Post gastrectomy diet for gastric bypass surgery powerpoint Human Nutrition Project

1. POST GASTRECTOMY DIET FOR GASTRIC
BYPASS SURGERY
K A C I G R I F F I N & C O R E Y C A R R

2. DIET OVERVIEW
• Post Gastrectomy Diet of Gastric Bypass Surgery
• Changes based on how long after surgery
• Heavily based on protein needs
• Small Portions – 3 Meals a Day
 Example of Diet Changes Over Time:
Post Op Day 1-2
Clear Liquids - Sip 1-2oz every 15 mins for goal of 48-64oz per day
Water, diet gelatin, diet fruit drinks (i.e. crystal light, diet snapple), tea or coffee (unsweet/decaf), sugar-free popsicles
Full Liquid Diet Day 3-3 weeks
1 Meal - 1 oz of protein (eaten first) (i.e. baby food meats thinned with broth, blended turkey or fish and 1 oz of either a starch, vegetable, or
fruit (i.e. blended potatoes thinned with broth, baby food vegetables thinned with hot water, baby food fruit)
60 ml every hour in between meals (total 48-64oz per day)
Soft Foods Weeks 4-6
3 regularly scheduled meals and 1-2 snacks each day
1 meal - 1oz of low-fat, protein-rich food (i.e. wet/soft chicken, scrambled eggs, sugar-free puddings blended with tofu) and 1 oz of
fruit/vegetable (no starches)
Between-meal beverages - any sugar-free, calorie-free, non-carbonated beverage, water, NO fruit juices
Regular Foods Starting at 2 Months
Protein foods - at least 3oz per day (1-2oz/meal)
Fruits/Vegetables - 1/4-1/2 cup per day
Milk - 8oz skim milk or nonfat yogurt
Starches - only at 1 meal per day (1oz/meal)
Fats - limit to 3-5 servings per day (1 tsp oil/margarine/mayo, dressing)
Sweets - use in moderation (sugar-free)

3. LITERATURE TABLE
Team Member Database/Journal Summary
Website Summary
Statement
Corey Carr Andrade, Ikramud
din, Kellogg, Leslie
. (2005). Diet
Guidelines after
Laparoscopic
Gastric Bypass
[PDF
file].University of
Minnesota Medical
Center, Fairview, a
ll. Retrived from
http://www.tc.umn.
edu/~lesli002/UM
MC-
Fairview%20PDF's
/Diet%20Guideboo
k%20for%20Lapar
oscopic%20Gastri
c%20Bypass.pdf
The PDF files allows
patients to gain a better
understand of their diet
plans. It lists out how
much and when they
should be eating. It lists
out how many nutrients
they need while
providing sample meal
plans.
http://www.tc.umn.edu/~l
esli002/UMMC-
Fairview%20PDF's/Diet%
20Guidebook%20for%20
Laparoscopic%20Gastric
%20Bypass.pdf
This article is based
on sound medical
evidence.
Corey Carr de Torres Rossi,
(2012 Oct).
Nutruent intake of
women 3 years
after Roux-en-Y
Gastric Bypass
Surgery, PubMed,
22(10):1548-53.
Retrived from
This article explains the
nutrient intake
averages of women
three years after
surgery, referencing
what they needed and
what they lacked.
http://www.ncbi.nlm.nih.g
ov/pubmed/22688468
This article is based
on sound medical
evidence.

4. LITERATURE TABLE
Team
Member
Database/Journ
al Summary
Website Summary
Statement
Kaci Griffin Tripler Army
Medical Center.
(2007). Gastric
Bypass One Bit
at a Time;
Nutritional
Guidelines for
Weight Loss
After Gastric
Bypass
Surgery.[PDF
File]. Evans
Army
Community
Hospital, all.
Retrived from
http://evans.am
edd.army.mil/nc
d/PDFs/Bariatri
c%20Booklet.p
df
This website/PDF
fully details the
many key points in
the diet as well as
other key factors. It
serves as an
essential reference
for gastric bypass
patients post
surgery. while
providing sample
meal plans.
http://evans.amedd.
army.mil/ncd/PDFs/
Bariatric%20Bookle
t.pdf
This article is
based on sound
medical evidence.

