Lap Band Diary

For those that are either considering or have already gotten either the lap band surgery or another type of bariatric or weight loss surgery it’s absolutely vital to ensure that you have the right health insurance policy to protect yourself. Obviously if you are either considering or have had the lap band surgery, you are severely overweight and already have an increased chance of a wide range of health problems, hence making it even more important to seek out the right health and life insurance policy to not only protect yourself, but your entire family as well.

Although the lap band surgery has an extremely low fatality rate, other bariatric surgeries are still considered to be associated with a slight risk, although at the end of the day surgeries are surgeries and you want to make sure you are protected in case your body doesn’t react normally or if something goes wrong with the procedure. The whole point is that you are already at a higher risk than the average person and it’s not fair to leave your family to struggle in debt in case anything should happen to you in both the short-term and long-term future.

When trying to find out more information about the wide range of life insurance providers, you should shop around online to try and find both cheap life insurance as well as life insurance that will actually protect you and not have a minor stipulation that the insurance company will try and exploit to get out of paying you or your family your insurance payout, if you should so happen to require it. Be thorough when doing your research and make sure you ask all the right questions so that there are no unpleasant surprises down the road. Your health is really not something to play around with, and for the sake of your loved ones it’s essential to make sure you have the right health and life insurance policies in place before disaster strikes.

Guest Post By Matt Papa, PhD

As the obesity rates in the United States continue to rise, bariatric surgery has become an effective intervention for weight loss. Bariatric surgeries range from restrictive procedures such as adjustable lap banding and vertical banding to surgeries involving bypass methods. Gastric bypass (Roux-en-Y) and biliopancreatic diversion (BPD) with or without a duodenal switch (DS) implement bypassing part of the alimentary tract. Bariatric surgeries succeed in resolving comorbidities attributed to obesity and have a mortality rate of less than 1%. However, life-long health problems often emanate from bariatric surgeries—especially from the procedures utilizing bypass techniques.

In addition to anticipated short-term medical problems, patients are also at risk for metabolic abnormalities. Several vitamin and mineral deficiencies have been documented following bariatric procedures including iron. Iron deficient patients suffering from anemia require life-long medical attention. Menstruating females account for the majority of bariatric patients and pose a greater risk for iron deficiency. As such deficiencies can adversely affect the quality of life weight-loss surgery intends to promote, the prevalence of iron deficiency following bariatric surgery requires close examination.

A Scientific Review

A review on the correlation of iron deficiency and bariatric surgery was published in 2008 in The American Journal of Hematology. The review, conducted by Dr Love, included several studies related to the topic. Methods used to collect articles involved keyword searches on PubMed. Bibliographies associated with the studies reviewed were also considered. The objective of the review focused on exploring the association of iron deficiency and bariatric surgery. Love’s review concluded that patient preoperative assessments should include a complete hematological work-up followed by a postoperative prescribed supplement for patients undergoing bypass procedures.

Deficient Iron Levels and Gastric Bypass

Bariatric surgeries of the restrictive nature (lap band, vertical banding gastroplasty, sleeve gastrectomy) are less likely to cause iron deficiency and iron deficiency anemia than those of the malabsorptive nature (Roux-en-Y, BPD-DS). A significant majority of related studies indicate deficient levels of iron ranging from 6% up to 50% in bypass patients at different time periods following surgery [1].

Contributing Factors of Iron Deficiency

Dietary Intake

Some studies suggest that gastric bypass patients consume less red meat than needed to maintain appropriate iron levels. As red meat provides heme – an organic pigment which contains iron - lower consumption could cause deficiencies. One study documented several cases of the body’s intolerance in digesting red meat following gastric bypass. A patient questionnaire revealed that episodes of vomiting following intake of red meat. A related follow-up over 6 years after surgery supported lack of meat as a factor in iron deficiency [2]. Patients who considered themselves meat eaters recorded higher iron serum levels.

However, iron deficiency cannot be explained solely on the basis of meat intolerance. Here is why: Patients who undergo lap banding generally have even less meat tolerance than gastric bypass patients. Yet, when measurements were compared between the two patient groups in one study, only gastric bypass patients were iron deficient. Therefore, iron deficiency is multifactorial.

Reduced Gastric Acid

Studies investigating gastric acid secretion before and after bypass procedures have shown a much lower level of acid after surgery. This is because bypass surgeries decrease the number of parietal cells in the stomach, which are responsible for gastric acid production. As a result, gastric acid supply lowers [3]. In the case of gastric band however, the digestive tract continuity stays intact. For this reason, patients undergoing banding procedures have much less risk of iron deficiency or other nutrient deficiencies than patients who opt for a bypass operation.

