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/s11695-021-05437-3 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 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. 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

Once you have completed the puree stage you can move onto soft foods. It is important to follow this stage as your stomach is still healing and recovering from surgery. What is soft food?

How you prepare

Now is a good time to plan ahead for your recovery after surgery. For instance, arrange for help at home if you think you'll need it. What you can expect Do not drink with meals. Drink 20 minutes before meals and then wait at least 20 minutes after a meal before you drink some fluids During the first 6-9 months after your surgery, you will experience rapid weight loss and hair loss can occur. By following a healthy balanced diet with enough protein and taking your vitamin and mineral supplements, should result in your hair returning to normal. Constipation

Bariatric-specific endoscopic stents. (A) GastroSeal™ stent (M.I.TECH, Pyeongtaek, Korea), (B) MEGA™ stent (TaewoongMedical Co., Ltd. Gimpo, Korea), (C) BETA™ stent (TaewoongMedical Co., Ltd. Gimpo, Korea). Another method involves the application of fibrin sealants. A recent meta-analysis including 2,136 SG patients from nine randomized controlled trials showed that there was a tendency toward less bleeding with fibrin sealant application compared to no reinforcement [ 8]. However, the hemostatic role of sealants was not evident in that meta-analysis of trials with larger samples [ 17]. It is still not clear whether applying fibrin sealant alone could reduce the incidence of postoperative bleeding.

Risks

The specifics of your surgery depend on your individual situation and the hospital's or doctor's practices. Some sleeve gastrectomies are done with traditional large (open) incisions in the abdomen. But sleeve gastrectomy is typically performed laparoscopically, which involves inserting small instruments through multiple small incisions in the upper abdomen. As soon as you are able to start having liquids, you can begin taking your multivitamins and minerals. During this stage some vitamins and minerals will be soluble. Once you move through the texture stages your GP can prescribe you with a tablet or chewable form.