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Cameron AM, et al. Management of morbid obesity. In: Current Surgical Therapy. 13th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed June 8, 2020. 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 As with any major surgery, sleeve gastrectomy poses potential health risks, both in the short term and long term. To perform a sleeve gastrectomy, the surgeon creates a narrow sleeve by stapling the stomach vertically and removing the larger, curved part of the stomach. 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.

The incidence of cholelithiasis after sleeve gastrectomy and its association with weight loss: A two-centre retrospective cohort study. Int J Surg. 2016;30:13-18. doi:10.1016/j.ijsu.2016.03.060 Do not eat until you are ‘full’. Overeating will stretch your stomach pouch, cause discomfort and may cause vomiting After sleeve gastrectomy, your diet begins with sugar-free, noncarbonated liquids for the first seven days, then progresses to pureed foods for three weeks, and finally to regular foods approximately four weeks after your surgery. You will be required to take a multivitamin twice a day, a calcium supplement once a day, and a vitamin B-12 injection once a month for life. Sillén L, Andersson E, Olbers T, Edholm D. Obstruction after sleeve gastrectomy, prevalence, and interventions: a cohort study of 9,726 patients with data from the scandinavian obesity surgery registry (SOReg). Obes Surg. 2021;31(11):4701-4707. doi:10.1007/s11695-021-05574-9 Singh Y, Cawich S, Aziz I, Naraynsingh V. Delayed splenic abscess after laparoscopic sleeve gastrectomy. BMJ Case Rep. 2015;bcr2014208057. doi:10.1136/bcr-2014-208057Kellerman RD, et al. Obesity. In: Conn's Current Therapy 2020. Elsevier; 2020. https://www.clinicalkey.com. Accessed June 8, 2020.

Any foods that are hard or contain skins, seeds and pips as these will be difficult to mash into a soft consistency Right before your procedure, you may have restrictions on eating and drinking and which medications you can take. In the weeks leading up to your surgery, you may be required to start a physical activity program and to stop any tobacco use. You are given general anesthesia before your surgery begins. Anesthesia is medicine that keeps you asleep and comfortable during surgery.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. Praveenraj P, Gomes RM, Kumar S, et al. Management of gastric leaks after laparoscopic sleeve gastrectomy for morbid obesity: A tertiary care experience and design of a management algorithm. J Minim Access Surg. 2016;12(4):342-9. doi:10.4103/0972-9941.181285

Your BMI is 35 to 39.9 (obesity), and you have a serious weight-related health problem, such as type 2 diabetes, high blood pressure or severe sleep apnea. In some cases, you may qualify for certain types of weight-loss surgery if your BMI is 30 to 34 and you have serious weight-related health problems.Al-Sanea O, Al-Garzaie A, Dernaika M, Haddad J. Rare complication post sleeve gastrectomy: Acute irreducible paraesophageal hernia. Int J Surg Case Rep. 2015;8C:88-91. doi:10.1016/j.ijscr.2015.01.040 Ma IT, Madura JA. Gastrointestinal complications after bariatric surgery. Gastroenterol Hepatol (N Y). 2015;11(8):526-35. Li 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

Wang Y, et al. Mechanisms ofweight loss after sleeve gastrectomy and adjustable gastric banding: Far more than just restriction. Obesity. 2019; doi:10.1002/oby.22623. This information will guide you through the post- operative stages step-by- step after gastric bypass or sleeve gastrectomy surgery. Cheyne Child Development: while you wait leaflet - Pre-School Age (Hammersmith and Fulham children) Arndtz K, Steed H, Hodson J, Manjunath S. The hidden endoscopic burden of sleeve gastrectomy and its comparison with Roux-en-Y gastric bypass. Ann Gastroenterol. 2016;29(1):44-9. Kraljević M, Cordasco V, Schneider R, et al. Long-term effects of laparoscopic sleeve gastrectomy: What are the results beyond 10 years? Obes Surg. 2021;31(8):3427-3433. doi:10.1007/s11695-021-05437-3Coblijn UK, Karres J, de Raaff CAL, et al. Predicting postoperative complications after bariatric surgery: the bariatric surgery index for complications, BASIC. Surg Endosc. 2017;31(11):4438-4445. doi:10.1007/s00464-017-5494-0 Borbély Y, Osterwalder A, Kröll D, Nett P, Inglin R. Diarrhea after bariatric procedures: Diagnosis and therapy. World J Gastroenterol. 2017;23(26):4689. doi:10.3748/wjg.v23.i26.4689 Figure reprinted from Alban et al. Obes Surg 2018;28(9):2923-2931, with permission from the publisher, Springer Nature [ 26]. You will need to follow a modified texture diet for 6 weeks, before returning to a regular texture diet. The diet is separated into 4 separate stages: Avoid all fizzy drinks as these can cause discomfort, bloating and stretch your small stomach pouch