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Anyone know of Dr De Bruyne Chris

By susanlondon, September 23, 2007 in Weight Loss Surgeons & Hospitals

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sher67 0

Posted July 14, 2010

Hi Karob

Hope the chest pain has improved. I read on another site that it should take around 10 weeks to be able to eat a small meal (starter size) at around5-6 weeks food should still be sloppy.

I am really worried about some the feeling ie being sick, and chest pain do you feel this everytime you swallow something what makes you feel better

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sher67 0

Posted July 14, 2010 (edited)

To all

I thought this info was really helpfull.

For those that have been banded by Dr Chris, what aftercare is offered is there a contact in the UK.

What to Eat WheN - After Lap Band Surgery

In hospital straight after surgery to day 1

CLEAR FLUIDS OVERNIGHT

- water
- clear fruit juice and
- cordial only
[*]don’t drink everything at once

[*]small amounts often – 50mls every 10 minutes

[*]suck on ice if thirsty or dry

[*]no fizzy drinks

NO solid food - CLEAR FLUIDS ONLY

VERY IMPORTANT NOTES

Do NOT eat anything other than Water, clear fruit juice, clear consommé, and black tea/coffee or cordial – even if it has been delivered to your room – it is probably a mistake.

EATING UTENSIL Slim straw only

Days 2 to 21-28 - liquids Only

LIQUIDS ONLY – small amounts frequently to keep you hydrated – 50mls every 10 minutes (up to 2 litres per day). Within a week you should be able to drink 1 cup of Fluid slowly.

120 ml fruit juice
250 ml vegetable juices/ vegetable Soup (pureed, thin)
protein drinks
reduced fat milk
fully vitamised chicken/meat & vegetable soup
no fizzy drinks

NO SOLID food - FLUIDS ONLY

VERY IMPORTANT NOTES

Drink small amounts often. Your new stomach pouch is small. Don’t overstretch it by drinking too much at once. Sip slowly, Small mouthfuls.

If you can’t get it through a slim straw easily you can’t have it.

EATING UTENSIL Slim straw only

Days 21-28 to 35 - Sloppy Low Fibre Foods

SLOPPY LOW FIBRE FOODS ONLY – EASILY SQUISHED THROUGH THE FINGERS - OR –

THE THICKNESS OF BABY’S FIRST FOOD OR SMOOTHED MASHED POTATO

turn off the telephone, lock the front door, occupy the kids, totally concentrate on eating
sip very small amounts very slowly
wait for a minute between sips
no more than 200mls at a time
2 lite dairy/soya serves daily (1 serve= 1cup milk or 200g lite yoghurt or 35 g cheese)
½ cup pureed fruit or mashed banana
puree cooked veal, pork or chicken, avoid beef (too fibrous)
eat small amounts slowly but more frequently, hunger makes you eat faster
avoid lobster, squid or prawns
avoid home-cooked spaghetti & rice
tinned spaghetti & tinned creamy rice are okay
no fizzy drinks

VERY IMPORTANT NOTES

Eat very slowly and chew very well – 30 times each mouthful Low fibre fruit & vegetables only

Low fibre means without the fibrous skin. Dried fruits like prunes, raisins & sultanas are also off the menu for this month.

Drink 15 minutes or more before eating, and one hour after eating.

SLOPPY/PUREED LOW FIBRE FOODS ONLY

EATING UTENSILS MacDonald’s sized thicker straw or Teaspoon

^top

Days 35- 42 - Transition Phase

TRANSITION PHASE – gradually introduce solids from 5 to 6 weeks only very cautiously

turn off the telephone, lock the front door, occupy the kids, totally concentrate on eating
do not increase the portion sizes you have become used to over the last 4 weeks
eat very small amounts very slowly
wait for a minute between each mouth full
cautiously introduce cooked unblended chicken or veal – 50 grams in total to begin with
cautiously introduce cooked unblended vegetables
cut fibrous vegetables into tiny pieces, then chew very well

VERY IMPORTANT NOTES

Eat very slowly

Chew very well – 30 times each mouthful

Cut meat into tiny pieces

Drink 15 minutes or more before eating, and one hour after eating.

