What should be taken into consideration in the diet after obesity surgery?
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Dieting after obesity surgery plays a big role in maintaining health. So, what should you pay attention to when dieting after obesity surgery?
“The World Health Organization (WHO) defines obesity as excessive fat accumulation in the body that impairs health. We know that starting the fight against obesity, which is an epidemic that surrounds the world, as early as possible will contribute to the success of this fight. Although diet therapy, exercise therapy, lifestyle change therapy and pharmacological treatment are used in the fight against obesity, surgical treatment, also known as obesity surgery or bariatric surgery, has become highly preferred in the recent increase in obesity cases. After obesity surgery, which is an important method in the fight against obesity and is applied to patients who meet the criteria determined by the health authorities, with detailed evaluation by the relevant physician, a diet is required.
Most patients who come to the diet clinic are surprised when we talk about the diet protocol we will follow. The expectation of many of our patients is that they will not have an appetite after surgery and that they will crave sweets, pastries, etc. again. not wanting food and losing weight without dieting and getting the body they want. However, after obesity surgery, there is a diet protocol that must be followed in a certain discipline. The two primary goals of this diet protocol are; Foods are used to meet adequate energy and nutrient requirements by ensuring that tissue healing and lean tissue (muscle) loss are minimal after surgical trauma; It is chosen to ensure early satiety, keep reflux and dumping syndrome to a minimum, ensure weight loss, and prevent the regain of lost weight. To protect the body's lean tissue, that is, muscle tissue, American Endocrine Society, Postoperative Nutrition and Endocrine Management Guide in Bariatric Surgery Patients; "In order to preserve lean body mass in the long term postoperatively, it is recommended that the diets of all patients, regardless of the method of obesity surgery, include 60 to 120 grams of protein per day."
“The easiest thing after obesity surgery is to lose weight, the difficult thing is to lose the weight in a healthy way and maintain it for a lifetime.”
Dieting after obesity surgery is very important in maintaining health.
The patient-specific diet planned to meet the protein requirement consists of 5 steps, each stage of which will vary from patient to patient. We classify these stages as 1st phase - Open Liquid Diet, 2nd phase - Full Liquid Diet, 3rd phase - Puree Diet, 4th phase - Soft Diet, 5th phase - Continuation Program (Normal Solid Diet). . Although the duration of implementation of each step is thought to be approximately two weeks, the stages of which patient should stay on which step and for how long, moving to a higher step or returning to a lower step if necessary in case of any unexpected situation (vomiting, diarrhea, nausea, etc.) are also included in obesity. It is mandatory that the diet treatment after surgery must be under the control of a dietitian. The first month, 3rd month, 6th month and 1 year after obesity surgery is a very important period. It is especially important that you go through this process with the support of a dietitian working in the field of bariatric surgery, to avoid vomiting, nausea, blood sugar imbalances, reflux, etc. that may develop after surgery. It helps prevent gastrointestinal system problems, preserve your muscle mass, and minimize other complications that may be caused by vitamin-mineral deficiencies, such as hair loss and broken nails. The easiest thing after obesity surgery is to lose weight, the difficult thing is to maintain the lost weight for a lifetime by losing it in a healthy way. "I can recommend you to visit your dietitian once a year to prevent weight gain again," he said.
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Gastric RNY, or Roux-en-Y gastric bypass, remains one of the most effective surgical options for treating obesity. By reducing the size of the stomach and bypassing a portion of the intestines, patients experience a significant reduction in hunger and an inability to eat large meals. Gastric RNY can lead to rapid weight loss and improvement or resolution of obesity-related conditions such as type 2 diabetes, sleep apnea, and hypertension.
The primary difference between mini gastric bypass surgery and a full gastric bypass is that the mini version of the surgery is performed in a modified manner that involves less intestinal rerouting and a shorter overall surgery time. After surgery, you should avoid nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen (Motrin, Advil) and naproxen (Aleve). NSAIDs increase the risk of stomach ulcers. Patients who had gastric bypass surgery should avoid these medications indefinitely. Bread, Rice... +More
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A pre-surgery diet prepares the body for bariatric surgery, typically focusing on reducing liver size and overall fat to make the procedure safer. This high-protein, low-carbohydrate diet often lasts for 1-2 weeks before surgery. Patients must follow a strict plan of liquids and protein shakes to shrink the liver and facilitate surgery.
After a gastric bypass, the volume the new, smaller stomach can hold is reduced from about 1 quart to about 1 ounce, or 2 tablespoons. Over time, the stomach pouch will stretch until it can hold 4 to 8 ounces, or about 1/2 to 1 cup, at a time.
The lap band and sleeve gastrectomy are two different bariatric surgeries. The lap band is adjustable and reversible, involving the placement of a band around the upper stomach. The sleeve, on the other hand, is permanent and involves the removal of part of the stomach. Sleeve gastrectomy tends to offer more substantial long-term weight loss, but the lap band has fewer immediate risks.
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