Weightloss Surgery Pre-Op Diet Plan

Secret Surgery Ltd, Green Lane Isle of Grain, Rochester, Kent, UK - ME3 0DQ Email: Info@secretsurgery.co.uk, Tel: 0843 289 4 982 Company Registered No: 7437618

Bariatric surgery - pre-operative diet

Before your weight loss surgery, it is essential that you follow a special pre-operative diet for two weeks. This diet is to help shrink the liver so the surgeon can operate more easily and increases the chances of your surgery being performed laparoscopically (by keyhole). This diet is not optional and is only intended for before surgery. It should not be followed after surgery or by anyone else. Why do I need to follow this diet? This diet is low in carbohydrate and fat. It will, therefore, reduce the glycogen stores (glycogen is a form of sugar stored in the liver and muscles for energy). This results in the liver shrinking in size and softening. When performing bariatric surgery laparoscopically, the surgeon will have to lift the liver to access the stomach. If the liver is heavy, fatty and immobile, it is much more difficult for the surgeon to see and get access to the stomach. This could be a reason for changing to open surgery. Open surgery means a larger abdominal scar, which results in longer recovery and increased risks. By following this diet, you are likely to lose weight before surgery but, more importantly, your liver will shrink and you increase your chances of having a safe operation. It is important to stick to the diet for the full two weeks before your operation. Do not be tempted to have a special or larger meal before surgery, as this will reverse the liverreducing effects of the diet. Special note for patients with diabetes If you have diabetes and are treated with insulin or a sulphonylurea tablet (gliclazide, glibenclamide, tolbutamide, glimepiride, glipizide), you will need to adjust your insulin or medication. Please contact your Diabetes Specialist Nurse/Practice Nurse/GP before starting the pre-operative diet. Pre-operative diet This diet allows between 800 - 1000kcal a day and gives you approximately 100g of carbohydrate a day. It is low in fat and moderate in protein. It is recommended you take a multivitamin and mineral tablet. If you choose a chewable tablet, this can be also used after surgery. Examples are Chewable Centrum Complete, Principle Healthcare Multivitamin, and Mineral A - Z). The following shows some menu suggestions for a typical day: DIET OPTION 1 Upto 4 tins of weightwatcher soup Upto 4 Muller light fat free yoghurts As much sugar free fluid as you wish pint of milk for tea or coffee

Secret Surgery Ltd, Green Lane Isle of Grain, Rochester, Kent, UK - ME3 0DQ Email: Info@secretsurgery.co.uk, Tel: 0843 289 4 982 Company Registered No: 7437618

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DIET OPTION 2 Breakfast (15g carbohydrate) Choose one of the following: 3 tablespoons breakfast cereal or dry porridge oats 1 Shredded Wheat 1 Weetabix 1 medium sliced toast with scraping of margarine Lunch (15 - 20g carbohydrate) Choose one of the following:1 slice medium sliced bread/ toast2 crispbreads bagel pitta bread With one of the following: 2 eggs60g 2oz cheese (2 x matchbox size) 8 thin packet slices of ham, chicken or turkey small chicken breast without skin 4 rashers of grilled back bacon 100g/4oz meat (with fat cut off) 2 grilled sausages 100g/4oz fish 100g/4oz tofu or quorn with vegetables/salad. If using a dressing, choose low fat options. Evening Meal (20g carbohydrate) Choose one of the following: 2 average old potatoes (boiled or mashed) 4 egg-sized new potatoes with skin 2 tablespoons of cooked rice 2 tablespoons of cooked pasta With one of the following: 2 eggs 60g/2oz cheese (2 x matchbox size) 8 thin packet slices of ham, chicken or turkey small chicken breast without skin 4 rashers of grilled back bacon 100g/4oz meat (with fat cut off) 2 grilled sausages100g/4oz fish 100g/4oz tofu or quorn With vegetables/salad. If using a dressing choose low fat options. Allowances throughout the day (40g carbohydrate) In addition, you can have: 1/3 pint/200ml of milk for drinks and cereal, 2 portions of fruit or 2 x 100ml fruit juice one small pot (125g) diet or light yoghurt unlimited water, tea, coffee, diet fizzy drinks, no added sugar squashes. If you have questions or concerns, please contact us on 0843 289 4 982.

Secret Surgery Ltd, Green Lane Isle of Grain, Rochester, Kent, UK - ME3 0DQ Email: Info@secretsurgery.co.uk, Tel: 0843 289 4 982 Company Registered No: 7437618

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