questions about pre-op & post-op diet?

my_second_chance
on 11/20/11 3:31 am - TX
 i've been doing research about pre-op & post-op diets. has anyone tried doing a colon cleanse before surgery? do you feel like it helped with speeding up your recovery? i was reading the reason why they make you do the diet is to lower the fat around your liver which speeds up the recovery process. also, has anyone tried juicing post-op? was it easy or hard on your digestive track? just wanting to get some feed back from anyone who's got some experience with this. 
(deactivated member)
on 11/20/11 3:57 am - San Jose, CA
You can't make this up as you go.  You can't guess what might be good for you without understanding the basic principles by which bariatric surgery - and in particular YOUR bariatric surgery works.  You need to know what YOUR surgeon's requirements are, and why.

Colon cleanse?  Why would that speed your recovery?  That doesn't make any sense to me.

Juicing post-op?  Do you not understand how bariatric surgery works?  Do you not understand the high protein requirements and why?  Do you not understand the carb content of juices and the effect that has on your metabolism, blood sugars and therefore hunger?

Why do "they" make you diet pre-op?  Do you mean insurance companies or surgeons?  In either case, the reasons are almost always scientifically unfounded: see the ASMBS Position Statement Preoperative Supervised Weight Loss Requirements.

Your post-op diet will vary depending on WHICH surgery you had.  Even within each surgery type, there may be variations based on the surgeon's requirements, some of which are appropriate and based on medical reasons, and some of which are simply their fatty-hating surgeons who believe it is OK to torture you, to make you feel like a failure from the very beginning, and to give themselves an out when you ultimately DO fail, because you didn't follow their impossible requirements.  The highly restrictive way-too-small-bore VSGs and too-tight lapbands, where restriction is how they work, will have different dietary requirements than malabsorptive procedures; similarly, RNY vs. DS have significantly different post-op requirements, whereby the DSers can enjoy a higher fat diet, to augment their higher protein requirements, and will not be subjected to the risk of dumping.

For an example of the former REASONABLE dietary restriction that differs among surgeons, some DS surgeons use a Valtrac ring to form the duodenal-jejunal anastomosis; this is a dissolvable device that mandates that the patient not eat solid food for the first 3 weeks until it dissolves, to avoid the possibility of inadequately chewed food getting stuck in the ring and causing a blockage.  Other DS surgeons don't use this device, and their patients can eat solid food sooner.  I had hot cereal and eggs in the hospital on day 2, and was eating tuna and ground beef a couple of days later.

I hope you understand from this that you are very VERY early in your research, based on the naive questions you have asked, and that you have a LOT of work to do before you will be adequately prepared to make the choice of WHICH surgery to have, much less what you think your post-op diet should be.
M M
on 11/20/11 5:14 am
Juicing + gastric bypass = dumping.  Be careful.  Colon cleansing is not usually advised for a while -- at least until you are entirely healed.

Whatcha sellin'?
MacMadame
on 11/20/11 6:35 am - Northern, CA
Colon cleansing isn't a good idea ever unless you are having a medical procedure that requires it. The idea that we need to "cleanse" the body of "toxins" by consuming some special, mostly liquid diet is not scientifically founded.

The stated reason for losing some weight pre-op is to make the liver easier to handle (people say "shrinking" but it's not necessarily about size)  during surgery. It has nothing to do with recovery after.  IMO, if you are SMO, then your surgeon may have a point to require this as your liver may be in very bad shape. (I know someone who had a BMI of 70 and her surgeon said her liver was like cottage cheese and it was hard to hold out of the way without damaging it.)

But, for most of us, our livers are not in that horrible shape and, if the surgeon can't work around them, then he isn't skilled enough to do this surgery IMO. That doesn't mean it wouldn't be nice to lose 10 pounds or so and make his job easier so he can concentrate on the harder stuff.

There is absolutely no reason this has to be done via a 2 week all-liquid diet as many programs demand though.

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ruggie
on 11/20/11 1:40 pm - Sacramento, CA
No juicing right after surgery.  Juice is 100% carbs.

You need protein shakes.  >90% protein.

Your doctor and nutrionist will teach you about the diet that you'll have to comply with.

     

Heaviest weight:  310 pounds  (Male, 5'10")

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