Sunday, June 10, 2007

Roux-en-Y

I've been taking care of a patient for several weeks (read: months) who had bariatric gastric bypass surgery.

It has been fraught with complications. (Repeat: months of complications)

I'm looking over the American Dietetic Association's recommentations on postop nutrition therapy, and it is no way to live.

Foods to avoid: soft bread, sticky (sweet) rice, all pasta, 'high fat' cheese and melted cheese, peanut butter, strawberries, any berries, raw veggies, salads, nuts, popcorn, cakes, cookies, pies, desserts, corn, butter, any alcohol.

Okay, I know that food is not the only thing worthwhile in this world. There are mountains and deserts and sunrises and sunsets. There are good books and rainy days and quilts. There are holidays and families. There's good music and great art and the Golden Gate Bridge. There's sex. There's Godzilla movies. Not necessarily in this order.

But really, sitting on the Campo in Siena withOUT un quartro of Chianti and bufala mozzarella?

In exchange, you can eat cottage cheese, light yogurt (low sugar), selected skinless boneless fatless meats, beans, bananas, low fat soups if you and soggy cereal. (No, really, cereal must be 'soggy'.)

It's just not a way to live.

1 comments:

AtYourCervix said...

I had gastric bypass surgery almost 8 weeks ago, and don't have as many food restrictions as when you wrote about.

I can eat small amounts of bread, as long as it's toasted. I can eat pasta without a problem (small quantities). Melted cheese is *the* way to go for my palate, and I don't have a problem with it lumping up in my pouch. I can eat salad with raw veggies without problems (had one for lunch today, with about 2 oz chicken breast). I have eaten small bites of sweets without problems also. I can eat butter on my food (though I usually only use the low fat margarine to cut back on calories and fat grams). I haven't tried any alcohol yet, but then again, my surgeon's office recommends waiting until 12 weeks post op to try any alcohol.

It's different for every patient - some people have very bad food tolerances/intolerances, while others can eat almost anything (just in very reduced quantities).

I haven't tried fruits yet, because I had problems tolerated even just a few bites of canned, unsweetened peaches way back at about 2-3 weeks post op.

And this is a new, better way to live, rather than being 300+ lbs and being so uncomfortable and in pain from carrying around way too much extra weight.