After Bariatric Surgery

Before undergoing a weight loss procedure, it is important to know what to expect and what you will be able to do after bariatric surgery.

Mission Statement

“Sun Coast Bariatrics is committed to providing quality health care to all of our patients. We have added the convenience of onsite fluoroscopy to make appointments faster, easier, and safer for all of our bariatric patients. To ensure the highest care, fluoroscopy will be used to evaluate gastric problems immediately and evaluate restriction.”

Fluoroscopy uses a low-dose X-ray beam to produce images of organs like your stomach, bones, and even your lap band if you have one, in real time.  During this procedure, our doctors usually use a contrast material also known as a dye, to highlight the areas of the body being examined.  When contrast is given orally, doctors and patients can visualize the flow of dye from the mouth to the esophagus, into the stomach, and small intestine.

After bariatric surgery, our doctors can utilize fluoroscopy to diagnose any problems such as gastric leak, adequate restriction, and proper band alignment. Follow up visits may be performed under fluoroscopy to verify restriction, check for band slippage, diagnose esophageal dilation, evaluate gastric dilation, and allow port access with ease. Patients who have difficulty drinking and feeling their restriction with band adjustments will get the added benefit of visualizing the flow contrast, eliminating the fear of waiting for days to determine if their band is too tight. With onsite fluoroscopy, our patients will be evaluated and know their diagnosis to any gastric concerns before they leave the office.

  

Adjustable Gastric Banding

  

Your diet progression after bariatric surgery with adjustable gastric banding will be:

  • Clear liquids the day of surgery
  • Full liquids days 2-14
  • Pureed days 15-28
  • Soft/Regular days 29 +

Gastric Band Adjustment Instructions (Fills)

It is OK to drink and eat before your adjustment?

During your adjustment you will be asked to do the following:

Once the needle has been placed in the port, you will sit or stand and drink (gulp) water. After 10-15 seconds you will feel “something” in your upper chest or neck. This may be slight so do not expect an “earth shattering event”. This feeling may range from a “pressure”, a “burp”, a “fullness”, or just something that tells you that you can’t drink anymore. This represents the pouch filling up with water. You need to let the team know as soon as you have this “feeling”. The next thing that will happen represents the pouch emptying. This is when the “feeling” disappears. So also let the team know when the “feeling” is gone. The team is “timing” the passage of water through your band. 
If you are familiar with the instructions, the process will go smoother. Remember, you are new at this and we do not expect you to be an “adjustment expert” during your first time or two. Just try to pay attention to what you are feeling and let us know “when you feel it” and “when you don’t”. After a few adjustments you’ll feel very comfortable with the process.

You may remove the Band-Aid a few hours after your adjustment.

You may shower, bathe, and swim immediately after the adjustment.

Diet Progression after Band Adjustments

Your diet should progress as follows: 
Liquids for the first 24 hours
Soft or pureed foods for 24 hours
After 48 hours and insuring tolerance of liquids & soft foods you may advance to solid food.

DO NOT EAT & DRINK at the same time!!!!!!! Drink plenty of water following your adjustment.

Early signs of a Gastric Band slippage may include: nausea, vomiting, heartburn, reflux, sour taste, pain in your chest/stomach/or shoulder, or a burning sensation in your stomach. You must report these or other troubling signs to “the team” at 727-289-7137.

 

Sleeve Gastrectomy

 

You diet progression after bariatric surgery with Sleeve Gastrectomy will be:

  • Clear liquids for the first two days
  • Full liquids days 3-21
  • Pureed days 22-35
  • Soft/Regular days 36 +

Follow up and lab work

Follow up with your bariatric team is necessary to monitor vitamin and nutritional deficiencies. Scheduled routine follow up will be:

  • 2 weeks after surgery
  • 3 months after surgery (with labs)
  • 6 months after surgery (with labs)
  • 9 months after surgery
  • 12 months after surgery (with labs)
  • 18 months after surgery (with labs)

Bariatric Support Groups

Support Group meetings are beneficial in aiding to your success. The cost of support group is included in your Program Fee; you may attend any or all groups and we urge you begin attending pre-operatively to meet our support team (Our Patients). Please note occasionally meeting dates and times are changed. Any schedule changes can be found on our facebook page as well as our website calendar.

Points to Remember

  • Don’t eat when you are thirsty
  • Stop eating as soon as you start to feel full
  • If you are not hungry, you may skip a meal or try drinking a high protein drink
  • Avoid straws, carbonated beverages and alcohol
  • Introduce new foods one at a time
  • Eat lean protein first at meal time
  • Fill the remainder of the meal with low carb vegetables or fruit
  • Eat slowly, take small bites and chew, chew, chew
  • Put the fork down between bites
  • For eating, try using a saucer or luncheon plate, small fruit bowl, salad fork, children’s eating utensils
  • Avoid snacking between meals
  • Some people do not tolerate red meat, white bread or other foods for many months
  • Don’t drink liquids with meals. This includes soup. Stop 15-30 minutes before the meal and do not drink for at least 90 minutes after the meal. Try to drink 48 – 64 oz. of water per day
  • Continue or begin self monitoring by keeping a food record in a notebook or online at www.myfitnesspal.com (mobile app is available)
  • Your portion sizes for solid foods should be ¼ to a maximum of ½ Cup per serving.
  • DO NOT LAY DOWN for at least 90 minutes after eating.
  • If you experience nausea or vomiting after eating, go back to the clear liquid diet and contact our office for an appointment.

Goals
800 – 1000 calories per day
60 – 80 grams of protein per day
48-64 oz of non-caloric liquid per day
<50 grams of carbohydrates per day
30 minutes of aerobic activity 2-3 x’s per week


If you have further questions about life after bariatric surgery fill out our contact us form or call us at 727-289-7137.