SAGB operation is the first step towards major readjustment in-patients
lifestyle. The patient will learn a new pattern of behavior, attitude,
physical ability and so much more, almost immediately after and during
the next several months of their new beginning.
will understand the importance of modifying your attitude towards
physical activity or exercise, for it will become a natural and daily
part of your life.
You will pay attention to what you eat and how you eat it (the importance
of chewing your food). During the first month following the operation,
the patient's diet should be limited mostly to liquids. The reason
for this is that the body needs time to heal and develop adhesions
around the SAGB, which will maintain it in its correct position. Patients
who eat solid food too soon run the risk of dislocating the band,
thereby developing an enlarged upper gastric pouch.
The patient starts a fluid intake on the evening of the operation.
A spoonful of water should be given (to the patient) every 5-10 minutes
until a total of 250 ml (one glass) has been administered. The remainder
of fluid will be given intravenously. The oral intake of fluid can
be rapidly increased over the next few days. The intravenous drip
is removed on day two and the patient is able to obtain his/her full liquid diet orally.
is the recommended diet for a patient after SAGB surgery:
On average, 100 ml should be absorbed every hour in small amounts.
The type of food/liquid should vary. Here are some examples:
- Low-fat sour milk, yogurt, tea, coffee, fruit or vegetable juices,
and warm soup or broth. It is important to spread the fluid intake
over the whole day, in small amounts at a time.
It is at this time we recommend that pureed food be introduced in
small portions. Baby food suitable for infants ages 5-6 months, has
the right consistency and is easily found at the grocery store.
Patients should not drink liquid during their meal. It is important
to drink plenty of fluid between meals. Meals can be adjusted to the
condition of the patient, but should be followed as closely as possible.
The total mount of pureed food should approximately 500 ml/daily.
The pureed food should include meat or fish and be divided into meals
no larger then 100-150g at a time. Food must always eaten slowly and
in small mouthfuls.
The total amount of liquid intake must be at least 1500 ml/daily.
Liquid should be absorbed at regular intervals (100-200 ml at a time,
a little less then a full glass). The type of liquid should vary and
include tea/coffee, sour milk, yogurt and fruit/vegetable juices.
Food of normal consistency can now be introduced into the daily diet.
The portions should, however, always be kept small. It is important
to remember to restrict drinking liquids to periods between meals.
It is imperative to eat slowly and chew food thoroughly. The solid
food may be taken at normal eating hours. It is important to allow
enough time to eat slowly. The patient should not eat more then 500ml/daily.
The patient should make sure that their fluid intake is low-fat and
maintains 1500 ml/daily.
Patients can now start to make up their own menus. It is important
to eat smaller meals and more often. It is important to chew food
thoroughly. Restrict drinking fluids to, between meals and make sure
that they are sugar-free and low-fat. Menus should be based on boiled
or mashed vegetables. Fish and lean meat should be baked or broiled
(rather then fried). Food choices that are recommended are that of
low-fat content (low-fat milk, low-fat cheeses with a maximum fat
content of 17%, light ice cream, etc.)
foods are not easily tolerated and should be avoided unless they can
be broken down into easily digestible alternatives. These are foods
that generally get stuck in the opening of the stomach and are therefore
likely to cause an obstruction, thereby resulting in vomiting and
fluid depletion. The majority of patients find it difficult (if not
impossible) to eat whole chunks of meat.
They find it much easier
to eat ground beef, fish and chicken if it is well chewed. Therefore it is advisable to abstain from eating meat in the beginning
and is introduced progressively into their diet.
ability to determine what and how much food is tolerated, is based
on how much fluid is injected into the SAGB's balloon. This affects
the size of the opening between the upper and lower part of the stomach.
A small hole will allow greater weight loss, but will require the
patients to be more careful about what they eat. With the balloon
empty, the patients will be able to eat almost the same amount as
before the surgery.
Foods/ Sticky foods
- Asparagus: blend into soup
- Pineapple: press into juice
blend into soup
use only the buds
- Oranges & dried fruits: These
should not be eaten at all, as they are likely to swell and get
stuck in the new opening of the stomach.
difficult to digest: