Pre and Post Operative Diet Plan for Bariatric and Hiatal Hernia Patients

Bariatric surgery is a medical procedure performed on individuals who are severely obese, and it involves reducing the size of the stomach or rerouting the digestive system to promote weight loss. Hiatal Hernia repair involves making a valve around the lower part of the esophagus to prevent reflux. The pre and post-operative diet plans for bariatric and hiatal hernia patients are crucial for a successful outcome and to ensure proper healing and adaptation to the changes in the digestive system.

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• Full Liquid Diet (2 weeks prior to surgery)

  • Protein Shakes: Low-carb, sugar-free.

  • Skim Milk or Almond Milk: Unsweetened.

  • Soup: Blended and strained.

  • Yogurt: Sugar-free and low-fat.

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• Phase 1: Clear Liquid Diet (1-2 days post surgery)

  • Water: Sip slowly throughout the day.

  • Broth: Clear, fat-free, and low-sodium.

  • Sugar-Free Jello and Popsicles: Gradually introduce.

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• Phase 2: Full Liquid Diet (1-2 weeks post surgery)

  • Protein Shakes: High-quality, low-carb, and sugar-free.

  • Skim Milk or Almond Milk: Unsweetened.

  • Thin Cream of Wheat or Oatmeal: Thinned with water.

  • Sugar-Free Pudding or Yogurt: Gradually.

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• Phase 3: Pureed Diet (2-4 weeks post surgery)

  • Mashed Potatoes: Without added fats.

  • Pureed Vegetables: Well-cooked and blended.

  • Lean Protein: Chicken, turkey, or fish, pureed.

  • Eggs: Soft-scrambled or mashed.

  • Baby Food: Unsweetened and high in protein.

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• Phase 4: Soft Diet (4-6 weeks post surgery)

  • Ground or Minced Protein: Gradually reintroduce.

  • Soft Vegetables: Cooked and chopped.

  • Soft Fruits: Without skin.

  • Low-Fat Cheese: In moderation.

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• Phase 5: Regular Diet (6 weeks post surgery)

  • Lean Proteins: Chicken, turkey, fish, lean beef.

  • Vegetables and Fruits: Gradually reintroduce.

  • Whole Grains: Quinoa, brown rice, whole wheat.

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• General Guidelines

  • Protein Intake: Prioritize protein to support healing and muscle preservation (80-100 grams per day)

  • Hydration: Stay well-hydrated (at least 64 ounces)

  • Vitamins and Supplements: Take prescribed supplements to prevent deficiencies (Bariatric patients)

  • Small, Frequent Meals: Start with small portions and eat slowly

  • Avoid Sugary and Fatty Foods: To prevent dumping syndrome and promote weight loss (Bariatric patients)

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• Hydration for Post Operative Bariatric Patients

  • Early Post-Op Stage: This often involves sipping water throughout the day, starting with small amounts and gradually increasing as tolerated. It's often advised to sip water consistently throughout the day to avoid overloading the stomach and to prevent dehydration.

  • Total Daily Intake: It is commonly recommended for bariatric surgery patients to aim for at least 64 ounces (about 1.9 liters) of fluids per day. However, some individuals may need more or less depending on their specific circumstances.

  • Avoiding High-Calorie Beverages: Choose water as the primary source of hydration and limit the intake of high-calorie beverages, sugary drinks, and caffeinated beverages.

  • Monitoring Signs of Dehydration: Bariatric surgery patients should be vigilant about signs of dehydration, including dark urine, dizziness, rapid heart rate, and dry mouth. If any of these symptoms occur, it's essential to increase fluid intake and contact your doctor.

  • Listen to Your Body: Pay attention to your body's signals. If you're thirsty, drink water. If you're not thirsty, don't force yourself to drink excessive amounts.