Dietitian follow-up before and after surgery is important both for healthy weight loss after surgery and for preventing complications that may develop due to nutrient deficiencies.
Your dietitian follow-up starts with your nutrition program to be applied by our team dietitians before surgery. After the surgery, you will be followed up by our dietitian at regular intervals for the first 1 year.
Our dietician reaches you before the surgery and informs you about the preoperative diet.
Preoperative Diet
You usually follow a liquid diet for 3 days before the operation. The duration of preoperative nutrition may vary according to your body mass index (BMI).
Your body mass index (BMI);
Between 32.5-39, a 2-day liquid nutrition
If between 40-45, a 3-day liquid diet
If it is 45 and above, you have a liquid nutrition period of at least 5 days.
Longer-term preoperative nutrition programs can also be applied according to the preoperative interview evaluation, regardless of your Body Mass Index.
The aim here is to reduce fat, especially in the liver and abdomen, to preserve muscle tissue by increasing protein intake, and to prepare the body for surgery and the healing process.
Hospital Process:
- You will not take any liquid or food by mouth on the day of your surgery, only in case of extreme thirst, you can melt ice in your mouth by requesting it from the floor nurses. Your fluid and nutritional needs will be given intravenously with the help of serums.
- On the morning of the next day, your scopy examination (leak test) will be performed and if it is normal, you will start consuming water and apple juice.
- On the 2nd postoperative day, you will be able to drink slightly warmed linden and/or light tea in addition to water and apple juice. You will also be able to consume grain-free compote and chicken broth soup served by the hospital.
- On the day you are discharged from the hospital (day 3), you can consume diluted buttermilk, green water accumulated on yogurt, meat broth, chicken broth, compote, pleasantries, unsweetened pineapple/cherry/apple juice, open tea, linden and herbal teas you are used to (except sage).
In addition, this process will become more feasible thanks to the nutrition training given by our dietitian before discharge from the hospital and our “Nutrition After Obesity Surgery” booklet, which is a guide.
When You Go Home:
- On day 3 and day 4, you can consume diluted buttermilk, green water that accumulates on yogurt, broth, chicken broth, compote, pleasantries, unsweetened pineapple/cherry/apple juice, light tea, linden and herbal teas you are used to (except sage).
- From day 5 onwards, you can add pureed and strained tomato/pea/tarhana soups. You can also consume dairy foods such as diluted light cream-free yogurt, lactose-free milk, kefir, probiotic yogurt, soy milk. If you feel well, you can also try protein powder supplements in consultation with our dietitian.
- From day 6 onwards, you can add strained highland and vermicelli soups to your diet.
- From day 7, you will start your protein powder supplementation.
- From Day 10, you can add soft-boiled eggs (spoonable) and soft, low-fat and unsalted cheeses such as curd cheese to your diet.
- After Day 10-12, your soups may be thicker.
- Between 14 and 18 days, in addition to the foods consumed between 14 and 18 days, you can consume pureed foods with a spoonable consistency (or the consistency of baby food) that do not need to be chewed (potato, pumpkin, carrot purees).
- On day 17, you can have purees of green leafy vegetables (spinach, purslane, chard).
- On day 18, you can include purees of fruits such as bananas, peelless apples/pears in your diet.
- From the 19th day onwards, the foods consumed should have a consistency that can be easily crushed with the back of a fork, if not, use a blender.
- During this period, you can consume custard, keshkül and pudding (Dr. Oetker sugar-free - cooked with a small amount of powdered sweetener) as dessert. You can try 1-2 scoops of plain ice cream. Do not prefer rice pudding in the first month due to its rice content.
- You can make your own fruit yogurt by adding apricots, strawberries, pineapple, peaches without peel to your probiotic yogurt.
- On the 21st day, tuna should be tried first, and if no discomfort is felt, seasonal fish can be consumed in the oven, grilled or steamed and cooked without frying. You should pay the most attention to the bones in fish and consume your fish after removing the bones thoroughly.
- At this stage, make sure that the food has a soft consistency and is juicy. At this stage, the food should be crushed with the back of a fork or passed through a blender.
- You can add the spices you are used to to your meals in small amounts.
- You can consume bananas, peeled and grated apples, pears, strawberries, watermelon, peeled peaches, fresh apricots, peeled figs as fruit.
- If you are out and about, you can consume baby purees from the market (with less than 10 grams of sugar per serving).
- By Day 30, you can consume the minced meat in the form of meatballs. You can prepare your first meatballs with medium-fat minced meat, egg, bread crumbs or breadcrumbs and your favorite spices.
- After the first month, you can use breadsticks, or you can use bread (whole wheat or rye) in an electric grill, toaster oven or Teflon pan to make crispbread (no more than one slice a day).
- From day 35 you can eat vegetable dishes prepared normally with onions, tomato paste and oil.
- From day 40, the softer parts of chicken and turkey meat, such as black meat and thighs, can be added to your diet first. In addition to chicken/turkey meat, you can try raw green leaves in vegetables.
- After Day 45, the ban on legumes ends and we add red meat to our diet. The first experiment with red meat should be done with softer meat groups. The cooking process should be such that the inside remains more juicy.
- After the 45th day, you can try all kinds of foods except for the prohibitions and add them to your diet.
Prohibitions
Coffee consumption is not appropriate for the first 1 month.
Consumption of legumes is not appropriate for the first 45 days.
Citrus fruits (such as tangerines, oranges) are not suitable for the first 2 months. You can consume their juices by separating the pulp after the 12th day.
Corn consumption is not appropriate for the first 3 months.
It is not appropriate to consume carbonated drinks (such as cola, fanta, soda, soda) for the first 1 year. After the 1st year, we do not recommend consumption.
