Guest guest Posted April 8, 2004 Report Share Posted April 8, 2004 I know many programs ask patient's to follow some type of liquid diet before surgery. I wonder about compliance with this. After surgery the mechanisms are in place that warrant following a liquid diet. Personally, I don't think I could follow a FL diet for two full weeks myself. And, I do not think it would be a predictor of how compliant I would be after surgery either. The surgeon and the MD I work with in my program do not think it is necessary. I do instruct the patient that they will be on a liquid diet post op and they have understanding of this before surgery. Before surgery, I recommend they try some of the foods they will be eating postop. We discuss lack of texture/ constistency during this stage etc. but FL diet is necessary and we discuss why. This is the time the patient will usually voice if they expect this will be hard to them, and I will make note of this for discussion after surgery. No matter what I do, I have found I cannot anticipate or try to predict how a patient will do after surgery. I am surprised every time, each person is so individual. I do find that I can make them as well informed as possible, and then they are more likely to say " Im having a hard time with this FL diet but I knew ahead I would have to be on this stage for x amount of time. Do you have any recommendations to help me? " This keeps the communication open. Just my personal thoughts. Corey Filbert RD, CD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 9, 2004 Report Share Posted April 9, 2004 In our group we use a low carboyhdrate, high protein diet for two weeks before surgery. This allows patients to eat solid foods while still aiding in shrinking the liver before surgery. The diet includes no more than 30 grams carbs/day, at least 70 grams protein/day, and fat in moderation. I emphasize lean meats, eggs and cheeses in moderation, and plenty of vegetables (no corn, peas, potatoes). This has worked extremely well for our group as far as decreasing surgical risk. I also inform patients that if the liver is too large at time of surgery the surgeon has the right to cancel their operation. My surgeons strongly feel that if compliance is an issue for 2 weeks they will not be a good long term candidate. I also feel like this gets the patient thinking about fat content, carbs, and good lean protein sources before surgery. It allows them to take ownership of their decision before going to the OR. Dana Hrobar, RD, LD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 14, 2004 Report Share Posted April 14, 2004 Thank you for the reply. What do you suggest for people who do not like milk or can't tolerate it? Thanks- Dillenbeck, RD, CD, CDE Dept of Health and Nutrition Education UW-Health 20 South Park Street Suite 402 Madison, WI 53715 (608) 287-2770 >>> rbijold1@... 04/08/04 08:38AM >>> We require our patients to do this. Our protocol is 5 or more cups/day of sugar-free Carnation Instant Breakfast, mixed with 2% milk, fortified with 1TBSP/cup Pro-Mod powder. Patients may also have sugar-free beverages with this. We explain the rationale as follows: 1. Patients lose some weight right before surgery, shrinking the liver. 2. Prevents " last supper syndrome " , or that 10# weight gain from bingeing right before surgery. 3. Improves blood glucose, if diabetic. 4. Makes sure patient has no problem drinking the beverage, as they will have to drink it after the surgery. Just last week we cancelled a patient's surgery, after she came in the morning of surgery with a glucose of 377, and she admitted she had not done the liquid diet. This was a wake-up call for this patient, and the word gets out that we are serious about our patients being able to follow our instructions, or we will not perform the surgery. We are very clear with our patients about this being an elective surgery, and we are not going to do the surgery on people who may have the potential for causing themselves harm by not being able or willing to do what is in their best interest. As RD's, my co-worker and I were skeptical about the 2-week liquid diet before surgery, as the surgeon was insisting on. Now that we have been doing our program this way for over a year, we can see the value. Hope that helps. Roxanne Bijold, MSE, RD, LD, CDE St 's/Duluth Clinic 400 E 3rd Street Duluth, MN 55805 218-786-3092 rbijold1@... pregnancy after gastric bypass >Date: Tue, 30 Mar 2004 09:21:43 -0800 (PST) > >Hello all, I just saw a patient who is 6 weeks pregnant and is 6 months post-op. A while back some pregnancy guidelines were posted, one being taking a prenatal vitamin in addition to the regular vitamin. I guess my question is, is that what the majority of you are recommending? I made that recommendation to the patient and she said that would be too toxic. > >Also, do calcium and vitamin B12 requirements go up? > >Thank you so much for any input. > >Carla Evers, RD, LD >St. ius Hospital >NewStart Program >St. Louis MO >800.245.1431 > > >--------------------------------- >Do you ? > SiteBuilder - Free web site building tool. Try it! Check out MSN PC Safety & Security to help ensure your PC is protected and safe. