Guest guest Posted February 16, 2007 Report Share Posted February 16, 2007 For the 2 week pre-op liquid diet I tell patients to get at least 60g pro (sometimes 80 for larger patients) and to stay around 500 calories a day. I give the patients a list of acceptable shakes and protein powders (and some samples of Unjury), and during the consult I help them to make a specific diet plan for their needs. They are allowed Sugar Free liquids, jello, popsicles and low sodium broth as desired. We do not normally allow food, but if the patient admits that they will cheat then the surgeon tells them to cheat with plain chicken breast and steamed veggies for a dinner meal. Hope this helps! >From: " cara_greenspan " <caralyng24@...> >Reply- > >Subject: pre-op liquid diet >Date: Fri, 16 Feb 2007 16:43:51 -0000 > >Hi all, > >Surgeons at my hopspital frequently ask WLS patients to go on a liquid >diet for about 2 weeks preop to help shrink the liver and facilitate >the surgery. I am in the process of coming up with specific guidelines >for this liquid diet regimen. I would appreciate if anyone could share >what your program does for this purpose in terms of number of calories, >type of meal replacement drink, inclusion of a limited amount of food, >etc. > >Thanks, > >Cara Greenspan, RD >Temple University Hospital >Phila, PA > _________________________________________________________________ Don’t miss your chance to WIN 10 hours of private jet travel from Microsoft® Office Live http://clk.atdmt.com/MRT/go/mcrssaub0540002499mrt/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2007 Report Share Posted July 6, 2007 We do a 3 week pre-surgery liquid diet for Lap Adjustable Gastric Banding patients which allows 1 c raw or 1/2 c cooked vegetables per day. > > Does anyone allow foods such as lettuce, cucumber, watermelon on the 2-week > pre-op liquid diet? And if allowed, any problems with compliance? > > _________________________________________________________________ > http://newlivehotmail.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2007 Report Share Posted July 6, 2007 we do a high protein no carb diet for 1 week. None of that is allowed. For people with diabetes they are allowed to grab one piece of fruit if they feel they are hypoglycemic. Prior to having them go on the diet they are instructed to meet with their pcp to manage insulin. Tina Musselman RD, CCN Bariatric Program Coordinator (708) 747-4000 ext. 7444 or (708) 679-2717 (708) 679-2418 (fax) From: [mailto: ] On Behalf Of PeriouSent: Thursday, July 05, 2007 4:58 PM Subject: Pre-op Liquid Diet Does anyone allow foods such as lettuce, cucumber, watermelon on the 2-week pre-op liquid diet? And if allowed, any problems with compliance?__________________________________________________________http://newlivehotmail.com The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2007 Report Share Posted July 6, 2007 Why no carb at all From: [mailto: ] On Behalf Of Musselman Tina Sent: Friday, July 06, 2007 10:46 AM Subject: RE: Pre-op Liquid Diet we do a high protein no carb diet for 1 week. None of that is allowed. For people with diabetes they are allowed to grab one piece of fruit if they feel they are hypoglycemic. Prior to having them go on the diet they are instructed to meet with their pcp to manage insulin. Tina Musselman RD, CCN Bariatric Program Coordinator (708) 747-4000 ext. 7444 or (708) 679-2717 (708) 679-2418 (fax) From: [mailto: ] On Behalf Of Periou Sent: Thursday, July 05, 2007 4:58 PM Subject: Pre-op Liquid Diet Does anyone allow foods such as lettuce, cucumber, watermelon on the 2-week pre-op liquid diet? And if allowed, any problems with compliance? __________________________________________________________ http://newlivehotmail.com The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2007 Report Share Posted July 9, 2007 He wants no carb at all to deplete the liver of glycogen stores and shrink the liver before surgery Tina Tina Musselman R.D., C.C.N. St. Center for Bariatric Surgery Program Coordinator 708-747-4000 ext 7444 708-503-3270 (fax) tina.musselman@... From: [mailto: ] On Behalf Of AbbeSent: Friday, July 06, 2007 6:33 PM Subject: RE: Pre-op Liquid Diet Why no carb at all From: [mailto: ] On Behalf Of Musselman TinaSent: Friday, July 06, 2007 10:46 