Post Oerative Diet After Sleeve Gastrectomy

1^st Week – Clear Liquids Only

In 1^st week the patient is limited to clear liquids only. The patient has very less desire to eat. The hunger hormone ghrelin is almost non-existent after surgery. The part of the stomach that produces the majority of ghrelin is removed during surgery.
Clear fluids that can be consume during 1^st week are listed below, and all the item should be Sugar Free.

1. Water
2. Broth
3. Jell-O
4. Decaf Tea
5. Decaf Coffee
6. Sugar free  Popsicles
7. Sugar free drinks that are not carbonated.

 
Food that need to be avoided

1. Carbonated Beverages
2. Very sweet Beverages
3. Sugar
4. Caffeine

 
2^nd Week- Full Liquid Diet with Protein

During 2^nd week the patient may feel some hunger pain. The patient should stick with their recommended diet. The diet in the 2^nd week include all item from the 1^st week plus
 

1. Protein powder mixed with a sugar free non-carbonated clear fluid
2. Sugar free Pudding
3. Soup with soft Noodles
4. Non Fat Yogurt
5. Carnation instant breakfast
6. Very thin creamed soup. No chunks
7. Sugar free Sorbet
8. Very watery hot oat meal.
9. Diluted no-sugar added juice
10. Sugar free, Non fat ice cream
11. Thinned Applesauce.

 
3^rd Week- Soft Pureed Foods

The 3^rd week after the gastric sleeve surgery is tough. But the good news is that the patient can start adding some real food in their diet. Limitation of sugar and fat should be continued. The goal for 3 weeks includes:

1. 60 grams of protein per day
2. Eat Slowly
3. Introduce new foods one by one.

Food may taste differently and will be tolerated differently than they were before surgery. The patient may find that dairy is harder to digest. It is recommended that patient introduce news foods slowly and should provide some time to the body to react to each new food. By doing this it is easy to identify the food that causes Gas, Stomach upset and diarrhea.
The Foods listed below are for 3^rd week after surgery.

1. 1 protein shake per day. It can be blend with the yogurt or non-fat milk.
2. Almond milk or coconut milk
3. Hummus
4. Cottage Cheese (Low Fat)
5. Soft cereals
6. Soft Vegetables
7. Soft Cheese
8. Ground Chicken
9. Soup
10. Scrambled Egg
11. Soft (Steamed) Fish
12. Canned Tuna and Salmon
13. Mashed Fruit- Banana, Avocados and canned fruit

The following food should be avoided

1. Sugar
2. Starchy foods like pasta, rice and bread
3. Fibrous vegetables like celery, broccoli, asparagus, raw leafy greens.

 
 4^th Week: After 4^th week of surgery it’s now time to start introducing real foods. The Sleeve and the stomach are still sensitive so the food should be taken slowly and it should be chewed thoroughly.

The Foods listed below are for 4^th week after surgery:

1. Protein Shake to be continued
2. Introduce chicken and red meat very slowly. Ensure it is chewed thoroughly
3. Any type of fish
4. Fruits
5. Vegetables ( It is recommended that food is cook till it get soften)
6. Sweet Potatoes
7. Mashed and baked Potatoes
8. Cereal
9. Caffeine can be introducing but it should be limited.

The food that need to be avoided

1. Sodas
2. Fried Food
3. Fibrous Vegetables
4. Sugary Drinks
5. Candy
6. Dessert
7. Pastas and other high carbohydrate, low nutrient foods(Pizza)
8. Whole milk and other whole milky dairy foods
9. Nuts

Healthy Snacks for 4^th week

1. Hummus with rice crackers or softened carrots
2. Hard Boiled egg
3. Quarter cup of Oatmeal
4. Quarter of a baked sweet potato
5. Banana
6. Strawberries or fresh fruit

5^Th Week and beyond

The food should be introducing one by one to see how they are tolerated. Patient should be careful about constipation, diarrhea, and upset stomach.

1. Eat three small meals every day.
2. Hydrate throughout the day.
3. Stop Drinking fluids 30 minutes before each meal.
4. Avoid snacking. Choose nutrient-dense food( Fruits, Vegetables, Nuts)
5. Recommended Vitamins Should be taken
6. Ensure 60 gram protein is taken
7. Supplement daily with a protein shake
8. Incorporate exercise into your daily routine, a habit should be developed.
9. Avoid Sodas.