Bypassing The Duodenum

When bariatric procedures bypass the duodenum digestive continuity is interrupted. The duodenum absorbs heme. Because bypass surgery excludes the duodenum, obviously heme can no longer be absorbed meaning less iron enters the digestive process. Bypass patients record a much lower level of hemoglobin and serum iron than patients undergoing banding surgeries [4].

The importance of the duodenum in iron deficiency is shown in biliopanceratic diversion procedures. In biliopancreatic diversion with duodenal switch (BPD-DS) part of the duodenum is preserved. In contrast, in biliopancreatic diversion without duodenal switch (BPD) the duodenum is completely excluded from the digestive system. It is not surprising that in one study comparing the two versions, there were higher serum ferritin levels in the BPD-DS patients .

Additional Factors

Bleeding may cause iron deficiency [5]. Bypass patients may have gastrointestinal blood loss as a result of loops of bowel no longer assisting in digestion. Ulcers may be another source of blood loss.

Intestinal bacteria can become extensive in the bypassed bowel loops. That damage can cause epithelial cells and the iron they carry to be excreted.

The amount of weight loss and/or the time it took to lose the weight appear to have no bearing on absorption of iron.

Gender and Age Implications

Many obese people have pre-existing conditions of low iron. Females have a higher risk of iron deficiency and other nutrient deficiencies than males in the same age group. One study revealed no iron deficiencies in males while about 75% of female patients were deficient.

Women pose a greater risk than men for iron deficiency and anemia due to menstruation which often results in lower iron storage prior to surgery. Women who continue menstruating after surgery have higher levels of iron deficiencies than those who are past menstruation age. All bariatric surgeries demonstrate lower serum iron levels for menstruating women compared to nonmenstruating women—including banding procedures.

Fertility in women generally improves after bariatric surgery, but the surgery also results in iron deficiency for those women of child-bearing age. In addition, more iron is needed during pregnancy. Risks to the baby and the mother may stem from iron deficiency and anemia. Iron deficiency tends to result in more preterm or low-birth weight babies [6].

Banding procedures may be a better option for women who plan to have children after weight-loss surgery. This is because iron is still absorbed in the duodenum in restrictive procedures.

Gender plays a role in iron deficient rates in obese children as it does in adolescents. As pediatrics deals with higher levels of obesity, more surgical intervention takes place as a weight management tool. These procedures prove to be effective for younger patients by improving quality of life. Mortality rates are low. However, life-long iron deficiency and other vitamin and mineral deficiencies pose a risk—especially for girls [7].

Prevention of Iron Deficiency

Multi-vitamins are usually prescribed for all bariatric patients to address nutrient deficiencies. For high-risk patients such as menstruating women, many surgeons also recommend iron supplements [8].

An increase in gastric acids leading to more iron absorption occurs when vitamin C is added to an iron supplement. Adding vitamin C promotes more absorption by reducing iron to ferrous. A study of patients treated with iron supplements for a month followed by iron supplements and vitamin C the next month, indicated the benefit of the oral iron supplement. During the second month, even higher rates of ferritin and hemoglobin were noted indicating the significance of adding vitamin C.

Summary

Iron deficiency and anemia are risks resulting from bariatric surgeries. Due to the obesity rates increasing, surgical interventions also increase causing long-term deficiencies in vitamins and minerals, including iron. These deficiencies are higher for all females. Within that group, menstruating women, those who become pregnant and some adolescents have the highest risk of becoming iron deficient. Patients who pose risks may need to take oral iron supplements with the possibility of more aggressive treatments required. Bariatric patients opting for banding procedures may have a lower risk of becoming iron deficient due to the non-malabsorptive nature of the surgeries. However, patients undergoing any bariatric surgery should expect the need for medical supervision to monitor hemoglobin and iron for the rest of their lives.

Matt Papa

As a biologist and research fellow at Washington University School of Medicine in St. Louis, MO, Matt Papa, PhD, studies cardio-vascular diseases. A related interest, he follows current scientific research on obesity interventions and effective weight loss methods. Matt’s summaries of professional peer-reviewed journals, as well as other resources, (such as a BistroMD coupon discount and a Diet-To-Go savings coupon) are published on his website to offer support and tips for readers faced with the challenge of losing weight.

