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Obesity Discussion · 01-23-06, 01:53 AM

There's also a special Gastric Bypass Diet that follows.......

Gastric bypass diet: Nutritional needs after weight-loss surgery
From MayoClinic.com
Special to CNN.com

What you eat, how you eat and how much you eat changes after gastric bypass surgery — surgery that alters the anatomy of your digestive system to promote weight loss.

With your stomach pouch reduced to the size of a walnut, you'll need to follow a gastric bypass diet. This diet — which your doctor or dietitian creates for you — tells you what type and how much food to eat with each meal and the required consistency and texture of the food. The gastric bypass diet helps you maintain good nutrition while losing weight.

After surgery: The first three months

You won't be allowed to eat for one to two days after the surgery. Then you consume specific foods according to a diet progression. The purpose of the diet progression is to allow your stomach time to adapt to processing food and to allow you to lose weight while maintaining good nutrition.

The following are common phases in the gastric bypass diet progression:

Liquids. Foods and fluids that are liquid or semiliquid at room temperature and contain mostly water, such as broth, juice, milk and cooked cereal. In most cases, you stay on a liquid diet for two to three days.
Pureed foods. Foods with a consistency of a smooth paste or a thick liquid. Pureed foods contain no distinct pieces. You usually eat pureed foods for three to four weeks so that your stomach has time to fully heal.
Soft foods. Foods that are tender and easy to chew, such as ground or finely diced meats, canned or soft, fresh fruit, and cooked vegetables. You usually eat soft foods for eight weeks before progressing to regular-textured foods, as recommended by your dietitian or doctor.
During the diet progression, you eat many small meals a day and sip water frequently. You might first start with six small meals a day, then progress to four meals and finally, when eating regular foods, decrease to three meals a day. Typically, each meal includes protein-rich foods, such as lean meat, yogurt and eggs. Protein is important for maintaining and repairing your body after surgery.

How quickly you move from one step to the next depends on how fast your body adjusts to the change in eating patterns and the texture and consistency of food. In most cases, people start eating regular foods three months after surgery.

Gastric bypass: Is this weight-loss surgery for you?

Lifelong changes: New eating habits

After three months, expect to eat three small meals and three small, healthy snacks a day. Your meals typically include lean sources of protein (such as poultry without skin or low-fat cottage cheese) fruits, vegetables and whole grains. Limit or avoid high-sugar, high-fat foods, which provide many calories but few nutrients.

The changes in your digestive system restrict how much you can eat and drink with each meal. To avoid problems and to ensure you're getting all the nutrients you need, closely follow these guidelines:

Eat small amounts. Just after surgery, your stomach holds only about 1 ounce of food. Though your stomach stretches over time to hold more food, you won't be able to eat more than 1 to 1 1/2 cups of food with each meal. Eating too much food adds extra calories and can cause pain, nausea, vomiting and abdominal cramps. Make sure you eat only the recommended amounts and stop eating before you feel full.
Eat and drink slowly. Eating or drinking too quickly, especially high-sugar foods such as soda or ice cream, can cause dumping syndrome — when foods and liquids enter your small intestine rapidly and in larger amounts than normal, causing nausea, vomiting, diarrhea, dizziness and sweating. To prevent dumping syndrome, eat your food and sip your beverages slowly. Take at least 30 minutes to eat your meals and 30 to 60 minutes to drink 1 cup of liquid.
Chew food thoroughly. The new opening that leads from your stomach into your intestine is very small and large pieces of food can easily block the opening. Blockages prevent food from leaving your stomach and could cause vomiting. Take small bites of food and chew them to a pureed consistency. If you can't chew the food thoroughly, don't swallow it.
Drink most of your fluids between meals. Drinking beverages with your meals may cause pain, nausea and vomiting as well as dumping syndrome. Also, too many liquids at mealtime may leave you feeling overly full and prevent you from eating enough nutrient-rich foods. Expect to drink about 6 to 8 cups of fluids a day to prevent dehydration.
Try new foods one at a time. After surgery, certain foods may cause nausea, pain, vomiting or may block the opening of the stomach. To find out which foods are OK to eat and which cause you trouble, try one new food at a time. Foods that commonly cause trouble include dry tough meats, bread, raw vegetables and carbonated beverages.
Take recommended vitamin and mineral supplements. After surgery, your body has difficulty absorbing certain nutrients because most of your stomach and the first part of your small intestine are bypassed. To prevent a vitamin or mineral deficiency, take vitamin and mineral supplements regularly. These may include a multivitamin-multimineral, calcium, vitamin B-12 and possibly an iron supplement.

Weight loss and weight gain

Within the first two years following surgery, you can expect to lose 50 percent to 60 percent of your excess weight, if you follow the dietary and exercise recommendations. If you continue to follow these recommendations, you can keep most of that weight off long-term.

However, if you return to your old eating habits, you may gain back any weight you've lost. People who regain weight after gastric bypass surgery usually are consuming too many high-calorie foods and beverages and don't exercise enough. And rather than eating three meals a day and small snacks, some people graze — eat food all day long. This eating pattern often leads to consuming too many calories, which causes weight gain.

If you aren't losing weight or are regaining weight after surgery, see your doctor. Your health care team can help reassess your eating and exercise habits and help you confront and overcome any weight-loss obstacles.

