Recommendations for Surgery

Transcription

1 Recmmendatins fr Surgery Why shuld I fllw these recmmendatins? T help prevent nutritinal deficiencies as a result f decreased intake f fd and malabsrptin f nutrients (Gastric Bypass prcedure). T help yu achieve the maximal amunt f weight lss. Help prevent side effects such as nausea and vmiting, hair lss, and dumping syndrme. Getting Ready fr Surgery It is a gd idea t start making changes befre surgery t help yu prepare fr yur new lifestyle after surgery. Chew yur fd thrughly. This becmes very imprtant after surgery. With the reductin in the size f yur stmach and ther changes in yur anatmy yu must be able t chew fd t a liquid cnsistency befre swallwing. Nt chewing yur fd enugh culd result in pain, nausea and vmiting. Start with smaller bites. Cut fd int tiny pieces r take tiny bites (i.e. pencil erasersize). Chse mist meats. Dry meats (i.e. grilled meats r leftvers) are ften nt tlerated as well. Chew each bite apprximately 20 times r until liquid. Practice eating slwly and stp eating when yu feel full r cmfrtably satisfied. After surgery, it is imprtant t eat slwly in rder t recgnize yur feeling f fullness and prevent intlerance. When yu feel a pressure in yur upper stmach area, this is yur new full feeling. If yu experience pain, yu prbably tk ne t many bites, r perhaps ate t quickly. Sit dwn and fcus n eating. Avid activities (i.e. reading, watching TV) where yu can becme distracted. Savr each bite, nting its arma, flavr and texture. Put yur frk dwn between bites. Using infant utensils r chp sticks may help. Practice sipping beverages slwly and drink between meals. Drinking t quickly, gulping and/r drinking t sn after eating slid fd may cause pain and discmfrt. Try using cups r bttles that have small penings t slw dwn yur rate f drinking. Avid straws as they may intrduce air int yur stmach. Avid fluids during meals. Yu may drink fluids up until the meal begins but wait 30 minutes after the meal befre yu resume drinking. Keep fluids with yu all day lng and keep sipping between meals.

2 Drink adequate amunts f fluids t prevent dehydratin. Yu shuld aim fr 8 cups r 64 unces (z.) per day. Increase yur fluid intake if any f the fllwing signs are present: decreased r dark urine, dry skin, headache, dizziness, lethargy, a white cating n the tngue. When yu return hme after surgery it may seem difficult t get fluids in initially because f inflammatin. Aim fr 4-8 z. f fluid ver an hur. Eventually yu shuld be able t take 8 z. f fluid ver 5-15 minutes. Wean ff f beverages cntaining carbnatin, caffeine, sugar and alchl. Carbnatin may cause abdminal discmfrt and may stretch ut yur new stmach ver time. Caffeine may irritate the stmach and increase yur risk fr an ulcer after surgery. Caffeine as well as alchl may als cntribute t dehydratin. Beverages cntaining sugar and alchl are high in calries and will hinder yur weight lss. They may als cause Dumping Syndrme after the Gastric Bypass prcedure. And last but nt least, alchl metablism is altered and yu may feel the effects mre quickly. Water is a great beverage chice! If yu are having truble tlerating plain water, try adding a wedge f citrus fruit r sliced cucumbers. Sugar free r light beverages with less than 10 calries per serving are als apprpriate. Try beverages sweetened with artificial r nn-nutritive sweeteners. Try True Lemn/Lime/Orange fr tuch f flavr withut artificial sweetener. Switch t decaffeinated cffee and tea. Avid ALL beverages with carbnatin, even diet sda and sparkling water. If yu chse t drink alchl in mderatin after surgery, please d nt plan n driving. Read fd labels. Begin by identifying the amunt f sugar, fat and prtein in a particular fd. Sugar Fd and beverages high in sugar will slw dwn the rate f weight lss and may even cause weight re-gain. Fr patients having Gastric Bypass surgery, fd and beverages that are high in sugar may cause symptms f flushing, dizziness, weakness, headache, nausea, vmiting, diarrhea and abdminal discmfrt knwn as Dumping Syndrme. Avid high sugar fds such as sweets, candy, fruit drinks and sdas. Limit fds that cntain sugar in the first 3 ingredients n the fd label. Aim fr n mre than 15 grams f sugars per serving. Sugar alchls Sugar alchls such as srbitl, xylitl, mannitl, and starch hydrlysates may lead t cramping, abdminal pain, excess gas and/r diarrhea. Sugar alchls are typically fund in dietetic fds such as sugar-free candies, ckies, ice cream and chewing gum. Fat Fd and beverages high in fat are high in calries and like sugar will slw dwn the rate f weight lss and may even cause weight re-gain. High fat intake may als cause Dumping Syndrme. Avid bviusly high fat fds such as fried fds; fast fd; snack chips; high fat meats like bacn, sausage, ht dgs, blgna, pepperni and wings; cream sups and sauces like Alfred; whle milk, ice cream; dnuts; cakes; ckies; and pastries.