References

1. JG Halverson, Micronutrient deficiencies after gastric bypass for morbid obesity, Am Surg, 1986;52:594-598.

2. E Avinoah, Nutritional status seven years after Roux-en-Y gastric bypass surgery, Surgery, 1992; 111:137-142.

3. KE Behrns, Prospective evaluation of gastric acid secretion and cobalamin absorption following gastric bypass for clinically severe obesity, Dig Dis Sci, 1994; 39:315-320.

4. HJ Sugarman, Weight loss with vertical banded gastroplasty and Roux-Y gastric bypass for morbid obesity with selective versus random assignment, Am J Surg, 1989; 157:93-102.

5. PP Toskes, Hematologic abnormalities following gastric resection, Major Probl Clin Surg, 1976;20:1190128.

6. RE Brolin, Multivitamin prophylaxis in prevention of post-gastric bypass vitamin and mineral deficiencies, Int J Obes 1991; 15:661-667.

7. RS Strauss, Gastric bypass surgery in adolescents with morbid obesity, J Pediatric, 2001; 138: 499-504.

8. BM Rhode, Iron absorption and therapy after gastric bypass, Obes Surg 1999; 9:17-21.

This is a guest post written by Matt Papa, PhD

Scientific evidence points to morbidly obese pediatric patients facing diseases once thought to affect only the adult population. These children are high-risk candidates for serious problems of a physical, psychological and metabolic nature. For the most part, this targeted group does not represent typical children who just happen to be overweight. In his paper [1], recently published in the peer-reviewed journal Seminars in Pediatric Surgery, Dr Caniano points out that morbidly obese children have increased rates of heart disease, sleep disorders, high blood pressure and type 2 diabetes. A significant percentage of these pediatric patients’ serious medical problems will require treatments including prescription medication. Even with treatment, these children will continue to be at risk for premature morbidity as adults, which will contribute to a decline in life expectancy rates linked to obesity.

Some physicians argue that a possible solution in reversing this pattern in morbidly obese children may include bariatric surgery. Bariatric surgery has proven beneficial in morbidly obese adults. Studies show adults lose significant amounts of weight and maintain weight loss following the procedure. However, no long-term studies exist for the pediatric group. The consequences of bariatric surgery for morbidly obese children are unknown. They may or may not be similar to adult studies.

Obligation To Do What’s Best For The Patient

Considering the extreme condition of these morbidly obese children, traditional methods such as a lower calorie diet, regular exercise workouts and behavioral therapy fall short of reversing the consequences of obesity. Studies reveal that substantial weight loss from such typical methods can reduce a patient’s BMI by 3% after a one-year period of medical supervision in an intensive weight loss program. But, for children in this group with a BMI of over 40 kg/m2, it’s not enough [2]. Therefore, patients and families in this particular group should be provided with information on surgical options. This information should be specific in nature including risks and benefits. They should be given resources to counseling and further consultation. In order to serve the best interest of these patients, a doctor would be obligated to present this alternative [3].

On the other hand, for those patients who might lose enough weight to show that a reversal of their continued obesity is possible, a doctor is obligated to continue traditional medical treatment because it would be in the child’s best interest. Surgery would not be warranted.

Continuing the medical responsibility to ensure the best health for morbidly obese pediatric patients, a doctor is obligated to conduct a careful assessment for each patient. In addition, all the traditional methods for weight loss conducted in a hospital setting should fail before surgical intervention is considered, Dr Caniano MD, Professor of Pediatric Surgery, explains. A doctor should also seek the possibility of low-risk clinical trials to address morbid obesity in a pediatric patient.

Obligation To Cause No Harm

Doctors take an oath to treat the sick and to never use their livelihood to cause injury or harm. In that regard, considering the risks of bariatric surgery and the unknown consequences for pediatric patients, there could be a valid argument against surgery.

The two bariatric surgeries performed most often are the Roux-enY gastric bypass (RYGB) and the adjustable gastric band (ABG). Both surgeries come with risks. The RYGB can be done with open surgery or laparoscopically. In those cases where RYGB fails, gastric bypass revision may be considered. Risks include tube leakage, massive bleeding or blocked arteries. Long-term nutritional risks also exist. Patients must take nutrient supplements as directed to reduce risks for calcium, iron, folate, and several vitamin (D, B6, B12, B1) deficiencies.

The AGB procedure presents other risks. Patients may experience complications with infection because the band is a foreign object to the body. There may be mechanical complications as well. It is possible the band may slip out of position or cause erosion of the gastric wall.