5. MENU ANALYSIS
Corey Carr – Sample Diet for One Day

6. MENU ANALYSIS
Personal Diet List
Food Item Number of
Servings
Serving Size Total
grams
YOGURT-NONFAT;
BREYERS; CLASSIC
STRAWBERRY
6 1 oz 170.1
grams
GRAVY-TURKEY-
DEHYDRATED
-PREP W/WATER
2 1 oz 56.7
grams
APPLESAUCE-
CANNED-
UNSWEETENED
-WO/ADDED ASC
ACID
0.5 1 CUP 122
grams
VEGETABLES-MIXED-
CND
-DRAINED SOLIDS
0.5 1 CUP 82
grams
SWEETPOTATOES-
FRZ-CKD
-BAKED-WO/SALT
0.5 1 CUP
CUBES
88
grams
TURKEY-YOUNG
TOM-LIGHT MEAT
-MEAT ONLY-RAW
2 1 oz 56.7
grams
MILK-COW-CND-
EVAPORATED
-SKIM
4 1 oz 113.4
grams
KRAFT PURE
PREPARED
MUSTARD
1 1 tbsp 15
grams
WATERMELON-RAW 1 1 CUP
DICED
PIECES
160
grams
SOYBEANS-GREEN-
COOKED
-BOILED-DRAINED
0.5 1 CUP 90
grams
CRACKERS-
SALTINES-UNSALTED
TOPS (INCLUDES
OYSTER
-SODA-SOUP)
6 1 SALTINE 18
grams
FINFISH-TUNA-LIGHT-
CANNED IN WATER
-DRAINED SOLIDS
2 1 oz 56.7
grams
CEREAL-CHEERIOS 1 1 oz 28.35
grams
YOGURT-NONFAT;
LIGHT N LIVELY;
STRAWBERRY
1 1 oz 28.35
grams
Nutrient Total Rec. % Rec
Calories 882.43 2200 40.11%
Protein
(g)
64.36 48 134.08%
Fat (g) 12.86 73.33 17.54%
Carb (g) 132.82
Fiber (g) 12.24 30 40.8%
Cal (mg) 784.15 1000 78.42%
Iron (mg) 14.47 10 144.7%
Na (mg) 1502.19 2400 62.59%
Pot (mg) 2445.51
Phos
(mg)
924.92 700 132.13%
Ash (g) 8.43 330 2.55%
vitA (IU) 25701.51 4000 642.54%
vitC (mg) 51.66 75 68.88%
Thia (mg) 1.05 1.1 95.45%
Ribo
(mg)
1.54 1.1 140%
Nia (mg) 19.7 14 140.71%
H2O % 52.01 Female
19-30
satF (g) 1.8 24.44 7.36%
monoF
(g)
3.26 24.44 13.34%
polyF (g) 4.2 24.44 17.18%
Chol 65.88 300 21.96%
Kaci Griffin – Sample Diet for One Day

7. FURTHER DIET ANALYSIS
• Both diets have decent amount of protein which the diet
focuses on.
• Both diets lack the daily amount of calories recommended
• The diets hard to maintain to do the lack of types of foods that
can be eaten and the small portions that must be consumed.
• This diet could be remedy with switching up foods daily to
make up for nutrients you missed the day before.
• Overall, the diet is hard to improve because of the nature of why
you need the diet. The stomach is so much smaller, you can only
hold so much food, making it hard to get everything you need.
This makes the diet sort of dangerous until your body adjusts.
The diet needs to be monitored greatly and planned efficiently
to be successful.

8. GROUP CONSENSUS
Adequacy: This diet isn’t very adequate due to the stomach being only hold to so
much. It limits what you can eat and how much, but the diet focuses on protein
and it usually fulfills that requirement.
Balance: The diet isn’t very balanced. As stated, previously, it loads on protein.
Usually, lacks an magnitude of calories and nutrients depending on what the
person choose to eat for the day.
Calorically Sound: This diet is not calorically sound, lack about 1200—1500 calories.
Nutrient Dense: It really depends on what the person choose s to eat for the day. If
they are smart they can select nutrient dense foods. This requires proper planning
ahead of time though. Although, the PubMed article notes how difficult this can
really be as women after 3 years aren’t getting all the necessary nutrients.
Variety: The diet can have variety, again, its up to the person to decide.
Expense & Time: The diet isn’t expensive, as you can buy in bulk, and have food for
many days afterwards since the person can only eat such small amounts.
Scientific Support: The diet has been researched multiple times. The articles/websites
we used are only a few examples.

9. REFERENCES & WORKS CITED
The articles were searched by doing simple searches of post gastrectomy diet.
This could be found in google searches or in the PubMed database. We
chose the articles we did because of the credibility of PubMed and websites
involving the government or organizations.
-------------------------------------------------------------------------------------------------------------------
---------------------------
de Torres Rossi, (2012 Oct). Nutrient intake of women 3 years after Roux-en-Y
Gastric Bypass Surgery, PubMed, 22(10):1548-53. Retrieved from
http://www.ncbi.nlm.nih.gov/pubmed/22688468
Andrade, Ikramuddin, Kellogg, Leslie. (2005). Diet Guidelines after Laparoscopic
Gastric Bypass [PDF file].University of Minnesota Medical
Center, Fairview, all. Retrieved from http://www.tc.umn.edu/~lesli002/UMMC-
Fairview%20PDF's/Diet%20Guidebook%20for%20Laparoscopic%20Gastric%
20Bypass.pdf
Tripler Army Medical Center. (2007). Gastric Bypass One Bit at a Time; Nutritional
Guidelines for Weight Loss After Gastric Bypass Surgery.[PDF File]. Evans
Army Community Hospital, all. Retrieved from
http://evans.amedd.army.mil/ncd/PDFs/Bariatric%20Booklet.pdf