3 Chse fds that are light, lw fat r fat free. When lking at a fd label Chse fds with 5% r less f the Daily Value fr fat. Avid fds with 20% r mre f the Daily Value fr fat. These wuld be cnsidered a high fat fd. Chse lean cuts f meat. Lean cuts include rund, chuck, sirlin and tenderlin and meats that are greater than 90% lean. Prtein Eat prtein with each meal and snack. Prtein is imprtant fr wund healing, immune functin and maintaining muscle mass. Yu will need grams f prtein a day ( grams per day fr pen prcedure). Prtein shuld be cnsumed first at each meal, then vegetables and fruits, then whle grains. Eat prtein with each meal. Eat prtein fds first. Take 2-3 bites f prtein fllwed by a bite f vegetable r fruit and then a bite f starch/grain. Suggest mist preparatin methds and avid dry meats fr best tlerance. Begin taking Vitamins and mineral supplement. Vitamins and minerals are nt nly imprtant fr gd health but als fr maximum weight lss and lng-term weight maintenance. Vitamins and minerals are absrbed differently after surgery therefre daily supplementatin is needed fr the rest f yur life. See surgery specific handut fr recmmendatins after surgery. Multivitamin (MVI) nw if yu d nt already. Vitamin D 2000 IU daily Calcium 600 mg daily Begin t include physical activity in yur daily rutine. Exercise is recmmended as a life-lng habit and is knwn t imprve ver-all health, md and sense f well-being as well as maximize weight lss. And, a mre tned bdy befre surgery can help reduce excess skin after surgery. The American Cllege f Sprts Medicine recmmends: minutes f mderate aerbic activity at least 5 days a week. One cntinuus sessin r multiple shrter sessins f exercise can achieve the same gal. Strength training is recmmended 2-3 days a week. Use a variety f exercises and equipment t wrk each majr muscle grup. Befre beginning any exercise rutine, please cnsult with yur dctr t make sure it is safe fr yu t exercise. Establish supprt. Scial supprt is assciated with increased weight lss after weight lss surgery. Invlve family and friends in appintments befre and after surgery. They can prvide encuragement and help yu achieve yur gals fr a healthier lifestyle. Multiple studies shw Supprt Grup attendance after weight lss surgery is assciated with greater pst-perative weight lss. Sibley Hspital hlds Supprt Grups the 1st Tuesday f the mnth frm 6:30 t 7:30 p.m. An is sent mnthly fr a reminder and additinal supprt grups. Remember t see health care prviders regularly. Cnsider lsing 5 t 10 punds befre yur surgery. Weight lss has been shwn t decrease the size f yur liver and make it easier fr yur surgen t perfrm yur prcedure.

4 Avid last supper eating (that last hurrah befre yur surgery). Weight gain, especially a few weeks befre yur surgery, can increase the size f yur liver and may make it harder fr yur surgen t get under yur liver and t yur stmach t perfrm yur weight lss surgery. Instead f giving yurself reasns why yu can't, give yurself reasns why yu can. Believe in YOU WE DO!!! Remember.

5 Behavir Change Gal Wrksheet Instructins: Lk thrugh the fllwing list f suggested changes and identify three that yu can start wrking n in the next ne t tw weeks. Then, decide n the dates when yu will have accmplished thse gals and write them dwn. D the same fr the fllwing tw weeks Gal Date (Weeks 1 2) Date (Weeks 3 4) Eliminate carbnated drinks Eliminate caffeine Eliminate alchl Eliminate simple sugars Limit fried fds and high-fat cndiments Eat prtein with each meal and snack Take small bites Chew fd 20 times per bite Put yur frk dwn between bites Stp eating when n lnger hungry Eat 3 meals per day, including breakfast Limit snacks/nibbles t 3 per day Drink 64 unces f n-calrie fluids daily Begin regular physical activity Recrd fd intake and activity Identify surces f supprt Write dwn r chse an eating plan Assess yur hunger level befre eating Other gal?