The purpose of the gastric banding procedure is to restrict
your food intake. The band is placed in your upper stomach to
create a small pouch there, with a very narrow opening into
the lower stomach. This slows down the rate of passage of food
and reduces the effective storage capacity of the stomach.
Following the banding procedure you will need to change your
eating habits to prevent side-effects, such as feelings of bloating
and vomiting. Since the purpose of the banding is to help you
to lose weight it is also important that you follow the advice
given here and that you restrict your energy intake. In particular
you will need to avoid high calorie drinks and soft foods such
as milk shakes and ice cream. Instead try to take only sugar-free
or 'diet' drinks such as sugar-free cordials and squashes. Fizzy
drinks may make you feel more bloated, in which case avoid them.
It is more difficult to achieve an adequate vitamin and mineral
intake on a low calorie diet and for this reason it is recommended
that you take a multivitamin and mineral preparation, for example
Sanatogen Gold, Centrum of Forceval. These are most effectively
absorbed if taken with food.
N.B. Vomiting will result if you eat too quickly, if you eat too
much or if you do not chew your food properly. Once your body has
adjusted, after the first few months post surgery, the frequency
of vomiting should reduce.
For the first month following surgery, you should puree all food
to ensure it passes through the narrow opening between the upper
and lower stomach.
After the first month solid foods can be resumed but these must
be chewed thoroughly, otherwise vomiting may result.
Eat 3 meals only per day and do not have extra snacks. Keep to small
meals as your stomach cannot manage large quantities.
Stop eating at the first feeling of fullness. Even one or two extra
bites may cause vomiting.
Ensure an adequate fibre intake to prevent constipation.
If vomiting is persistant, rather than occasional, after the first
few months, revert to a liquid diet for 1 - 2 days before resuming
Do not try to induce vomiting to relieve symptoms of bloating or
fullnes, this will not help you to adapt to the banding.
of surgery and next 24 hours: sips of water only (room temperature,
2 Introduce clear fluids i.e., fruit juice (unsweetened), clear
soup, tea (no sugar), sugar-free cordials. Sip slowly.
3 Free fluids, i.e., low fat milk, strained soup (not 'cream of'
varieties) and coffee.
4 Introduce light diet and vitamin / mineral supplement i.e. Breakfast:
Fruit juice - 100ml, Porridge / Ready Brek - 100g, tea (no sugar)
Lunch and Evening Meal: Strained soup - 100ml with slice of bread
(no crusts) soaked in soup, diet yogurt. Mid am and pm: 100ml low
fat milk Day 5 Increase the variety of foods taken
Fruit juice, Porridge / Ready Brek, tea (no sugar)
and Evening Meal: Strained soup, mashed potato (with low fat milk,
no butter) and cottage cheese, pureed fruit.
am and pm: 100ml low fat milk
6 You may now progress to a puree diet.
to prepare puree food
All foods must be smooth and not contain lumps
A liquidiser or food processor to puree foods is best.
A potato masher can be used to puree soft vegetables and potatoes.
A sieve and spoon can be used to remove lumps, pips and skin.
When liquidising food use extra fluid to thin it to the required
Meat, chicken, fish: Remove any skin, bones, fat or gristle. Puree
to a paste, then gradually add liquid.
Potato: Can be mashed with low fat milk. Liquidise if they are still
lumpy. Instant mashed potato is useful and can be used without being
Pasta: Soft pasta dishes liquidise well if extra sauce is added.
Keep to low fat versions of spaghetti bolognaise, lasagne, or ravioli.
Vegetables: Cook until tender, drain and puree. The cooking liquid
can be used to thin down the puree.
Fruit: Puree tinned, fresh or stewed fruit and extra fruit juice
to the desired consistency. Use artificial sweetener to taste.
Glass of fruit juice Porridge / Ready Brek or Weetabix with low
Tea, coffee or low calorie drink.
Hearty soup or broth or baked beans or
Meal and pureed meat or fish with gravy or sauce
Tea, coffee or low calorie drink
Pureed vegetables and mashed potatoes
Pureed fruit or diet yoghurt
Tea, coffee or low calorie drink
a solid diet
After the first month post-op you can resume a solid diet. Because
you can still only tolerate small amounts (of well-chewed food)
you will need to make sure that the food you eat is nutrient but
not calorie dense. This means avoiding concentrated sources of calories
which contain few other nutrients, i.e. fat, sugar and alcohol.
You should also continue to take your multivitamin / mineral preparation.
to include the following foods in your diet to ensure you meet your
requirements for protein and micronutrients:
1. Growth and repair group i.e. protein foods: Meat, fish, eggs,
low fat milk products and beans. Include 2-3 small portions per day
eg 60-90grams (2-3oz) meat, 30-60g (1-2oz) low fat cheese.
2. Protective foods, containing vitamins and minerals: All fruit
and vegetables. Include 4-5 portions per day (unsweetened fruit
juice counts as one portion).
3. Energy foods, includes carbohydrates, fat and alcohol: This is
the group you most need to restrict. Choose one small portion (60-90g/2-3oz)
of starchy foods at each meal, e.g. bread, potatoes, rice or pasta
(choose the wholemeal or high fibre varieties where possible). Minimise
fat cooking, avoid alcohol, sugar and puddings, except fruit or
low fat yogurts.
you want further advice regarding your diet contact the dietitian
via the M.S.G. group or at P.E.H. tel. 707342.
and dried fruits
not be eaten at all as they are likely to swell and get stuck
in the new opening of the stomach
Difficult to Digest
liquid mixture, containing multivitamins, in particular the B complex
is recommended during the first 6 post operative months.
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