CARLE BARIATRICS PROGRAM
            Nutritional Guidelines  
            for Gastric Bypass and  
            Sleeve Gastrectomy
      NUTRITIONAL GUIDANCE  
HBAR0026FOR A LIFE TRANSFORMED
     CARLE BARIATRICS PROGRAM
            Nutritional Guidelines  
            for Gastric Bypass and  
            Sleeve Gastrectomy
      NUTRITIONAL GUIDANCE  
HBAR0026FOR A LIFE TRANSFORMED
           WELCOME
            
           We are pleased you have chosen the Carle Bariatrics program, and we 
           look forward to giving you the guidance and confidence you need to 
           transform your life.
           Because weight loss surgeries limit food intake, a change in eating 
           habits is absolutely necessary for success of the program. This book will 
           help you understand the changes you need to make as well as the types 
           of food that will provide the nutrition you need.
           Carle Bariatrics
           611 W. Park 
           Urbana, IL 61801
           (217) 383-3240
           www.carle.org/bariatrics 
                                                                  CARLE BARIATRICS  NUTRITION GUIDELINES       1         
           CONTENTS                                                                                                              HOW THE LAPAROSCOPIC GASTRIC 
           Section 1: General Nutrition Guidelines                                                                               BYPASS AND SLEEVE GASTRECTOMY 
              •  Protein                                                                                                         WORKS FOR YOU
              •  Fluids                                                                                                          The laparoscopic gastric bypass and sleeve gastrectomy works for your 
              •  Foods to avoid                                                                                                  body in the following ways:
              •  Dumping Syndrome                                                                                                   •  It limits food intake and makes you feel full quicker. With bypass, 
              •  Vitamin Supplementation                                                                                                the stomach is changed from the size of a small football into the 
                                                                                                                                        size of a small egg. With sleeve, the stomach goes from the size of 
           Section 2: Stages of Meal Planning Before and After                                                                          a small football to about the size of a roll of dimes. As a result, you 
           Surgery                                                                                                                      eat less food.
              •  Pre-op Diet – First 2 weeks before surgery                                                                         •  With bypass, the stomach pouch is attached to the lower part of 
              •  Full Liquid Diet – First 2 weeks after surgery                                                                         the small intestine, which makes you absorb less of the food you 
                                                                                                                                        eat. 
              •  Pureed Diet – Weeks 3 and 4 after surgery                                                                          •  With the sleeve, approximately 70-80% of the stomach is removed 
              •  Soft / Regular Diet – Week 5 – Indefinitely                                                                            and there is no re-routing of the intestines. 
           Section 3: Exercise Recommendations                                                                                      •  The gastric bypass is a malabsorptive procedure and the sleeve 
                                                                                                                                        gastrectomy is a restrictive procedure. 
           Section 4: Ways to Prepare for Gastric Bypass /                                                                       Please note weight loss surgery alone will not guarantee long-term suc-
           Sleeve Gastrectomy Surgery                                                                                            cess. You should consider the weight loss surgery a “tool.” 
              •  Full Liquid and Pureed Recipes                                                                                  If you use the tool and follow the program guidelines, you should be 
                                                                                                                                 able to lose a significant amount of weight and, most importantly, 
                                                                                                                                 maintain your weight loss. After your surgery, it will be very important to 
                                                                                                                                 follow the guidelines. Be sure to follow the full liquid diet for two weeks, 
                                                                                                                                 the pureed diet for two weeks, and to eat healthy and exercise daily.
                                                                                                                                         Sleeve Gastrectomy                           Roux-En-Y Gastic Bypass
      2          CARLE BARIATRICS  NUTRITION GUIDELINES                                                                                                                                 CARLE BARIATRICS  NUTRITION GUIDELINES       3         
CONTENTS   HOW THE LAPAROSCOPIC GASTRIC 
Section 1: General Nutrition GuidelinesBYPASS AND SLEEVE GASTRECTOMY 
•  Protein WORKS FOR YOU
•  Fluids  The laparoscopic gastric bypass and sleeve gastrectomy works for your 
•  Foods to avoid body in the following ways:
•  Dumping Syndrome•  It limits food intake and makes you feel full quicker. With bypass, 
•  Vitamin Supplementationthe stomach is changed from the size of a small football into the 
                  size of a small egg. With sleeve, the stomach goes from the size of 
Section 2: Stages of Meal Planning Before and After a small football to about the size of a roll of dimes. As a result, you 
Surgery           eat less food.
•  Pre-op Diet – First 2 weeks before surgery•  With bypass, the stomach pouch is attached to the lower part of 
•  Full Liquid Diet – First 2 weeks after surgerythe small intestine, which makes you absorb less of the food you 
                  eat. 
•  Pureed Diet – Weeks 3 and 4 after surgery•  With the sleeve, approximately 70-80% of the stomach is removed 
•  Soft / Regular Diet – Week 5 – Indefinitelyand there is no re-routing of the intestines. 
Section 3: Exercise Recommendations•  The gastric bypass is a malabsorptive procedure and the sleeve 
                  gastrectomy is a restrictive procedure. 
Section 4: Ways to Prepare for Gastric Bypass /  Please note weight loss surgery alone will not guarantee long-term suc-
Sleeve Gastrectomy Surgery cess. You should consider the weight loss surgery a “tool.” 
•  Full Liquid and Pureed RecipesIf you use the tool and follow the program guidelines, you should be 
           able to lose a significant amount of weight and, most importantly, 
           maintain your weight loss. After your surgery, it will be very important to 
           follow the guidelines. Be sure to follow the full liquid diet for two weeks, 
           the pureed diet for two weeks, and to eat healthy and exercise daily.
                   Sleeve Gastrectomy                           Roux-En-Y Gastic Bypass
2          CARLE BARIATRICS  NUTRITION GUIDELINES                 CARLE BARIATRICS  NUTRITION GUIDELINES       3