To date, an article in Annals of Surgery, presents the most complete review of both procedures based on one-year follow-ups [4]. The report concluded that both procedures led to sustainable and significant weight loss for patients. Both procedures also caused significant complications for patients but there were no deaths related to the gastric band procedure or the bariatric surgery.

The reality of the complications following bariatric surgery may be hard for a young patient to comprehend. A patient and/or the family may think surgery is a quick fix and not think about unanticipated problems. The low rate of serious risks published in the report might cause a patient to underestimate possible consequences. A patient might tend to overlook what it would be like to stay in the hospital for a long time or to undergo a second surgery.

The Question Of Informed Consent

Considering that morbidly obese pediatric patients are under the age of legal consent, parents must sign consent for surgery for minor children. That policy assumes that parents know their children and know what would be in their best interests. It is possible that patients and parents have an optimistic view based on what they see in the public. They are presented with a large amount of information through social media. These venues often highlight success stories and picture former morbidly obese patients in great shape. The media depictions are not always representative of typical cases, but still influence patients and families.

Dr Caniano explains that due to the nature of a surgical intervention, a lengthy process must occur prior to informed consent. The process ensures that traditional methods of weight loss have failed, the patient and family have met with medical professionals and a pediatric surgeon on a regular basis, and they have received in-depth accurate information on risks and benefits of procedures and have taken sufficient time to consider the consequences [5].

Concerning informed consent, the minimum expectations for the amount of information given to patients and families include the following elements:

· Inform responsible parties of the patient’s diagnosis

· Explain details of the proposed surgery

· Discuss risks and benefits

· Determine the patient’s post-operative actions and behaviors needed for success

· Tell about alternatives to surgical intervention

· Reveal financial aspects

The Question Of Justice And Ethics

Obesity rates in the United States are growing at an alarming rate. For children in this country, one in every three in the socially disadvantaged group is obese. African American girls and Hispanic and Native American boys and girls experience particularly high rates of obesity. Due to the fact that children from families who are socially and economically challenged score lower in childhood health indicators than their more affluent Caucasian peers, they may not have access to important information. They may not be aware of resources in medical weight management of bariatric services.

It seems professional advocacy is needed to make sure all morbidly obese children and their families are aware of available services. If obese children require intervention to achieve better health, community efforts should be organized to provide information and resources to these families [6]. Once patients and families are in the hands of pediatric surgeons and other medical professions, all aspects of bariatric surgery and alternatives must be offered in a clear concise manner. All of these steps need to occur to fulfill ethical, medical and societal obligations to the morbidly obese pediatric patient.

References

1. Donna Caniano. Ethical Issues in Pediatric Bariatric Surgery. Seminars In Pediatric Surgery. 2009: 18: 186-192

2. Levine MD. Ringham RM. Kalarchian MA. et. al. “Is family-based behavioral weight control appropriate for severe pediatric obesity?” International Journal of Eating Disorders. 2001:30:318-28.

3. Inge TH. Xanthakos SA. Zeller MH. “Bariatric surgery for pediatric extreme obesity: “Now or later?” International Journal of Obesity. 2007:31:1-14.

4. Treadwell JR, et. al. “Review and meta-analysis of bariatric surgery for pediatric obesity”. Annals of Surgery. 2008:248:763-76.

5. Engelhardt HT. The Foundations of Bioethics. New York, New York. Oxford University Press. 1986.

6. Blacksher E. Ethical and political challenges to seeking justice. Hastings Center Rep. 2008:38:28-35.

Matt Papa, PhD, works as a biochemist at Washington University in St Louis, MO. He has been twice awarded research grants by the American Heart Association to support his research in blood coagulation diseases. In his blog he discusses latest obesity research findings, provides information on popular weight loss programs and gives away a Nutrisystem diet promotional coupon.

Many of you have probably heard about those weight loss surgeries. If you have heard about some of those surgeries then you have probably heard about the Slimband weight loss surgery. These surgeries are for those who want to lose the weight, and that meet the requirements for the weight loss surgery.

The Slimband weight loss surgery offers you a new approach to losing all that extra weight, and keeping it off. This weight loss surgery is made to help you to lose the weight in a healthy way while helping to teach you proper eating habits.

Any one and everyone can lose weight. It just depends on your diet, and your will to lose that weight. You will need to exercise, and eat right in order for that to happen. You can get help if your struggling with obesity by means of a weight loss surgery if need be. But that is only for some of the overweight people who need to lose the weight fast. It takes motivation to keep a diet on the right track. If you diet and lose weight you have to be motivated to keep that weight off or it will come back on.

