Bariatric Post Op Nutrition Nutrition Guidelines Flashcards
Who ultimately decides diet progression post op bariatric surgery
Surgeon
Stage 1 - start dates, end dates, and diet
Starting:
Within 24 hours of surgery
Ending:
1-2 days post op
Diet:
Clear liquids (no carbonation, no caffeine, low sugar)
Stage 2 - start dates, end dates, and diet
Start:
2-7 days post op
End:
10-14 days post op
Diet:
Full liquids (no carbonation, no caffeine, low sugar)
Stage 3 - start dates, end dates, and diet
Start:
10-14 days post op
End:
3 weeks post op
Diet:
IDDSI level 4 purée
Stage 4 - start dates, end dates, and diet
Start:
3 weeks post op
End:
4-6 weeks post op
Diet:
IDDSI level 5 soft and bite sized
Stage 5 - start dates, end dates, and diet
Start:
4-6 weeks post op
End:
Indefinitely
Diet:
Regular consistency food
Bariatric post op comparative standards for calories
First week post op
3-4 weeks post op
1-5 months post op
6+ months post op
First week post op
400 kcal/day
3-4 weeks post op
600-800 kcal/day
1-5 months post op
1200-1500 kcal/day
6+ months post op
1500-1800 kcal/day
2 options to calculate bariatric post op calorie recommendations
MSJ
Standard calorie ranges
Bariatric post op comparative standards for protein
Immediately post op
Individual basis post op
Active weight loss
Active weight loss - biliopancreatic diversion / duodenal bypass
Weight maintenance
Immediately post op
60 - 120 g/day
Individual basis post op
1.5-2.1 g/kg/day IBW
Active weight loss
1.2 g/kg/day
Active weight loss - biliopancreatic diversion / duodenal bypass
1.5-2.0 g/kg/day
Weight maintenance
0.8-1.2 g/kg/day
Bariatric post op comparative standards for carbohydrates
Early post op
As intake increases
Early post op
50 g/day
As intake increases
130 g/day
Bariatric post op comparative standards for fluid
Early post op
After several days post op
Early post op
48-64 Oz (1440-1920 mls)
~50% of fluids should come from clear liquids)
After several days post op
60 Oz (1800 mls)
~50% of fluids should come from clear liquids)
