Semi-solid foods diet (five weeks post-surgery)

During this stage, patients continue to gradually add soft, or semi-solid, foods into the diet. The semi-solid foods stage can last for eight or more weeks. Surgery wounds are nearly healed, but solid, sharp foods can still cause damage. This diet increases the emphasis on low-calorie, high-nutrient choices.

Foods List

This phase allows all foods on the pureed foods diet plus:

  • Canned tuna or chicken
  • Extra—lean ground beef, chicken or turkey
  • Eggs, egg whites or fat-free, cholesterol-free egg substitute
  • Well-cooked rice and pasta
  • Fresh, ripe fruit
  • Well-cooked vegetables (not broccoli, asparagus, celery)
  • Low-fat or fat-free cheese
  • Imitation crab meat or fresh crab meat
  • Fish—be very careful of bones
  • Cooked beans and lentils

Sample Meal Plan

Meal or Snack Foods
Breakfast
  • 2 egg whites scrambled with fat-free milk and topped with 1 ounce low-fat cheese
  • 1/2 ripe banana
Snack 1
  • 1/2 cup fat-free cottage cheese
  • 1/4 cup mashed sweet potatoes
Lunch
  • 2 ounces canned tuna
  • 1 tablespoon peanut butter
  • 1/4 cup fat-free ricotta cheese
Snack 2
  • 2 ounces canned tuna
  • 1/4 cup applesauce
Dinner
  • 4 tablespoons cooked green beans
  • 1/4 cup well-cooked pasta
  • 1 ounce canned chicken breast
Snack 3
  • 1/2 cup fat-free, no sugar added yogurt
  • 3 tablespoons cream of wheat

Tips and Guidelines for the Semi-Solid Foods Diet

  • Have only a bite when trying a new food to see whether it is tolerated. If the food is not tolerated, try it again later
  • Eat protein first, then vegetables and fruit, at each meal and snack
  • Continue to measure portions, stick to recommend serving sizes and stop eating when full
  • Limit or eliminate caloric beverages, including protein shakes, unless told otherwise by a surgeon or nutritionist
  • Chew thoroughly before swallowing
  • Patients may need to return to pureed foods if semi-solid foods are not yet tolerated
  • Patients with the adjustable gastric band (lap-band) get their first fill around this time and will start to feel restriction
  • Fluids and solids should be separated by 30 minutes to avoid stretching the stomach pouch or stoma, and to feel restriction to limit food intake and promote weight loss
  • Lap-band patients should avoid sticky foods, such as peanut butter
  • To prevent dumping syndrome, RYGB patients should avoid sugary foods, such as candy, desserts, undiluted fruit juice and large servings of fruit