AM Subject: RE: Pre-op Liquid Diet we do a high protein no carb diet for 1 week. None of that is allowed. For people with diabetes they are allowed to grab one piece of fruit if they feel they are hypoglycemic. Prior to having them go on the diet they are instructed to meet with their pcp to manage insulin. Tina Musselman RD, CCN Bariatric Program Coordinator (708) 747-4000 ext. 7444 or (708) 679-2717 (708) 679-2418 (fax) From: [mailto: ] On Behalf Of PeriouSent: Thursday, July 05, 2007 4:58 PM Subject: Pre-op Liquid Diet Does anyone allow foods such as lettuce, cucumber, watermelon on the 2-week pre-op liquid diet? And if allowed, any problems with compliance?__________________________________________________________http://newlivehotmail.com The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you. The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2007 Report Share Posted July 9, 2007 But what about the resulting lean body mass losses and the subsequent drop in metabolic rate? Has he thought about that. We studied our patients on that type of diet with the medgem and found all LOST muscle and drops in met rate. It made us change! Abbe From: [mailto: ] On Behalf Of Musselman Tina Sent: Monday, July 09, 2007 1:55 PM Subject: RE: Pre-op Liquid Diet He wants no carb at all to deplete the liver of glycogen stores and shrink the liver before surgery Tina Tina Musselman R.D., C.C.N. St. Center for Bariatric Surgery Program Coordinator 708-747-4000 ext 7444 708-503-3270 (fax) tina.musselmanssfhs (DOT) org From: [mailto: ] On Behalf Of Abbe Sent: Friday, July 06, 2007 6:33 PM Subject: RE: Pre-op Liquid Diet Why no carb at all From: [mailto: ] On Behalf Of Musselman Tina Sent: Friday, July 06, 2007 10:46 AM Subject: RE: Pre-op Liquid Diet we do a high protein no carb diet for 1 week. None of that is allowed. For people with diabetes they are allowed to grab one piece of fruit if they feel they are hypoglycemic. Prior to having them go on the diet they are instructed to meet with their pcp to manage insulin. Tina Musselman RD, CCN Bariatric Program Coordinator (708) 747-4000 ext. 7444 or (708) 679-2717 (708) 679-2418 (fax) From: [mailto: ] On Behalf Of Periou Sent: Thursday, July 05, 2007 4:58 PM Subject: Pre-op Liquid Diet Does anyone allow foods such as lettuce, cucumber, watermelon on the 2-week pre-op liquid diet? And if allowed, any problems with compliance? __________________________________________________________ http://newlivehotmail.com The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you. The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2007 Report Share Posted July 9, 2007 It is only for a week before surgery. It is not ment to be a long-term diet. I am aware of the long-term consequences. After surgery all of these patients lose weight at a rapid rate and it is envitable that there will be some muscle mass loss. There is no longer a need for all of the muscle to carry around less weight. A collegue of mine told me about an article published that demonstrated decreased BMR s/p RYGB vs. traditional hand-calculations that RD's used when using the Med Gem. I do not have the reference for the article. Also,. I was at a pre-symposium for the ADA a few years ago that reviewed this as well. In addition, to decreased muscle mass, there is a drop in BMR that is procedure driven after the RYGB. Tina Musselman R.D., C.C.N. St. Center for Bariatric Surgery Program Coordinator 708-747-4000 ext 7444 708-503-3270 (fax) tina.musselman@... From: [mailto: ] On Behalf Of AbbeSent: Monday, July 09, 2007 1:28 PM Subject: RE: Pre-op Liquid Diet But what about the resulting lean body mass losses and the subsequent drop in metabolic rate? Has he thought about that. We studied our patients on that type of diet with the medgem and found all LOST muscle and drops in met rate. It made us change! Abbe From: [mailto: ] On Behalf Of Musselman TinaSent: Monday, July 09, 2007 1:55 PM Subject: RE: Pre-op Liquid Diet He wants no carb at all to deplete the liver of glycogen stores and shrink the liver before surgery Tina Tina Musselman R.D., C.C.N. St. Center for Bariatric Surgery Program Coordinator 708-747-4000 ext 7444 708-503-3270 (fax) tina.musselmanssfhs (DOT) org From: [mailto: ] On Behalf Of AbbeSent: Friday, July 06, 2007 6:33 