The Slimband weight loss surgery will allow you to keep that motivation. If you have paid for this surgery then you should have the motivation to keep that weight off.

Within the first year of getting this surgery, and following a proper diet and exercise you will lose up to forty eight percent of the extra weight and fat on your body. This is not a cosmetic surgery that will suck the fat out of you. It is just an enabler. It helps you to lose the weight.

The Slimband procedure is very much like the Lap Band procedure. The Slimband places a laparoscopic band at the top of your stomach that will control how much food can go into your stomach. Basically this system will help you to eat the right amount that you should be eating in order to lose weight.

An access port to the lap band system is located just right under the skin. So it is in easy access if you ever wanted to adjust the band. In order to adjust the tightening and loosening of the band they will adjust the amount of saline in the ring. The more saline that they put into the ring the tighter the band will be, and the more saline that they take out the looser the band will become.

This surgery is invasive but minimally. Which causes for a shorter healing time, and then the more you can lose weight because you don’t have to wait forever before you can get back out there, and start exercising again.

The Slimband weight loss surgery supports you in the best way that they can. They even include a post surgery support program. The program takes place at there facility in Toronto, although they have a special program that will allow them to keep in touch and support those clients from other parts of the United States. This service will be included in the price of the surgery because it is ultimately a need that you must have support after this surgery, because it could be difficult for someone to fully recover without having someone to talk to.

So now you know a little bit more about the Slimband system. By now you might have decided whether or not you want to have the Slimband surgery done to you. But you also may not be sure. There is more information on the Slimband that you can find online, or by asking your doctor.

Lap band surgery has come as great news for all the people who want to finally win their struggling battle ageainst obesity. These extra pounds were not only making them look not so attractive but can be the cause of several health problems. Obesity that has been set in a person for several years can’t just be overcome by exercise or simple dieting. It needs something extra to be completely overcome and that something is the lap band surgery. But, lap band surgery, like many other medical procedures, needs the patient to fulfill some conditions to be safely carried out. In case the patient does not comply with such requirements, it can potentially lead to harmful side effects, or result in low levels of weight loss if instructions aren’t followed carefully.

As lap band surgery, also referred to as the slim band surgery, has direct physical impact on the stomach, an ulcer is one of the things that one should not be suffering from to go for this procedure. The reason for this can be better understood if we take a brief look at the procedure. An inflatable band which is much like a donut in shape is placed on the upper part of the stomach. The band reduces the size of the stomach, thus reducing the amount of food that it can hold at one time. This results in the decrease of diet and thus loss of weight. The position of the band is decided according to the reduction in size that is required. Once placed, the patient can get the position of this band altered if needed by undergoing a simple and short simple procedure called a lap band adjustment.

The procedure clearly shows that the stomach is physically affected by the lap band surgery and thus the presence of ulcers of gastric nature has to be checked for before the surgery is undertaken. This can cause harm to the stomach and can cause further problems for the patient. Obese patients who opt for this surgery may be already suffering from diabetic or heart-related problems and thus it is very difficult for them to face additional issues.

To understand this problem further, let’s try to understand what an ulcer is. An ulcer is an “abnormal condition of the mucous membranes due to over exposure to HCL or Hydrochloric Acid.” This acid is produced in the body to aid digestion, but if for some reason too much of it gets accumulated in the stomach due to irregular eating habits or over-production, an ulcer is formed. Another cause for an ulcer is a bacterial infection, which can directly damage the membranes. The basic symptom of an ulcer is the regular inflammation in the stomach. A mild inflammation can be felt in the stomach when we are hungry or have not eaten at the daily time. This happens because HCL reaches the stomach to digest the food at the routine time. However, if too much HCL reaches the stomach, it can start causing harm which can be felt as excessive inflammation.

Now, if the patient is suffering from such a condition and he undergoes lap band surgery, the ulcers will only get worse. The worsening can go as far as to damage the stomach walls or even cause bleeding from the mucous membrane. This can lead to malfunctioning of the whole digestive system.

Normally this procedure is carried on the people who, because of their obesity are not able to recover from other problems like heart disorders and diabetes. Thus to make the recovery possible and then quicker, they have to loose weight. With the immensely growing popularity of fast food among people of all ages, obesity has become more of a pandemic. It does not seem to be as much of a danger as it really is, but the side effects that come with, can take lives as easily as any other disease.

