Some patients will be prescribed a pre-operative diet to help shrink the liver. Any patient with a BMI greater than 50 or a history of "fatty liver" will be required to be on the following diet for two weeks. Shrinking the size of your liver causes the operation to be safer. If your liver is found to have too much fat in it, we will reschedule your surgery until the fat content is reduced by applying this diet program.
Lap-band pre-surgical diet instructions
ViSalus is available
from our office
Drink 4 servings of ViSalus each day. Where milk is well-tolerated (soy or lactose-free milk may be substituted) it is recommended that two servings of ViSalus are mixed with milk, the other two with non-milk beverages as shown in Mixing Ideas below.
- Include at least 6 servings each day from the food list below.
- Drink water or sugar-free beverages as needed during the day.
- Add an additional serving from the food list for each serving of ViSalus when milk is not used as in the meal plan example below.
- Consult your dietitian or physician for fiber recommendations.
*Digestive problems including gas, bloating and diarrhea may be due to lactose intolerance.
ViSalus is a great-tasting protein supplement powder delivering very high quality protein to anyone who needs more protein - including bariatric patients.
ViSalus Mixing Ideas
With milk
- Add 2 scoops of ViSalus (with any flavor mix-in) to 8 ounces of skim milk. For lactose intolerance, use soy or Lactaid milk. Shake or stir for 15-20 seconds.
Non-milk
- Add 2 scoops of unflavored ViSalus to 8 ounces of fruit flavored Crystal Light Orange, Raspberry or other fruit flavor. Shake or stir for 15-20 seconds.
- Add 1 serving of Strawberry Phyto Power flavored ViSalus to 8 ounces of water or Crystal Light lemonade. Shake or stir for 15-20 seconds.
- Mix 2 scoops of ViSalus (with any flavor mix-in) in 8 ounces of water.
Food List
- ½ cup unsweetened applesauce
- 1 cup sugar-free pudding or ViSalus Hi-Protein Pudding
- 1 cup sugar-free Jell-O or ViSalus Hi-Protein Jell-O
- 6 ounces Dannon Light N Fit yogurt or sugar-free yogurt
- ½ cup cream of wheat or oatmeal
- 1 cup Tomato or V-8 Juice
- ½ cup low fat (1%) cottage cheese
- Fat free raw vegetables as allowed by your Dietitian
Meal Plan Example* | |
| Morning meal | 1 Serving of ViSalus Protein (with any flavor mix-in) mixed with skim milk ½ cup cream of wheat or oatmeal 1 cup V-8 or tomato juice |
| Snack | ½ cup sugar-free pudding |
| Midday meal | 1 Serving of ViSalus Unflavored Protein mixed with 8 ounces of Crystal Light. 6 ounces of Dannon Light N Fit yogurt |
| Snack | ½ cup cottage cheese |
| Evening meal | 1 Serving of ViSalus Protein (with any flavor mix-in) mixed with water 1 cup V-8 or tomato juice ½ cup unsweetened applesauce |
| Bedtime snack | 1 Serving of ViSalus Protein (with any flavor mix-in) mixed with skim milk 6 ounces of Dannon Light N Fit yogurt |
Nutritional Information based on meal plan example | |
| Total calories | 1015 per day |
| Total protein | 128 grams per day (may be lower if milk is not used) |
| Total carbohydrates | 119 grams per day |
ViSalus Pre-Surgical Diet protein cost per day | |
| ViSalus | $5.00 |
*This diet does not meet adequate daily requirements of vitamins and minerals. We recommend a multi-vitamin daily. If milk intake is limited, Calcium supplementation is recommended.
References
Colles, SL, Dixon JB, Marks P, et al. Preoperative weight loss with a very-low-energy diet: quantitation of changes in liver and abdominal fat by serial imaging. Am J Clin Nutr 2006;84:304-11.
Fris, RJ. Preoperative Low Energy Diet Diminishes Liver Size. Obesity Surgery. 2004;14:1165-1170.
