achieved. Sugar and spirits are avoided to prevent dumping and also to aid weight loss. Straw and soda may cause bloating and patients may suffer with abdominal discomfort, pain or feeling of fullness. Smoking is prohibited for good respiratory functions.
  • Eating Behaviors : Modifications of eating behaviors is imperative to post operative success and to avoid complications.
    • Eat only at regular intervals– this normally means three small meals a day along with two small snacks.
    • Chew well and eat slowly – patients are advised to chew the food to a liquid consistency and eat at slow pace.
    • Eat your proteins first – patients should consume proteins first at each meal to improve protein intake.
    • Avoid drinking liquids along and for 30 minutes before and after meals as drinking beverages along with meals can cause early satiety and may hinder adequate protein intake.
    • Small portion size – majoring portions is the key to avoid over eating. Patients should control the meal portions in long term as well to prevent weight regain.
    • Listen to your body – each patient may have different capacity and appetite to eat; one should listen to his/ her signals from body as to when to stop eating.


Steps to a New You

  • 01

    Meet the Program Manager

    Our Program Manager is the first point of contact for you. She will help you arrange the first meeting with Dr. Peters and his team and will help you answer all your initial queries and doubts regarding Bariatric and Metabolic Surgery.

  • 02

    Meeting with Bariatric Dietician

    • Personal Details
    • Body Composition Analysis
    • Medical History (Family & Personal)
    • Detail Explanation of Diet Post-Surgery
  • 03

    Visit with the Surgeon

    • Brief Physical Examination
    • Detailed Understanding about the Procedure
    • Suggested Preoperative Evaluations Needed
  • 04

    The Next Step

    • Psychological Evaluation
    • Blood Test, Chest X Ray, Echo, ECG, UGIE, PFT & Ultrasound
    • Consultation with Cardiologist, Endocrinologist, Pulmonologist, Intensivisit, Internist
    • PAC and Obesity Board Recommendation.
  • 05

    Preparations for Surgery

    • Follow liquid diet 1 day before surgery
    • No alcohol or smoking one day prior to the surgery
    • If you use cpap machine, be sure to bring it with you to the hospital
    • Take your thyroid, blood pressure, heart and asthma medication with a sip of water as discussed with surgeon
    • Take a nice shower before coming to hospital
  • 06

    Day of the Surgery

    • Report at the reception at the given time (if not admitted one day prior due
      to medical history)
    • Settled in the room, detailed consent for surgery taken along with
      signatures of the attendant, type of procedure explained again and shifted
      to the pre-operative area
    • Shifted to Operation Theater, procedure done. Shifted to post op recovery area and transferred to the ICU after the Surgery
  • 07

    Next Day of Surgery

    • Shifted to the room
    • Discharged the same day, if fit
08

Nutrition Post Bariatric Surgery

Diet follow up

  • After all Bariatric and Metabolic procedures, the rationale of nutritional care is two fold. Firstly, sufficient energy and nutrients helps in supporting tissue healing after surgery and the preservation of lean body mass during the period of extreme weight loss.
    Secondly, the foods and beverages consumed after surgery should decrease reflux, early satiety, and dumping syndrome while maximizing the weight loss and, ultimately, weight maintenance.

Phases of Diet Post Surgery

Phases of Diet post Surgery

FIRST
2-4
DAYS

PHASE I
CLEAR LIQUID
DIET

FIRST 2
WEEKS

PHASE II
FULL LIQUID
DEIT

2-4
WEEKS

PHASE III
PUREE DIET

POST 4
WEEKS

PHASE IV
SLOW PROGRESSION
FROM SOFT TO
NORMAL DIET
Phase I Clear Liquid Diet
  • Only clear liquids allowed
  • Avoid sweetened beverages
  • Sip very slowly
  • No straws
  • Avoid caffeinated, carbonated and alcoholic beverages
  • STOP drinking if you feel fullness, pain or discomfort
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