PM Subject: RE: Pre-op Liquid Diet Why no carb at all From: [mailto: ] On Behalf Of Musselman TinaSent: Friday, July 06, 2007 10:46 AM Subject: RE: Pre-op Liquid Diet we do a high protein no carb diet for 1 week. None of that is allowed. For people with diabetes they are allowed to grab one piece of fruit if they feel they are hypoglycemic. Prior to having them go on the diet they are instructed to meet with their pcp to manage insulin. Tina Musselman RD, CCN Bariatric Program Coordinator (708) 747-4000 ext. 7444 or (708) 679-2717 (708) 679-2418 (fax) From: [mailto: ] On Behalf Of PeriouSent: Thursday, July 05, 2007 4:58 PM Subject: Pre-op Liquid Diet Does anyone allow foods such as lettuce, cucumber, watermelon on the 2-week pre-op liquid diet? And if allowed, any problems with compliance?__________________________________________________________http://newlivehotmail.com The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you. The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you. The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 14, 2007 Report Share Posted August 14, 2007 Hello, What options are you using for a liquid pre-op diet for weight loss? Right now, our surgeon using 400 pounds as a maximum and we have a patient who needs to lose about 40 pounds to meet this criteria. Our program is new, and we are looking into Optifast, however, from a patient standpoint, that seems expensive. From this listserve, I've read that some of you are using Bariatrix. What makes Optifast better than using Ensure, Glucerna, Slimfast or others? What else is out there? I appreciate all of your input! Thank you, Anne Marquart, MS, RD, LD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 14, 2007 Report Share Posted August 14, 2007 We use Medifast. Patients can order it directly online. For long term use they have a "Lean & Green" plan as an option. We still request they come in weekly to be weighed & advise them to follow-up with their PCP re: meds for HTN, etc... Angie , MEd, RD, CDN Nutritionist SIUH Center for the Surgical Treatment of Obesity 256 Mason Avenue Staten Island, NY 10305 718-226-1265 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 13, 2008 Report Share Posted March 13, 2008 Hi please see attached references We useOptifast so its complete an dtherfore you can use it for a longer period on tehSupra obese patients. Regards Nazy NazyZarshenas Senior Dietitian - GIT SurgeryThe St Hospital Nutrition and dietetics departmentLevel 2 PritchardWing NSW 2217 Kogarah Email:Nazy.Zarshenas@... PH: (02) 91132752 From: [mailto: ] On Behalf Ofallison_theodoreSent: Friday, 14 March 2008 2:07Subject: pre-op liquid diet We currently put some of our patients on a hgih protein liquid dietbefore surgey to help decrease liver size and wanted to know if anyoneknows what is the max amt of time that is safe for patients to remain onthis diet (ie number of months). we do have patients take mvi while on this. --------------------------------------------------------------------------------------------- SOUTH EASTERN SYDNEY AND ILLAWARRA AREA HEALTH SERVICE CONFIDENTIALITY NOTICE NB: *** Due to an organisational amalgamation, email addresses for recipients in this organisation have changed. Please update your contacts list with the details of the email addresses contained within. This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing. This email message has been virus-scanned. Although no computer viruses were detected, South Eastern Sydney and Illawarra Area Health Service accept no liability for any consequential damage resulting from email containing any computer viruses. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 13, 2008 Report Share Posted March 13, 2008 Our office does it for 2 weeks pre-op.allison_theodore <allison_theodore@...> wrote: We currently put some of our patients on a hgih protein liquid diet before surgey to help decrease liver size and wanted to know if anyone knows what is the max amt of time that is safe for patients to remain on this diet (ie number of months). we do have patients take mvi while on this. Be a better friend, newshound, and know-it-all with Mobile. Try it now. Quote Link to comment Share on other sites More sharing options...
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