Healthy Eating after Gastric Banding Surgery

We have now successfully got to the end of week four of our diet after gastric banding surgery, so we can continue eating much about the same sort of food you were for the last four weeks, but this time the food does not need to be pureed, instead mashing it to the consistency of “toddler food”. It should be still fairly soft though and keep to the same small quantities and eating 4–5 times per day. Make sure you chew each small mouthful well.

Now its been six weeks since we had our Gastric Banding Surgery and we are now ready to continue on your long term eating plan. By this time our gastric band is usually done and you will start to feel the restriction your gastric band is making around the top of your stomach. You are now eating small amounts of food and have reduced your calorie intake and losing weight, but we are aiming for a healthy nutritious eating plan as well. We all have different in the foods we can eat, but we need to follow the eating plan to gain maximum benefit from your gastric banding:

• Eat three meals per day – your new pouch at the top of your stomach empties slowly throughout the day and you should be satisfied eating three meals a day without getting hungry in between meals.
• Eat healthy, solid food – soft food slips down easily and while this is good as it wont bock our stomach, you will tend to eat moe though the day. Choose solid foods without lots of sauce (e.g. small meal of chicken and vegetables) and you will eat less overall and stay full for longer.
• Eat slowly and stop as soon as you feel full – Most obese people are used to rushing their meals and as there is a time lag from stretching the wall of your stomach and telling your brain you are full, you need to be careful with this one or risk blockage, pain or vomiting. Take tiny bites and chew each piece 10–25 times.
• Do not eat between meals – you should not need to eat between meals if you are eating three sensible meals per day.
• Do not drink at meal times – Liquids will speed up the passage of food through the stomach and ruin the beneficial effect of slow emptying of food from your new stomach pouch. If you have a drink immediately before your meal you may also find that your stomach is still full and you can’t eat your meal. So avoid fluids half an hour before your meals, and for one hour afterwards.
• All drinks should be zero calories – As liquids do pass through your stomach so easily, calorie laden drinks, including alcohol, will simply add calories to your daily intake. Women need calcium, and this can be obtained from skimmed milk, but avoid juice, fizzy drinks (the gas can also cause considerable pain), squashes and milkshakes.

For maximum weight loss after gastric banding surgery we suggest limiting the food mentioned below:

• High calorie drinks like full milk, milkshakes, alcohol, fruit squashes, juice
• Cakes, biscuits and desserts
• Cereals with added sugar
• Fats and fatty foods – butter, oils, snacks foods (crisps, peanuts), chips
• Creamy soups

You may be wondering if healthy eating after gastric banding surgery means that you will be required to take multivitamins, generally speaking you do not need to as your healthy diet should be adequate. If you still feel you want too then choose one that can be broken up into smaller pieces to swallow so that it does not become stuck in your gastric band.

Side-effects are an unwanted by product of the Gastric Banding Surgery but are generally temporary effects of the Surgery, afterwards you are likely to have bruising, pain and swelling around the wounds left behind from the surgery.

You may feel or be sick after eating, especially if you try to eat too much. Your restricted diet may cause some shortage of nutrients so you may consider taking multivitamin tablet as a supplement.

Complications caused from Gastric Banding occur during or after the surgery, but most people are not affected. Some possible complications of Gastric Banding Surgery include a reaction to the anaesthesia or excessive bleeding during or soon after surgery for this case a  blood transfusion may be required.

Some of the specific gastric banding complications:

* Wound infection. Antibiotics are given during surgery to help prevent this.
* For up to six weeks after the operation, it is possible to develop a blood clot (DVT) in the veins in the leg. This clot can break off and cause a blockage in the lungs. In most cases this is treatable, but it can be a life-threatening condition. Compression stockings, intermittent compression pumps and blood-thinning injections are used to help prevent DVT.
* There is a risk that during the operation other organs in the abdomen may be accidentally damaged.
* There is a risk that the gastric band may slip out of place, break or erode through the stomach wall. This may require further surgery or removal of the gastric band.
* It is possible you may fail to lose sufficient weight or regain weight, and some patients have further weight loss surgery.
* If you lose weight rapidly, there is a risk of developing gallstones in your gallbladder. These can be painful. Your surgeon may remove your gallbladder during surgery.

Before any surgery you should ask your surgeon to explain how these risks apply to you. The exact risks will differ for every person.