Why no preop diet?

[teacherjen 18]

I've tried to search, but can't find my answer.

For those who were not required to follow a preop diet before the sleeve surgery, did your doctor explain why?

I'm just curious and forgot to ask my dr why they don't require any preop diet for their patients.

Anybody know why some doctors feel it's not necessary?

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[LuvyDee 24]

Some readings state it is not necessary. But, my doctor prefers to do 14 day liquid. He states not only to shrink liver to allow easier maneuvers of organs, but also assist in reduction of gi upset since no solid food in stomach. But again, this is all personal/ professional opionion of surgeon. many people have had successful post op with no preop diet.

[ShelterDog64 2,364]

@@teacherjen My surgeons told me that they quit doing pre-op diets because both their experience and research has shown that it does virtually nothing to improve surgical times, complications and/or outcomes.

Here's a study from from the American Society for Metabolic and Bariatric Surgery that agrees with their practice:

https://asmbs.org/resources/preoperative-supervised-weight-loss-requirements

[Cary Galarza 5]

My Dr said its not necessary for me because i not to over weight that im just right to just keep doing exercise eat right..

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[kennedy75 7]

Yah same I only had to do 1 week Fluid due to not being to over weight

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[teacherjen 18]

@@teacherjen My surgeons told me that they quit doing pre-op diets because both their experience and research has shown that it does virtually nothing to improve surgical times, complications and/or outcomes.

Here's a study from from the American Society for Metabolic and Bariatric Surgery that agrees with their practice:

https://asmbs.org/resources/preoperative-supervised-weight-loss-requirements

Thanks, that's what I was looking for. My surgeon is a member of that, so it must be why he follows that guideline. Thanks!

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[mrich612 21]

My Dr had me on Clear liquids one day before surgery and after the citrate everything was gone from my body.

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[TSDOR 17]

I have to do a month long pre-op diet! It sucks already and I haven't even started it!

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[Babbs 14,680]

My surgeon told me he had gone to a seminar that showed the liver shrinking from the diet is so minimal, it doesn't really matter. Similar to what @@ShelterDog64 posted.

[caseyrenee83 5]

I have to do a month long pre-op diet! It sucks already and I haven't even started it!

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Hang in there. It will help you mentally after the surgery when you can't eat solid foods. The first month of post op is the hardest I've found and training your brain to be on liquids is a wonderful tool that will help you. Good luck

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[imightknow 39]

From what I've read, if you don't have fatty liver disease, you won't have to have a pre-op diet.

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[jennycm 15]

My surgeon said Clear liquids only the day before surgery and magnesium citrate at noon that day. I didn't ask why, although I kind of wish I had. My BMI is 38. Not sure if that was a factor

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[teacherjen 18]

My dr doesn't require the preop diet even though I have a bmi of 57 and signs of a fatty liver.

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[KristenLe 5,979]

I wasn't supposed to have one and was glad but my Dr requires it for 2 weeks. I'm not sure what it did for my liver but it definitely prepared me for post-op. Get the head hunger and cravings under control pre-op if you can. Post-op eating will be easier.

[laceemouse 631]

From what I've read, if you don't have fatty liver disease, you won't have to have a pre-op diet.

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My surgeon only does a 3 day pre-op diet, and I can have yogurt, low fat Soup, and cottage cheese as well as Protein shakes, etc.

He does a liver biopsy during surgery because most obese people have a fatty liver. I don't know if I have one now, I wonder how many people even know before surgery? Is there any other way to diagnose it??