Dallas Gastric Sleeve surgery Pre-Diet and 4 weeks diet/ ESG Endoscopy sleeve gastroplasty

Gastric Sleeve

Most individuals that are overweight find it very difficult to lose excess weight either through dieting or exercising. Dieting and exercising provide little or no weight loss for people that are overweight or obese.

Also, most people that are overweight find it difficult to exercise. They experience pains all over their body after exercising and this makes them lose interest. They may even stop exercising.

Gastric sleeve is a surgical weight-loss alternative to dieting or rigorous exercising. It involves the removal of a larger portion of the stomach, leaving on a small portion for food intake. The small portion of the stomach that is left for food intake has the shape of a banana.

Individuals that are overweight with a Body Mass Index (BMI) of 40 and above are the right candidates for gastric sleeve.

Individuals that are overweight with a BMI of 35 to 40 and have health conditions such as type 2 diabetes, heart diseases or high blood pressure are also considered ideal candidates for gastric sleeve

The aim of gastric sleeve is to significantly reduce the size of your stomach so that it can only take very little amount of food. The significant reduction in the quantity of food that you eat reduces the amount of calories absorbed into your body. The reduction in calories absorbed into your body then leads to weight loss.

Diet before a gastric sleeve surgery

Before undergoing a gastric sleeve, there are specific diet routines that should be followed to ensure a successful surgery without complications.

Pre-gastric sleeve diet

The pre-surgery dietary goal is to shrink your liver. Obesity makes the liver larger than normal due to the accumulation of fat cells in and around the liver. A liver that is too large makes gastric sleeve surgery more difficult for surgeons and also make the surgery more dangerous. This means you can encounter severe risks and complications.

Beginning from two weeks before the day of your surgery, you will be given a specific diet to follow. You will be required to strictly follow the diet. The diet reduces your calories and carbohydrates intake.

Two weeks before the procedure, you will eat primarily vegetables, lean protein, potatoes, pasta, and low or no-calorie fluids.

Two days before your surgery, you will be taking clear liquids only. Take clear liquids such as water, decaffeinated coffee or tea, no-sugar protein shake, and no-sugar popsicles. Avoid carbonated and caffeinated beverages.

Diet after a gastric sleeve surgery

Post-surgery dietary goal is to aid quick and safe recovery. It also helps you to acquire healthy eating habits so that you can continue losing weight and ultimately maintain a healthy weight.

Week 1

For the first week after the surgery, you will have to take only clear liquids. You will need to continue with the clear liquids you were taking a few days before the surgery such as water, decaffeinated coffee or tea, no-sugar protein shake and no-sugar popsicles. The clear liquids will help prevent post-surgery complications such as diarrhea, bowel obstruction, dehydration, gastric leakage, and constipation.

Ensure you drink plenty of clear liquids. Avoid liquids with sugar. Avoid caffeinated and carbonated beverages as they can cause risks and complications.

Week 2

For the second week after the surgery, you will switch to full-liquid diets. You may feel increase in appetite during this period. It is recommended that you consume about 20g of protein every day. Drinking full liquids such as diluted juice, creamed soups, sugar-free ice cream, and other sugar-free and no-calorie liquids help to prepare you for the next stage of your diet. Towards the end of the second week, you should consume about 60-80g of protein each day.

The liquids you can take during the second week include:

• No-sugar nutrition shakes
• Shakes made with protein powder
• Thin broth
• Cream-based soups with no chunks
• Soft noodles in soup
• Unsweetened milk
• Sugar-free, nonfat pudding
• Sugar-free, nonfat frozen yogurt, and ice cream
• Plain yogurt
• Fruit juices with no pulp, diluted with water
• Thinned, hot cereal, such as oatmeal

Avoid carbonated beverages, caffeine, and diet that contain fats and sugar.

Week 3

During week three, your stomach is gradually getting healed. You can start taking soft, pureed foods. Chew your food thoroughly before swallowing and eat slowly. Increase your protein intake. Ensure you take 60g-80g of protein every day. Drink water and always stay hydrated.

