Eating After Gastric Bypass
Operation
Bariatric bypass surgeries have a major
impact on the diet and eating habits of all patients. If you are considering
having weight loss surgery, here are some brief guidelines about the dietary
and food consequences you may expect.
New Digestive System After Stomach Bypass
Surgery Needs New Diet
Obese patients who have a gastric bypass operation wake up with a totally
new digestive system. Instead of being able to eat as much food as they
like, and have it pass through a normal-sized stomach then into their
small intestine for digestion, patients are told to change completely
both the amount and type of diet foods they eat.
1. Stomach Reduction Means Eat Less
The gastric bypass operation has shrunk their stomach from melon-size
to egg-size. This means the volume of digested food that the new stomach
pouch can hold is reduced from about 1 quart to about 1 ounce, or 2 tablespoons.
So gastric bypass patients must learn new diet habits - in particular
they must learn to eat less and avoid drinking liquids at mealtimes.
2. Stomach and Intestine Bypass Means
Eat Slowly Avoid High Sugar/Fat
The bariatric surgery has bypassed the remainder of the stomach and a
sizeable length of duodenum and jejunum in the small intestine. This means
that normal eating will cause undigested food to pass too quickly (ie.
get "dumped") into the remaining small intestine. So stomach
bypass patients must learn how to eat more slowly and chew food more
thoroughly. In addition, they must avoid sugary, high-carb or high-fat
foods.
Gastric Bypass Diet - From Clear Liquids
to Low Fat Solids
Post-Operative Healing and Diet
Due to the new digestive system after bypass, patients need to follow
a special restrictive diet that is designed to be gentle both on the new
stomach pouch and intestinal bypass limb that carries their food from
the stomach pouch to the remaining part of their small intestine. As healing
progresses, the diet plan becomes less restrictive and gradually includes
a wider range of food options. It starts with clear liquids only, and
progresses in stages to low-fat solid foods. How quickly patients can
progress through these stages is dependent upon their individual post-operative
health condition and the advice of their doctor and dietitian.
Gastric Bypass Diet Similar to Child
Eating
Some bariatric dietitians compare a stomach bypass diet with the typical
eating patterns of a 3-4 year old child.
- Small children eat very small amounts
of food. For weight-loss-surgery patients this is essential because
of their shrunken stomach-contents.
- Small children eat ordinary food, like
adults, although the food is typically chopped up for easy digestion.
The same type of eating approach holds true for patients after bypass
operations.
- Parents of small children take care
to provide a healthy balanced diet without any "junk" food.
In the same way, bypass patients must take good care to ensure that
they choose healthy foods without wasting stomach space on empty-calorie
or non-nutritious foods.
Special Gastric Bypass Diet is for Life
Unlike small children, who gradually eat greater quantities of food as
they grow up, stomach bypass patients must follow a restricted eating
plan FOR LIFE. Their new stomach and digestive system will never be able
to cope with normal adult dietary habits. Although some bariatric bypass
surgeries can be "reversed", such a reversal carries additional
health risks and weight regain is a major consequence.
Can You Cope With a Restricted Diet
After Gastric Bypass?
If you are suffering from morbid class 3 obesity, you may be tempted to
see bariatric surgery (like roux-en-y, or biliopancreatic diversion bypass)
as the solution to your weight-related health problems. If so, be aware
that while gastrointestinal surgery does NOT cure obesity. It merely forces
you to reduce your food and calorie intake, causing short-term weight
reduction. In the long term however, successful permanent weight loss
depends on your ability to comply with the dietary restrictions referred
to above.
Note: Gastrointestinal weight loss surgery,
whether bypass or stomach banding, to reduce severe clinical obesity is
a serious undertaking requiring detailed consultation with your doctor
and bariatric physician. In particular, it necessitates significant lifelong
changes to patients dietary and eating habits.
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