Cameron AM, et al. Management of morbid obesity. In: Current Surgical Therapy. 13th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed June 8, 2020. Bruze G, Holmin TE, Peltonen M, et al. Associations of bariatric surgery with changes in interpersonal relationship status: Results from 2 Swedish cohort studies. JAMA Surg. 2018;153(7):654–661. doi:10.1001/jamasurg.2018.0215 Soft foods are foods that have a soft consistency, are well cooked and can be easily mashed with a fork. You do not need to use a blender during the soft stage. Foods to avoid: Sleeve gastrectomy is done to help you lose excess weight and reduce your risk of potentially life-threatening weight-related health problems, including:

Sleeve gastrectomy is done in the hospital. Depending on your recovery, your hospital stay may last one to two nights. During the procedure The texture progression phases from fluids to solids are important to reduce the risk of unpleasant side effects such as nausea, vomiting, pain and discomfort. The gradual texture progression also helps to avoid damage to your new stomach, allows your wounds to heal after surgery and allows food to pass easily from the stomach to your small intestine. It is important not to skip any of the stages. Choose foods that are high in protein to help you to meet your protein requirements (at least 70g protein each day). Aiming for at least 500ml (1 pint) of protein rich fluids daily will help you achieve this. How much and when?Sleeve gastrectomy can provide long-term weight loss. The amount of weight you lose depends on your change in lifestyle habits. It is possible to lose approximately 60%, or even more, of your excess weight within two years. Kellerman RD, et al. Obesity. In: Conn's Current Therapy 2020. Elsevier; 2020. https://www.clinicalkey.com. Accessed June 8, 2020. Musella M, Vitiello A, Berardi G, Velotti N, Pesce M, Sarnelli G. Evaluation of reflux following sleeve gastrectomy and one anastomosis gastric bypass: 1-year results from a randomized open-label controlled trial. Surg Endosc. 2021;35(12):6777-6785. doi:10.1007/s00464-020-08182-3 Cheyne Child Development: while you wait leaflet - Pre-School Age (Hammersmith and Fulham children) Abou Rached A, Basile M, El Masri H. Gastric leaks post sleeve gastrectomy: review of its prevention and management. World J Gastroenterol. 2014;20(38):13904-13910. doi:10.3748/wjg.v20.i38.13904

Avoid all fizzy drinks as these can cause discomfort, bloating and stretch your small stomach pouch In stable patients, less-invasive non-surgical management should be attempted. This includes a wide range of endoscopic interventions, from endoscopic stenting and direct fistula closure, to internal drainage and radiologic interventions. Adequate drainage has been the most important treatment for early leaks, and abscesses can be drained percutaneously or endoscopically. The gastric wall defect needs to be repaired either by diverting the fistula or by direct closure. Endoscopic intervention depends on the size and characteristics of the defect [ 22]. Do not drink with meals. Drink 20 minutes before meals and then wait at least 20 minutes after a meal before you drink some fluids Dumping syndrome occurs when fatty or sugary foods are emptied or ‘dumped’ from the stomach into the small intestine too rapidly. It is usually easy to identify dumping syndrome and the food or drink that has triggered it, as symptoms usually occur within 30-60 minutes after consumption. If you experience dumping syndrome then try to sit or lie down until your symptoms improve. In the long term avoiding fatty and sugary food will help you manage dumping syndrome, as well as helping you to achieve your weight loss goal. Hair lossLi L, Wu LT. Substance use after bariatric surgery: A review. J Psychiatr Res. 2016;76:16-29. doi:10.1016/j.jpsychires.2016.01.009 The day after your surgery, your surgical team will tell you when it is safe for you to begin to sip fluids. A member of the dietetic team will see you before you go home to discuss the post-operative diet and answer any questions you may have. Stage 1 – only smooth liquids for 2 weeks