The foods you can eat in the third week include:

• Non-fibrous vegetables
• Lean protein
• Jarred baby food
• Silken tofu
• Cottage cheese
• Canned fruit in juice
• Mashed bananas or very ripe mango
• Pureed or mashed avocado
• Plain Greek yogurt
• Cooked, pureed white fish
• Soft-scrambled or soft-boiled eggs
• Soups

Avoid spicy foods, caffeinated, and carbonated beverages, bread, sugary foods, fatty foods, raw vegetables, white pasta, rice, chunked and solid foods.

Week 4

During the fourth week, you are fully recovering. Now you can start eating semi-solid foods and solid foods. Avoid sugar, fat, high-carb, and high-fat dairy foods. Avoid foods that are difficult to digest such as nuts, fibrous vegetables, and steak. Eat food in small portions. Increase your intake of protein and continue to drink water to stay hydrated.

Foods that you can eat during the fourth week include:

• Well-cooked chicken and fish
• Well-cooked vegetables
• Sweet potatoes
• Low-fat cheese
• Fruit
• Low-sugar cereal

Week 5 and beyond

Now you have completely recovered and can eat solid food safely. This is the time to follow a healthy eating routine for long-term results. Eat more protein foods and vegetables. Eat one type of food at a time so that you can monitor the results.

Avoid high-calorie, high-sugar and fatty foods. Minimize the intake of snacks. Eat foods in small portions three times a day. Do not eat frequently to give time to your stomach to digest your foods. Ensure you always drink water to stay hydrated.

What is Endoscopic Sleeve Gastroplasty?

Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical weight-loss procedure that involves the placement of sutures inside the stomach to shrink the stomach and reduce its size. The reduction in the size of your stomach leads to reduction in the amount of food that you can eat. The reduction in the amount of food you can eat leads to reduction in the amount of calories absorbed into your body which then leads to weight loss.

The sutures are placed into the stomach via an endoscope which is inserted through the throat down to the stomach.

Endoscopic sleeve gastroplasty is ideal for individuals with a body mass index of 30 and above.

It is a better alternative to bariatric surgery because it does not involve incisions and there are no scars after the procedure.

It only involves the placement of sutures that shrink and reduces the size of your stomach up to 75%. This significant reduction in the size of your stomach limits the amount of food your stomach can take. This reduces the amount of food you are able to eat. You also do not feel hungry frequently due to the reduction in the hunger hormone.

Endoscopic sleeve gastroplasty helps to reduce excess weight and improve health conditions such as high blood pressure, gastroesophageal reflux disease, type 2 diabetes, severe sleep apnea, heart diseases and stroke.

Why Endoscopic Sleeve Gastroplasty is good

Endoscopic sleeve gastroplasty provides many benefits over bariatric surgery. There are several reasons why endoscopic sleeve gastroplasty is good. These include:

Low risk and complications

The risk and complications associated with endoscopic sleeve gastroplasty are relatively lower than the risk involved in gastric sleeve surgery. Unlike gastric sleeve, ESG only involves minimal risks that can be easily resolved. You also don’t feel much pain after undergoing ESG as compared to gastric sleeve. There has been no record of severe risks or death since the discovery of ESG.

It is a safe procedure

ESG is a safe procedure. It is a simple procedure that is not complicated. Unlike gastric sleeve that involves complicated surgical technicalities, ESG only involves the placement of sutures inside the stomach. It is generally an easy and safe weight-loss procedure.

There is no incision

ESG involves no incision. It only involves the placement of sutures via an endoscope into the stomach. The endoscope is inserted into the stomach through your throat. There is no cutting of your abdomen and there is no incision scar.

The cost is lower

ESG is more cost-effective than bariatric surgeries. The cost is lower than gastric sleeve surgery because it is a much easier procedure. You can easily pay for an ESG procedure without breaking the bank.

There is no downtime

After undergoing an ESG procedure, you can go back home that same day. You don’t need to stay at the hospital for days. You can undergo the procedure and still be able to go back to your normal daily activities.

Quicker recovery

After undergoing ESG, you will recover quickly and be able to resume work in 2-3 days. You don’t have to stay at home for weeks to recover.

Provide good results

ESG provides good results. You can lose up to 73 pounds within 6-12 months if you keep to healthy eating habits and lifestyle.

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