A laparoscopic adjustable gastric band, sometimes called LAGB or a Lap-Band, allows people who meet certain criteria for aggressive weight loss to control the amount of food they can comfortably eat. To do this, a gastric band is placed around the upper part of the stomach, creating a small pouch in which food can enter and slowly pass through, quickly increasing the sensation of fullness. Because of this, your diet before and after the procedure requires special attention. As always, check with your doctor or dietitian before starting a new nutrition program to make sure it meets your individual needs.
Before Surgery
Because many physicians do not allow caffeinated, sugary or carbonated beverages after surgery, weaning yourself off these items slowly prior to surgery may make the post-operative transition easier, especially if they are a crucial part of your daily routine. Also, because food needs to be consumed slowly and in small quantities, patients who take their time eating and chew their food well have an easier time making the same adjustments after surgery.
Immediately After Surgery
Immediately after surgery, the diet usually consists of nothing by mouth until approved by the surgeon. Your diet over the next 24 hours will include only clear liquids with no sugar, caffeine or carbonation. This may include water, broth, sugar-free gelatin and frozen ice pops. Two to three days after surgery, your diet will allow the addition of full liquids. Full liquids are foods liquid at room temperature, including sugar-free pudding, low fat yogurt, skim milk, and strained soups. Your physician may also prescribe a low-sugar protein supplement and vitamins.
Months One and Two After Surgery
Once you can tolerate full liquids, the diet will progress to pureed and blended foods. These foods may include pureed meats, fruits, and vegetables, cottage cheese, soft scrambled eggs, and hot cereals such as grits. Although this stage of the diet seems unappetizing to many people, it is important not to progress too quickly to solid foods to decrease the chance of the band slipping out of place or the development of severe abdominal discomfort. After successful tolerance of the smooth foods, soft solids can be added to the diet after approximately three months.
Mainentance Diet
Three small meals a day are all that is needed after having gastric banding placed. The focus of the meal is 2 oz. to 4 oz. of lean meat, skinless poultry, fish, eggs, and low fat cheese. In addition to the protein, small portions of vegetables and fruits can be added back into the diet. Whole grain breads, cereals and crackers are allowed, although doughy breads and fibrous foods can give the sensation of feeling "stuck." These foods are sometimes not as easily digested as dry toast and crackers and well-cooked vegetables. Also, waiting 30 minutes after your last drink before eating, and then waiting again another 45 minutes after eating before having another beverage can help to prevent food from being washed down too quickly and decreasing the sensation of fullness.
Fluid, Calorie and Protein Needs
Because adequate hydration is very important after surgery, calorie-free beverages should be consumed frequently, but in small quantities throughout the day for a total of six to eight cups. Although protein and calorie needs differ for everyone, most people need approximately 1,200 to 1,600 calories during the maintenance phase of the diet. Protein needs range from about 50 g to 70 g, depending on gender. Maintaining a healthy diet after having a laparoscopic gastric banding surgery is a permanent lifestyle change that can help you live a healthy, active life.
Member Comments