Though weight-loss surgery helps you shed the pounds, its success depends on your willingness to adopt lifelong healthy-eating and exercise habits. What you eat and how you eat changes after surgery, but the benefits of weight loss and your improved health are well worth these efforts.

http://www.cnn.com/HEALTH/library/WT/00007.html

01-23-06, 01:53 AM	#2 (permalink)
Obesity Discussion Administrator Join Date: Jan 2005 Location: Phoenix, AZ Posts: 7,631 Weight Statistics 8/1/2006 Start Date: 185 lb Start Weight: 152 lb Current Weight: 155 lb Goal Weight: -33 lb Weight Loss: 5/1/2007 Goal Date:	Re: Gastric bypass: Is this weight-loss surgery for you? There's also a special Gastric Bypass Diet that follows....... Gastric bypass diet: Nutritional needs after weight-loss surgery From MayoClinic.com Special to CNN.com What you eat, how you eat and how much you eat changes after gastric bypass surgery — surgery that alters the anatomy of your digestive system to promote weight loss. With your stomach pouch reduced to the size of a walnut, you'll need to follow a gastric bypass diet. This diet — which your doctor or dietitian creates for you — tells you what type and how much food to eat with each meal and the required consistency and texture of the food. The gastric bypass diet helps you maintain good nutrition while losing weight. After surgery: The first three months You won't be allowed to eat for one to two days after the surgery. Then you consume specific foods according to a diet progression. The purpose of the diet progression is to allow your stomach time to adapt to processing food and to allow you to lose weight while maintaining good nutrition. The following are common phases in the gastric bypass diet progression: Liquids. Foods and fluids that are liquid or semiliquid at room temperature and contain mostly water, such as broth, juice, milk and cooked cereal. In most cases, you stay on a liquid diet for two to three days. Pureed foods. Foods with a consistency of a smooth paste or a thick liquid. Pureed foods contain no distinct pieces. You usually eat pureed foods for three to four weeks so that your stomach has time to fully heal. Soft foods. Foods that are tender and easy to chew, such as ground or finely diced meats, canned or soft, fresh fruit, and cooked vegetables. You usually eat soft foods for eight weeks before progressing to regular-textured foods, as recommended by your dietitian or doctor. During the diet progression, you eat many small meals a day and sip water frequently. You might first start with six small meals a day, then progress to four meals and finally, when eating regular foods, decrease to three meals a day. Typically, each meal includes protein-rich foods, such as lean meat, yogurt and eggs. Protein is important for maintaining and repairing your body after surgery. How quickly you move from one step to the next depends on how fast your body adjusts to the change in eating patterns and the texture and consistency of food. In most cases, people start eating regular foods three months after surgery. Gastric bypass: Is this weight-loss surgery for you? Lifelong changes: New eating habits After three months, expect to eat three small meals and three small, healthy snacks a day. Your meals typically include lean sources of protein (such as poultry without skin or low-fat cottage cheese) fruits, vegetables and whole grains. Limit or avoid high-sugar, high-fat foods, which provide many calories but few nutrients. The changes in your digestive system restrict how much you can eat and drink with each meal. To avoid problems and to ensure you're getting all the nutrients you need, closely follow these guidelines: Eat small amounts. Just after surgery, your stomach holds only about 1 ounce of food. Though your stomach stretches over time to hold more food, you won't be able to eat more than 1 to 1 1/2 cups of food with each meal. Eating too much food adds extra calories and can cause pain, nausea, vomiting and abdominal cramps. Make sure you eat only the recommended amounts and stop eating before you feel full. Eat and drink slowly. Eating or drinking too quickly, especially high-sugar foods such as soda or ice cream, can cause dumping syndrome — when foods and liquids enter your small intestine rapidly and in larger amounts than normal, causing nausea, vomiting, diarrhea, dizziness and sweating. To prevent dumping syndrome, eat your food and sip your beverages slowly. Take at least 30 minutes to eat your meals and 30 to 60 minutes to drink 1 cup of liquid. Chew food thoroughly. The new opening that leads from your stomach into your intestine is very small and large pieces of food can easily block the opening. Blockages prevent food from leaving your stomach and could cause vomiting. Take small bites of food and chew them to a pureed consistency. If you can't chew the food thoroughly, don't swallow it. Drink most of your fluids between meals. Drinking beverages with your meals may cause pain, nausea and vomiting as well as dumping syndrome. Also, too many liquids at mealtime may leave you feeling overly full and prevent you from eating enough nutrient-rich foods. Expect to drink about 6 to 8 cups of fluids a day to prevent dehydration. Try new foods one at a time. After surgery, certain foods may cause nausea, pain, vomiting or may block the opening of the stomach. To find out which foods are OK to eat and which cause you trouble, try one new food at a time. Foods that commonly cause trouble include dry tough meats, bread, raw vegetables and carbonated beverages. Take recommended vitamin and mineral supplements. After surgery, your body has difficulty absorbing certain nutrients because most of your stomach and the first part of your small intestine are bypassed. To prevent a vitamin or mineral deficiency, take vitamin and mineral supplements regularly. These may include a multivitamin-multimineral, calcium, vitamin B-12 and possibly an iron supplement. Weight loss and weight gain Within the first two years following surgery, you can expect to lose 50 percent to 60 percent of your excess weight, if you follow the dietary and exercise recommendations. If you continue to follow these recommendations, you can keep most of that weight off long-term. However, if you return to your old eating habits, you may gain back any weight you've lost. People who regain weight after gastric bypass surgery usually are consuming too many high-calorie foods and beverages and don't exercise enough. And rather than eating three meals a day and small snacks, some people graze — eat food all day long. This eating pattern often leads to consuming too many calories, which causes weight gain. If you aren't losing weight or are regaining weight after surgery, see your doctor. Your health care team can help reassess your eating and exercise habits and help you confront and overcome any weight-loss obstacles. Though weight-loss surgery helps you shed the pounds, its success depends on your willingness to adopt lifelong healthy-eating and exercise habits. What you eat and how you eat changes after surgery, but the benefits of weight loss and your improved health are well worth these efforts. http://www.cnn.com/HEALTH/library/WT/00007.html __________________