Escolar Documentos
Profissional Documentos
Cultura Documentos
FORGBP
DietStage/Timing
Fluids/FoodsAllowed
GuidelinesforClients
StageI
Days1&2followingsurgery
GBPclearliquids*,water,icechips
Youmaybegindietimmediatelyaftersurgery
ifnothavingswallowtest.
StageII
BeginonDay3aftersurgery
Beginmultivitaminandmineral
supplementation
Priorityonhydrationandproteinintake
StageIII,Week1
BeginonDays1014
VarietyofGBPclearliquids*
Sugarfreeicepops
GBPfullliquids*
Consume>4864oz/daytotalfluids;>2432oz
GBPclearliquids*plus2432ozofany
combinationofGBPfullliquids*
Alsocanconsumesaltyfluidsathome(ex.
Brothandbouillon)withinfluidallowance
Have>4864ozoftotalliquidsdaily.
Aimtohaveproteinfoodchoicesat36small
mealsdaily;youmayonlybeabletotoleratea
coupleoftablespoonsateachmeal/snack
Donotdrinkwithmeals;wait~30minutes
aftereachmealbeforehavingbeverages
Stayinghydratedisessentialandapriority!
Wait30minutesaftermealsbeforehaving
liquids
Alwayseatproteinfirst
Avoidrice,bread,andpastauntilyoucan
comfortablyconsume6080gramsproteinas
wellasfruits/vegetablesdaily.
Yourcalorieneedswillbebasedonyour
height,weight,age,andactivitylevel
StageIII
AdvancetoStageIIIastolerated
StageIV
AdvancetoStageIVashungerincreasesand
morefoodistolerated
Vitamin&mineralsupplementationdaily
IncreasedintakeofGBPclearliquids*
Astolerated,replaceGBPfullliquids*withsoft,moist,diced,groundorpureedprotein
sources:eggs;groundmeats,poultry,softmoistfish;addedgravy,bouillon,orlight
mayonnaisetomoisten;cookedbeans;heartybeansoups;cottagecheese;lowfat
cheese;continueyogurt
Addwellcookedsoftvegetablesandsoftand/orpeeledfruittomeals/snacks
Tough,stringyfoodsthatcanblockthestoma(ex.rawcelery,asparagusstalks)should
beavoided
Clientsshouldcontinuetoconsumeproteinwithsomefruitorvegetablesateach
meal;somepeopletoleratesalads1monthaftersurgery
Starchesshouldbelimitedtowholegraincrackerswithprotein,potatoes,and/ordry
lowsugarcerealsmoistenedwithmilk
Healthy,balancedsolidfooddietwithprotein,fruits,vegetables,andwholegrains
FORLAGB
DietStage/Timing
Fluids/FoodsAllowed
GuidelinesforClients
StageI
Days1&2aftersurgery
LAGBclearliquids*,water,icechips
Onthefirstdayaftersurgery,youmayhave
sipsofwaterandicechips.
StageII(dischargediet)
BeginonDay2&3aftersurgery
Beginsupplementation:chewable
multivitamin/multimineralsupplementwith
iron,twicedaily;also,chewableorliquid
calciumcitratewithvitaminD
VarietyofLAGBclearliquids*
LAGBfullliquids*
Have>64oz/daytotalfluidsperday
Dailyfluidsshouldinclude>2432ozLABG
clearliquids*plus32ozofanycombinationof
LABGfullliquids*
StageIII,Week1
BeginonDays1014aftersurgery
Continuevitaminandmineralsupplementation
IncreasedLAGBclearliquids*(totalliquids>64oz/day)
Astolerated,replaceLAGBfullliquids*withsoft,moist,diced,groundorpureed
proteinsources:eggs;groundmeats,poultry,softmoistfish;addedgravy,bouillon,or
lightmayonnaisetomoisten;cookedbeans;heartybeansoups;cottagecheese;lowfat
cheese;continueyogurt
Beassuredthathungeriscommonandnormal
withinaweekorsoofLAGB.
Havingproteinfoods(moistgroundchoices)
for36smallmealsdailycanhelpyoufeel
satisfied.
Mindful,sloweatingisessential.
Donotdrinkwithmeals;wait~30minutesafter
eachmealbeforedrinking.
StageIII
Start4weeksaftersurgery;advanceas
toleratedduringrapidweightlossphase
Ifproteinfoodsarewelltolerated,addwellcookedsoftvegetablesandsoftand/or
peeledfruittomeals/snacks
Ifyouaretoleratingsoft,moist,ground,diced,and/orpureedproteinswithsmall
amountsoffruitsandvegetables,thenwholegraincrackersmaybeadded(tobeeaten
withprotein).
Rice,pasta,andbreadshouldbeavoided.
Stayinghydratedisessentialandapriority!
Haveproteinateverymeal,especiallyifyou
feelincreasedhungerbeforeyourinitialfillor
adjustment.
Verywellcookedvegetablesmayalsohelpyou
tofeelsatisfied
StageIV
AdvancetoStageIVashungerincreasesand
morefoodistolerated
Continuedailyvitamin&mineral
supplementation
Healthy,balancedsolidfooddietconsistingofadequateprotein,fruits,vegetablesand
wholegrains.
Tough,stringfoodsthatcanblockthestoma(ex.rawcelery,asparagusstalks,steak)
shouldbeavoided.
Yourcalorieneedswillbebasedonyour
height,weight,age,andactivitylevel
PostLABGAdjustment
~6weeksaftersurgery;then,~every6weeks
untilsatietyisreached
LABGfullliquids*(seeStageII)for2daysafterfill
AdvancetoStageIII,Week1guidelinesastoleratedandusefor45days;then,
advancetoStagesIII&VI
Whendietisadvancedtosoftsolids,pay
specialattentiontomindfuleatingandchewing
untilfoodisamushyconsistency;iffoodisnot
wellchewed,itcouldgetstuckabovestomaof
theband
Definitions
*GBPclearliquids:clear,noncarbonatedliquidswithoutcalories,sugar,orcaffeine
*GBPfullliquids:proteinrichliquidswith<5gramssugarperservings,suchas1%ornonfatmilkmixedwithwheyorsoyproteinpowder;
lactosefreemilkorsoymilkmixedwithsoyproteinpowder;lightyogurt,plainyogurt;Greekyogurt
*LABGclearliquids:clear,noncarbonatedliquidswithoutcalories,sugar,orcaffeine
*LABGfullliquids:lowsugar,lowfat,proteinrichliquidssuchas1%ornonfatmilkmixedwithwheyorsoyproteinpowder(limit20grams
proteinperserving);lactosefreemilk/soymilkwithsoyproteinpowder;blendedlightyogurt;plainyogurt
Resource:ADAGuidetoBariatricSurgery