Bariatric Diet Cookbook

The Bariatric Diet

Content What is a Bariatric Surgery …………………..……….……. 3 What is a Bariatric Diet……………………………………… 4 Key Eating & Drinking Principles………………………….. 5 Protein Food List.................................................................. 6 Phases in a Post Bariatric Surgery…………………………. 7 Phase 2B of Bariatric Diet (Pureed Diet)............................ 8 Phase 3 of Bariatric Diet (Soft Diet)................................... 13 Phase 4 of Bariatric Diet (Regular Diet)............................. 21

References………………………………………………………. 29 Acknowledgement……………………………………………… 30

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What is Bariatric Surgery 1,2 ?

Bariatric Surgery involves making changes to the digestive system to aid patients to lose weight.

The most common Bariatric Surgical Procedure is the Sleeve Gastrectomy and Roux-en-Y gastric bypass.

Bariatric Surgery is done to reduce the risk of life-threatening weight-related health problems like: Heart Disease/ Stroke, Hypertension, Non-alcoholic fatty liver disease/ Non-Alcoholic Steatohepatitis, Sleep apnea and Type 2 Diabetes.

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What is a Bariatric Diet?

Bariatric diet aims to facilitate healing & change in eating habit, of people, recovering from Bariatric Surgery, using a staged approach.3

How does Bariatric Diet work4 ? Helps to avoid side effects & complications from the surgery

Helps stomach to heal without being stretched by the food eaten. Helps patient getting used to smaller food quantity safely & comfortably. Helps patient to lose weight & avoid gaining weight.

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Key Eating & Drinking Principles • Eat adequate PROTEIN to preserve lean muscle & promote wound healing. (refer to Protein Food List)

• Drink enough FLUIDS to keep body hydrated but SPACE it 30 minutes apart from eating.

• Eat & drink SLOWLY to prevent blockage & overeating.

• Avoid drinking using STRAW to avoid discomfort from air bubble.

• Avoid CARBONATED / FIZZY drinks to hinder gas build-up causing stomach discomfort.

• COSUME required Vitamin, Mineral & supplements to prevent deficiencies

• LISTEN to your body. Stop eating / drinking when you feel discomfort, tightness or pain in the stomach.

• Adopt LOW CALORIE DIET (low fat, low sugar) to maximize nutrient intake while losing weight.

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Protein Food List Lean Meat/Chicken (30g) • 1 tbsp • 1 matchbox size • 1/3 palm size

Fish (30g) • ½ palm size • 1 small fish

Beancurd / Tofu • ½ square firm (60g) • ½ large block soft (150g)

Peanut Butter • 2tbsps (30g)

Milk / Soybean milk • 1 cup (200ml) • 4 tbsps milk powder (30g)

Egg (50g) • 1 whole egg • 2 egg white

Nuts and Seeds • ¼ cup (30g)

Yoghurt • 1 small tub (150g)

Shellfish (30g) • 4 medium prawns

Beans / Lentils • 2 tbsp, dry (30g) • 3 tbsp, cooked (90g)

Cheese • 1 ½ slice (30g)

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Phases in Post Bariatric Surgery Op Day

2 Weeks Post-op

4 Weeks Post-op

6 Weeks Post-op

Phase 1 / 2A Week 0-2

Phase 2B Week 3-4

Phase 1 Clear Liquid Diet

Phase 2A Full Liquid Diet

Phase 2B Pureed Diet

During Hospital Stay

Week 1-2

Week 3-4

Diet Example:

Diet Example:

Diet Example:

Diet Example:

Diet Example:

Clear Soup Low Sugar Juices Jelly

Skim/Low fat/ Lactose free milk Unsweetened Soymilk Plain Low-fat yoghurt

Pureed Meat, Chicken, Fish Tofu/Soft boiled egg Pureed Vegetables Mashed Potato

Soft Meat, Chicken, Fish Tofu/Scrambled Egg Soft Vegetables Cooked Potato

Meat, Chicken, Fish Tofu/Tau Huay/ Egg Vegetables Rice

Diet progression will be advised by your Dietitian depending on tolerance level

Phase 3 Week 5-7

Phase 4 Week 7 onwards

Phase 3 Soft Diet

Phase 4 Regular Diet

Week 5-7

Week 7 onwards

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Phase 2B Pureed Diet

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Gadgets / Equipment Needed Tips: Try steaming / boiling your food beforehand.

Food will be easier to mashed when it is soft.

Fork

Potato Masher

Tips: Try sieving the blended food to obtain a smoother texture.

There might be lumps in blended food even after blending.

Blender

Sieve 9

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Phase 3 Soft Diet

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Gadgets / Equipment Needed Tips: Try opting for baking instead of frying if possible Baking requires little to no oil as it uses the oil present in the food to cook itself.

Oven

Wok / Frying pan

Tips: Try steaming if you are intending to obtain a softer texture Steaming is a moist heat cooking method. It helps to retain the moisture inside the food.

Pot

Blender

Steamer 14

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Phase 4 Regular Diet

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Gadgets / Equipment Needed Tips: Give cooking spray a try if you would like to cut down your oil intake.

When pan frying , oil will be added to prevent sticking or to enhance the aroma of food.

Wok / Frying pan

Pot

Tips: Try opting for baking instead of frying if possible Baking requires little to no oil as it uses the oil present in the food to cook itself.

Oven 22

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References 1.

Bariatric Surgery – Types & Procedure | Mount Elizabeth Hospitals. (n.d.). Mount

Elizabeth.

Retrieved July 14, 2021, from https://www.mountelizabeth.com.sg/specialties/medicalspecialties/general-surgery/bariatricsurgery 2.

Bariatric surgery - Mayo Clinic. (2020, January 22). Mayo Clinic. https://www.mayoclinic.org/tests- procedures/bariatric-surgery/about/pac-20394258

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University of Pittsburgh Medical Center. (n.d.). Post Bariatric Surgery Diet & Nutrition | UPMC. UPMC | Life Changing Medicine. Retrieved July 14, 2021, from https://www.upmc.com/services/bariatrics/surgery-process/post-surgery/diet/

4.

Gastric bypass diet: What to eat after the surgery. (2020, October 13). Mayo Clinic. https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/in-depth/gastric- bypassdiet/art-20048472

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Acknowledgement Nutrition & Dietetics Department Nutrition Students

Cookbook Compiled by:

Temasek Polytechnic Diploma in Food, Nutrition and Culinary Science Artthi Vijayarathinam, Soh Qi Sheng

Recipes by:

Temasek Polytechnic Diploma in Applied Food Science and Nutrition Seow Qi Yin, Simone Lao, Suwaathi Seagar

NUTRITION & DIETETICS Khoo Teck Puat Hospital, 90 Yishun Central Singapore 768828 Tel: (65) 6602 2420 Email: ktph.dietitians@ktph.com.sg Instagram: @ktph.dietitians Website: www.ktph.com.sg

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