EATING UTENSILS Teaspoon or Equivalent Size

^top

What to eat for the rest of your life

turn off the telephone, lock the front door, occupy the kids, totally concentrate on eating
do not increase the portion sizes you have become used to over the last 4 weeks
continue the further introduction of solids that you began to introduce at 5 to 6 weeks very cautiously
the volume and coarseness of the food should slowly be increased over the coming weeks
eat very small amounts very slowly
wait for a minute between each mouth full
continue to cautiously introduce cooked unblended chicken or veal – begin with 50 grams
continue to cautiously introduce cooked unblended vegetables
cut fibrous vegetables into tiny pieces, then chew very well 30 times each mouth full
by about week 10 you should be at the point where you can attend a restaurant and eat an entrée sized meal in both volume and consistency – the time it takes you to eat this meal should equal the time it takes your eating partner to consume both entrée and main meal

VERY IMPORTANT NOTES

Eat very slowly Chew very well – 30 times each mouthful

Cut meat into tiny pieces

Cut fibrous vegetables into tiny pieces

Drink 15 minutes or more before eating, and one hour after eating.

EATING UTENSILS Teaspoon or Equivalent Size

^top

Tips for Eating Out

the drinking rule still applies, 15 minutes or more before eating and one hour after eating; special exception because you’re eating out, you can take tiny sips of liquid while eating
while we’re on the drinking subject, for those of us who don’t mind a tipple, with the Lap Band in place alcohol will be absorbed much more quickly and therefore if consumed should be done so very slowly – remember, less is more and a lower tolerance can mean higher blood alcohol levels, so if you’re going to drink, please don’t drive
just because you’re eating out, don’t decide to “make a meal of it” so to speak, and consume more than you have become used to over the last ten weeks
eat one entrée sized meal only over the time it takes your eating companion to consume both entrée and main course
if you don’t like the entrée choices, ask for the main meal served entrée size
remember, we often eat just for taste, and not for hunger; if you remember this then savouring one tiny teaspoon of your partner’s dessert for the taste is all you really need
if you’re worried about drawing attention to yourself by making the above requests, or by seeming to eat less than you have in the past, remember, this is the new you, you DO eat less now, your appetite isn’t as great, you don’t seem to need as much to satisfy you anymore, perhaps you’re coming down with something (any of these statements, casually uttered should deflect the curiosity of family or friends used to the old you, if you’re the shy type and think it’s none of their business. Otherwise feel free to be loud and proud and espouse the wonders of Lap Band surgery.)
locate the toilets on arrival so you know exactly where to go if you’re not concentrating on each mouth full and you need to make a hasty exit
by now you should be able to judge what “tiny” mouthful means and should be back to using knife and fork

^top

What to Eat WheN - After Lap Band Surgery

There is a printable version of this information available here in PDF format. The PDF version also contains some menu ideas for the different phases.

In hospital straight after surgery to day 1

CLEAR FLUIDS OVERNIGHT

- water
- clear fruit juice and
- cordial only
[*]don’t drink everything at once

[*]small amounts often – 50mls every 10 minutes

[*]suck on ice if thirsty or dry

[*]no fizzy drinks

NO SOLID FOOD - CLEAR FLUIDS ONLY

VERY IMPORTANT NOTES

Do NOT eat anything other than water, clear fruit juice, clear consommé, and black tea/coffee or cordial – even if it has been delivered to your room – it is probably a mistake.

EATING UTENSIL Slim straw only

Days 2 to 21-28 - Liquids Only

LIQUIDS ONLY – small amounts frequently to keep you hydrated – 50mls every 10 minutes (up to 2 litres per day). Within a week you should be able to drink 1 cup of fluid slowly.

120 ml fruit juice
250 ml vegetable juices/ vegetable soup (pureed, thin)
protein drinks
reduced fat milk
fully vitamised chicken/meat & vegetable soup
no fizzy drinks

NO SOLID FOOD - FLUIDS ONLY

VERY IMPORTANT NOTES

Drink small amounts often. Your new stomach pouch is small. Don’t overstretch it by drinking too much at once. Sip slowly, Small mouthfuls.

If you can’t get it through a slim straw easily you can’t have it.

