After surgery, you will need a new nutrition plan. Discuss this in detail with your surgeon and/or dietitian as they can help you learn about and get used to the changes in lifestyle and eating habits you need to make.
It is very important to follow the eating and drinking instructions starting right after the operation to allow the new stomach structure to heal completely and in the right position. This may take a month or more. It is also important, especially in the early weeks, not to stretch the small stomach pouch above the band. Vomiting can stretch it, so it is important not to vomit. Vomiting can increase the chance of stomach tissue slipping through the band.
The First Few Days Post-Surgery
Right after the operation you can take an occasional sip of water or suck on an ice
cube. You shouldn't drink more than this. The day after the operation, you can take a
little more fluid but only a small amount at a time. Besides water, you should also
choose clear liquids that have an adequate number of calories. To prevent nausea and
vomiting, do not drink too much.
Liquid Diet (1-2 weeks post-op)
The goal during this early post-operative period is to protect the small stomach pouch. Only thin liquids can be tolerated at this time. It is also important to keep hydrated with lots of water. Other liquids recommended during this phase include:
Pureed Foods (3-4 weeks post-op)
During this phase you may start having slightly textured foods. Aim for the consistency of baby foods. This will help you transition to more solid foods later. Because protein is so important to help you maintain muscle while you are losing weight, eat protein-rich foods first, and then move on to fruits and vegetables.
Foods in this stage may include:
In the first few weeks you may be able to eat foods that might not be allowed in your
diet later as these foods may contain too many calories. It is more important in the
first few weeks to let your stomach adjust to the LAP-BAND System than it is to lose
weight. Also, your timing and progression into each dietary phase may vary. In general, you should follow the advice of your surgeon and/or dietitian about nutrition.
Soft Foods (5 weeks post-op)
Your meals can now include tender cooked foods like fish and ground turkey. Now
that you can chew, make it a habit to chew foods well. If you have dentures, be sure
to cut your food into small pieces and chew it thoroughly. If you don't follow these precautions, you may experience vomiting, stomach irritation and swelling. You could also have stoma obstruction.
If solid foods cause nausea and vomiting, go back to the liquid diet you had earlier.
Then you can slowly add soft foods and eventually transition to solid foods. Always
ask for advice from your doctor or dietitian that is specific to your situation. Vomiting
may increase the incidence of band slippage, stomach slippage, or stretching of the small stomach pouch above the band.
Your New Nutrition Plan
When you can eat solid foods without problems you will need to pay close attention to your diet. Liquids will pass through the reduced stomach pouch quickly and will not make you feel full. The LAP-BAND was designed to restrict solids, not liquids. Drinking liquids during or immediately after meals tends to flush food through the pouch and you will not get the prolonged feeling of satiety needed to help you eat less.
Staying hydrated throughout the day is important. Drink at least 6-8 cups of water
per day and make sure you consume them between meals.
Many patients have a difficult time with solid foods during the morning hours. If this is the case for you, you can open up your LAP-BAND by starting with a couple of glasses of liquids before your first meal.
Too much food or big chunks of food can block the stomach pouch outlet. You can avoid this problem by chewing food well and eating small bits at a time. It is important to remember that your new stoma opening is approximately the size of a dime. Chew your food adequately so that it can easily fit through the opening.
Eat only three small meals a day and make sure that these meals contain adequate nutrients. Your stomach can only hold about 1/4 cup of food or 2 oz. at a time. Stop
eating when your hunger is gone or when you feel comfortable.
You may find that the small stomach pouch makes digestion of high-fiber, high-fat and
dry foods more difficult. Tolerance will vary from person to person. Ask your surgeon
and/or dietitian about your food choices.