Manual of Clinical Nutrition

(Brent) #1

Nutrition Management in Bariatric Surgery


Manual of Clinical Nutrition Management B- 28 Copyright © 2013 Compass Group, Inc.


Sample Menu: Stage 3: Bariatric Soft Diet (postoperative weeks 4 to 6)
Time Suggested Meal
7:30 AM ½ cup orange juice
8:15 AM Scrambled egg, one to two slices of toast, 2 tsp low-fat margarine
9:30 AM 1 cup fat-free milk with one package of diet instant breakfast
11 AM One slice of cheese melted over 2 tbsp cooked pasta, one small soft cooked
broccoli flowerette
11:45 AM ½ to ¾ cup water
12:30 PM 3 tbsp flaked fish, 2 tbsp chopped cooked spinach, one pear half
1:30 PM ½ cup orange juice
2:30 PM ½ to ¾ cup fat-free, sugar-free yogurt
3 PM ½ to ¾ cup water
4 PM ½ cup sugar-free, low-fat pudding
5:30 PM 1 cup fat-free milk
6:30 PM 4 tbsp diced chicken and rice casserole, 2 tbsp soft cooked green beans, one
peach half (canned in natural juice)
8 PM ½ to ¾ cup water
8:30 PM 2 oz of tuna, 1 tsp low-fat or fat-free mayonnaise, four saltine crackers
9:30 PM ½ to ¾ cup water


Sample Menu: Stage 4: Bariatric Diet (postoperative weeks 6 to 8)a (1,5)
Breakfast Lunch Dinner
Banana—a quarter (medium)
Scrambled Egg—one
Toast, White—one half slice
Margarine—1 tsp
Chewable Multiple Vitamin


Broiled Chicken Breast—2 oz
Carrots, Boiled—¼ cup
Margarine—1 tsp
Pasta Salad—¼ cup
Chewable Calcium Tablet
(if prescribed)

Haddock, Baked or Broiled—2 oz
Green Beans—¼ cup
Dinner Roll—one half
Margarine—1 tsp
Chewable Multiple Vitamin

Morning Snack Afternoon Snack Evening Snack
Graham Crackers—two squares
Pudding, Sugar-free (made with
fat-free milk)—½ cup


Fruit Cocktail (water-packed)—
½ cup

Cheese, American—1 oz
Saltine Crackers—two squares
Mustard—1 tsp
Chewable Calcium Tablet
(if prescribed)

aConsume fat-free milk between meals throughout the day. Drink approximately ½ to 3/4 cup at a time, for a daily total of 2
cups. Add protein powders to beverages to increase protein content as needed. Some patients may need protein
supplementation to achieve a minimum of 80 g/day, especially those patients with a pouch volume less than 200 mL after
biliopancreatic diversion or biliopancreatic diversion with duodenal switch (1).


Sample Menu: Stage 4: Regular Diet—Nutrient Content Breakdown
Energy 1056 kcal Fat 42 g
Protein 71 g Calcium 1065 mg
Carbohydrates 97 g Iron 6 mg

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