EATING UTENSIL Slim straw only

Days 21-28 to 35 - Sloppy Low Fibre Foods

SLOPPY LOW FIBRE FOODS ONLY – EASILY SQUISHED THROUGH THE FINGERS - OR –

THE THICKNESS OF BABY’S FIRST FOOD OR SMOOTHED MASHED POTATO

turn off the telephone, lock the front door, occupy the kids, totally concentrate on eating
sip very small amounts very slowly
wait for a minute between sips
no more than 200mls at a time
2 lite dairy/soya serves daily (1 serve= 1cup milk or 200g lite yoghurt or 35 g cheese)
½ cup pureed fruit or mashed banana
puree cooked veal, pork or chicken, avoid beef (too fibrous)
eat small amounts slowly but more frequently, hunger makes you eat faster
avoid lobster, squid or prawns
avoid home-cooked spaghetti & rice
tinned spaghetti & tinned creamy rice are okay
no fizzy drinks

VERY IMPORTANT NOTES

Eat very slowly and chew very well – 30 times each mouthful Low fibre fruit & vegetables only

Low fibre means without the fibrous skin. Dried fruits like prunes, raisins & sultanas are also off the menu for this month.

Drink 15 minutes or more before eating, and one hour after eating.

SLOPPY/PUREED LOW FIBRE FOODS ONLY

EATING UTENSILS MacDonald’s sized thicker straw or Teaspoon

^top

Days 35- 42 - Transition Phase

TRANSITION PHASE – gradually introduce solids from 5 to 6 weeks only very cautiously

turn off the telephone, lock the front door, occupy the kids, totally concentrate on eating
do not increase the portion sizes you have become used to over the last 4 weeks
eat very small amounts very slowly
wait for a minute between each mouth full
cautiously introduce cooked unblended chicken or veal – 50 grams in total to begin with
cautiously introduce cooked unblended vegetables
cut fibrous vegetables into tiny pieces, then chew very well

VERY IMPORTANT NOTES

Eat very slowly

Chew very well – 30 times each mouthful

Cut meat into tiny pieces

Drink 15 minutes or more before eating, and one hour after eating.

EATING UTENSILS Teaspoon or Equivalent Size

^top

What to eat for the rest of your life

turn off the telephone, lock the front door, occupy the kids, totally concentrate on eating
do not increase the portion sizes you have become used to over the last 4 weeks
continue the further introduction of solids that you began to introduce at 5 to 6 weeks very cautiously
the volume and coarseness of the food should slowly be increased over the coming weeks
eat very small amounts very slowly
wait for a minute between each mouth full
continue to cautiously introduce cooked unblended chicken or veal – begin with 50 grams
continue to cautiously introduce cooked unblended vegetables
cut fibrous vegetables into tiny pieces, then chew very well 30 times each mouth full
by about week 10 you should be at the point where you can attend a restaurant and eat an entrée sized meal in both volume and consistency – the time it takes you to eat this meal should equal the time it takes your eating partner to consume both entrée and main meal

VERY IMPORTANT NOTES

Eat very slowly Chew very well – 30 times each mouthful

Cut meat into tiny pieces

Cut fibrous vegetables into tiny pieces

Drink 15 minutes or more before eating, and one hour after eating.

EATING UTENSILS Teaspoon or Equivalent Size

^top

Tips for Eating Out

the drinking rule still applies, 15 minutes or more before eating and one hour after eating; special exception because you’re eating out, you can take tiny sips of liquid while eating
while we’re on the drinking subject, for those of us who don’t mind a tipple, with the Lap Band in place alcohol will be absorbed much more quickly and therefore if consumed should be done so very slowly – remember, less is more and a lower tolerance can mean higher blood alcohol levels, so if you’re going to drink, please don’t drive
just because you’re eating out, don’t decide to “make a meal of it” so to speak, and consume more than you have become used to over the last ten weeks
eat one entrée sized meal only over the time it takes your eating companion to consume both entrée and main course
if you don’t like the entrée choices, ask for the main meal served entrée size
remember, we often eat just for taste, and not for hunger; if you remember this then savouring one tiny teaspoon of your partner’s dessert for the taste is all you really need
if you’re worried about drawing attention to yourself by making the above requests, or by seeming to eat less than you have in the past, remember, this is the new you, you DO eat less now, your appetite isn’t as great, you don’t seem to need as much to satisfy you anymore, perhaps you’re coming down with something (any of these statements, casually uttered should deflect the curiosity of family or friends used to the old you, if you’re the shy type and think it’s none of their business. Otherwise feel free to be loud and proud and espouse the wonders of Lap Band surgery.)
locate the toilets on arrival so you know exactly where to go if you’re not concentrating on each mouth full and you need to make a hasty exit
by now you should be able to judge what “tiny” mouthful means and should be back to using knife and fork

Edited July 14, 2010 by sher67