Post procedure diet - bariatric
This document is part of the ACI Diet Specifications for Adult Inpatients. It is not to be used for patient education.
Aim
To provide a diet of pureed and soft foods suitable for patients following bariatric surgery.
Characteristics
Foods are soft or blended to a smooth, even texture. All foods are served moist or with a sauce or gravy where possible. High-fat and high-energy foods are avoided.
Indications
For the first two to four weeks, after initial fluid bariatric diets, following bariatric surgery.
Nutritional adequacy
This diet is low in all nutrients and should not be used as the sole source of nutritional support for an extended period without supervision by a dietitian.
Precautions
Patients should be served very small meals only (approximately 60g total per meal). Emphasis should be on high-protein foods and vegetables, with high-carbohydrate foods being secondary. Beverages and foods should not be ingested together. Patients must be educated to select no more than three items per meal from a selective menu.
Paediatrics
Suitable for use in paediatrics when combined with an age-appropriate diet.
Specific menu planning guidelines
Allowed | Not allowed | |
---|---|---|
Hot main dishes | All pureed and served with low-fat gravy Very small serves only | - |
Sauces, gravies | None separate – serve meal with lemon wedge | - |
Starchy vegetables / pasta / rice | Pureed; very small serve | - |
Vegetables | Pureed; very small serve | - |
Soups | Pureed; allowed only if no main ordered | - |
Sandwiches | None | - |
Salads, dressings | None | - |
Breads, cereals | None | - |
Spreads | None | - |
Hot breakfast choices | None | - |
Fruit | Pureed fruit; very small serve | All others |
Yoghurt | Diet yoghurt | - |
Desserts | Low-fat custard; small serves Low-joule jelly | All others |
Milk and cheese | Skim milk | Other milk and all cheeses |
Beverages | Water Low-joule cordial | Black tea and coffee Carbonated soft drinks |
Biscuits | None | - |
Miscellaneous | Vitamin and mineral supplements | - |
References
- Snyder-Marlow G, Taylor D, Lenhard J. Nutrition care for patients undergoing laparoscopic sleeve gastrectomy for weight loss. J Am Diet Assoc 2010;110:600-7.
- Duke Health. The recommended diet following bariatric surgery.
- Parkes E. Nutritional management of patients after bariatric surgery. Am J Med Sci 2006;331:207-13.