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 14, 2004 Report Share Posted April 14, 2004 If they can't tolerate milk, they can sub soy milk or Lactaid. If they don't like milk, or can't tolerate Nutrasweet, they can use Promote. If they don't eat any dairy products, this is a challenge, because they will have trouble finding foods to eat and tolerate, and get adequate protein in the first few months after the surgery if they don't like cottage cheese, milk or yogurt. Roxanne Bijold pregnancy after gastric bypass >Date:Tue, 30 Mar 2004 09:21:43 -0800 (PST) > >Hello all, I just saw apatientwho is 6 weeks pregnant and is 6 months post-op. A while back somepregnancy guidelines were posted, one being taking a prenatal vitamininaddition to the regular vitamin. I guess my question is, is that whatthe majority of you are recommending? I made that recommendation tothepatient and she said that would be too toxic. > >Also, do calcium andvitamin B12 requirements go up? > >Thank you so much for any input. >>Carla Evers, RD, LD >St. ius Hospital >NewStart Program >St.LouisMO >800.245.1431 > > >--------------------------------- >Do you?> SiteBuilder - Free web site building tool. Try it! Check out MSN PC Safety & Security to help ensure your PC is protectedand safe. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 14, 2004 Report Share Posted April 14, 2004 I'm not familiar with Promote. Who makes it? What is the nutrient composition? Thanks- Dillenbeck, RD, CD, CDE Dept of Health and Nutrition Education UW-Health 20 South Park Street Suite 402 Madison, WI 53715 (608) 287-2770 >>> rbijold1@... 04/14/04 09:32AM >>> If they can't tolerate milk, they can sub soy milk or Lactaid. If they don't like milk, or can't tolerate Nutrasweet, they can use Promote. If they don't eat any dairy products, this is a challenge, because they will have trouble finding foods to eat and tolerate, and get adequate protein in the first few months after the surgery if they don't like cottage cheese, milk or yogurt. Roxanne Bijold pregnancy after gastric bypass >Date: Tue, 30 Mar 2004 09:21:43 -0800 (PST) > >Hello all, I just saw a patient who is 6 weeks pregnant and is 6 months post-op. A while back some pregnancy guidelines were posted, one being taking a prenatal vitamin in addition to the regular vitamin. I guess my question is, is that what the majority of you are recommending? I made that recommendation to the patient and she said that would be too toxic. > >Also, do calcium and vitamin B12 requirements go up? > >Thank you so much for any input. > >Carla Evers, RD, LD >St. ius Hospital >NewStart Program >St. Louis MO >800.245.1431 > > >--------------------------------- >Do you ? > SiteBuilder - Free web site building tool. Try it! Check out MSN PC Safety & Security to help ensure your PC is protected and safe. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 14, 2004 Report Share Posted April 14, 2004 Promote is a Ross product. 8oz can contains 15 gms protein and 240 kcals. Roxanne pregnancy after gastric bypass >Date:Tue, 30 Mar 2004 09:21:43 -0800 (PST) > >Hello all, I just saw apatientwho is 6 weeks pregnant and is 6 months post-op. A while back somepregnancy guidelines were posted, one being taking a prenatal vitamininaddition to the regular vitamin. I guess my question is, is that whatthe majority of you are recommending? I made that recommendation tothepatient and she said that would be too toxic. > >Also, do calcium andvitamin B12 requirements go up? > >Thank you so much for any input. >>Carla Evers, RD, LD >St. ius Hospital >NewStart Program >St.LouisMO >800.245.1431 > > >--------------------------------- >Do you?> SiteBuilder - Free web site building tool. Try it! Check out MSN PC Safety & Security to help ensure your PC is protectedand safe. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2012 Report Share Posted April 6, 2012 My surgery is scheduled for the 13th of April. I have to go on a liquid diet for 2 days prior to surgery. Any suggestions on what would be acceptable is greatly appreciated. S Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2012 Report Share Posted April 6, 2012 The instructions say I can drink water, apple juice, black coffee or black tea up to 4 hours before surgery. I think that means a clear liquid diet then. S -- Re: Liquid Diet Is it full liquid or clear liquids? Sent from my iPhone On Apr 6, 2012, at 20:59, " tlstevens2004@... " <ravenstorm2008@gmail com> wrote: > My surgery is scheduled for the 13th of April. I have to go on a liquid diet > for 2 days prior to surgery. Any suggestions on what would be acceptable is > greatly appreciated. > > S > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2012 Report Share Posted April 6, 2012 Ensure i find works for me because i am lactose intolerant its easy on the stomach regards  ________________________________ From: " tlstevens2004@... " <ravenstorm2008@...> Achalasia Group <achalasia > Sent: Saturday, 7 April 2012 9:29 AM Subject: Liquid Diet  My surgery is scheduled for the 13th of April. I have to go on a liquid diet for 2 days prior to surgery. Any suggestions on what would be acceptable is greatly appreciated. S Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 7, 2012 Report Share Posted April 7, 2012 Gingerale, white grape juice, Popsicles... I am having my last " meal " Sunday at noon and then clear liquids until Monday night. Surgery Tuesday at noon. Google clear liquids for more ideas... Jenn Sent from my iPhone On Apr 6, 2012, at 23:44, " ravenstorm2008@... " <ravenstorm2008@...> wrote: > The instructions say I can drink water, apple juice, black coffee or black > tea up to 4 hours before surgery. I think that means a clear liquid diet > then. > > S > > > > -- Re: Liquid Diet > > Is it full liquid or clear liquids? > > Sent from my iPhone > > On Apr 6, 2012, at 20:59, " tlstevens2004@... " <ravenstorm2008@gmail > com> wrote: > > > My surgery is scheduled for the 13th of April. I have to go on a liquid > diet > > for 2 days prior to surgery. Any suggestions on what would be acceptable > is > > greatly appreciated. > > > > S > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.