Considering all the benefits of this surgery, it’s a very good option. But considering the side effects of undergoing this procedure while suffering from ulcer, one should try to avoid doing it or seek professional advice from several resources before opting for the surgery.

Weight loss surgery is an effective way of achieving weight loss. It is also expensive. For instance, the cost of bariatric weight loss surgery is usually at least $25,000. Part of planning to have weight loss surgery includes finding a way to pay for the procedure. There are insurance companies that will cover or partially cover the procedure, but for those who do not have coverage, other financial means must be obtained.

There are some hospitals that have specialized in weight loss procedures and work with banks to assist a patient with acquiring funding. They can offer a number of finance options such as a home equity loan. As well, there are a number of alternative lenders that offer loan programs for the weight loss procedure. You have to make sure you are advised about such aspects as the interest rate (fixed or variable,) and the length of the repayment plan. There are also financial institutions that specialize in providing financing for healthcare expenses such as co-payments, deductibles, and procedures not covered by insurance, including weight loss surgery. Some of these finance companies will provide no-interest and extended payment plans.

The Internal Revenue Service permits deductions for those who pay for weight loss surgery that is not covered by their insurance provider. One can deduct the total of any medical expenses “that are more than 7.5 percent of their gross income.” You should consult with your financial advisor to learn what part of your expenses is deductible.

Before you seek out alternative methods of financing, make sure you check your insurance policy to see if you are covered. Under the heading that says, “What Is Covered” or “Covered Expenses,” there will be a list of what is covered and what is excluded. Look for a statement that says the provider excludes coverage for “weight control, for the treatment of obesity, for the surgery for weight control, or for the complications of the surgery for weight control.” Many insurance providers will cover weight loss surgery if it is considered a treatment that is life saving.

If you are considered obese, weight loss surgery can actually save your life. Diabetes, heart disease, high blood pressure, etc., are all conditions that can put your life at risk. It is important to make sure you can pay for the surgery by doing your research and consulting with the appropriate financial advisors.

Lap Band Surgery is a medical procedure designed to help overweight patients take off the weight. The surgery involves a small implant that is placed around the stomach to form a “gastric pouch.” Because the pouch holds less food than the entire stomach, one will eat less and lose weight.

After a Lap Band procedure, one has to follow a strict dietary program to prevent vomiting and stomach tissue from sliding through the band. One to two weeks after surgery, one should consume only thin and clear liquids that contain an appropriate amount of calories. Water is essential to keep hydrated. Foods can consist of broth or soup that does not have any solid foods. Fruit juice and skim milk can also be consumed.

After three to four weeks, one can start consuming thicker foods in the form of purees. The purees should be rich in protein. Pureed skinless chicken and fish are good choices. You should also be consuming pureed fruits and vegetables.

Protein is particularly important following Lap-Band surgery. After Lap-Band surgery, the stomach will not be able to hold more than 4 to 6 ounces per meal, so it is essential to make sure you get the appropriate protein that is required by your body. Lap-Band patients should consume fifty to sixty grams of protein daily to avoid protein deficiency. Protein deficiency causes muscle weakness, depression, low blood pressure, hair loss, fatigue, edema, anemia, and in extreme cases, death.

Two months after surgery, patients should be on a modified liquid diet. This is food that is shredded in a food processor along with a high protein shake. The patient must consume two ounces of a protein every hour for ten to twelve hours a day. The basic foods during this time are meat, protein, vegetables, and salads. As well as protein foods, you should have two ounces of other liquids such as soup, baby food, or sugar-free gelatin.

When you are able to eat solid foods without problems, remember that your lap band is designed to restrict solids so you have to watch want you eat. Drinking liquids during or immediately after meals will aid in flushing the pouch. Chew your food thoroughly and eat small bits at a time. Eat only three meals a day and make sure these meals contain adequate nutrients. Your stomach can only hold about ¼ cup of food, or 2 ounces, at a time. You should be able to eat such foods as tender cooked foods fish and ground turkey. If solid foods cause nausea and vomiting, go back to the liquid diet. Then, slowly include soft foods and eventually changeover to soft foods.

You should not have any caffeine for the first three months after surgery. As well, carbonated beverages should not be consumed to avoid gas, bloating, and an increase in stomach size. You should also avoid foods that are high in fiber, dried, spicy, starchy, and fried.

After Lap Band surgery, it is critical that one sticks to the appropriate diet. If not, serious complications can occur that may require further surgery.