Helicobacter pylori (H. pylori) is a bacteria that lives in the digestive tract and can cause ulcers in the stomach or upper small intestine. The bacterial inflammation can lead to inflammation and infections that prevent food from moving through the digestive tract. Treatment prior to surgery can help relieve the gut bloating and stomach pains.
A low-inflammation diet may be needed by bariatric surgery candidates to reduce dysbiosis and cytokine activity pre- and postsurgery. An example of a low-inflammation meal plan follows:
Breakfast Ground pork sausage or pork chop Papaya and banana fruit cup Herbal tea or black coffee
Lunch Poached salmon or cod
Boiled potato and avocado or Basmati rice and olive oil Vegetable soup or salad Herbal tea or green tea
Dinner Baked chicken or turkey
Baked sweet potato with olive oil Asparagus or green beans Poached pear Water
Snacks Mashed fresh avocado with carrot and celery sticks
Foods to exclude: chocolate, ketchup, soy sauce, barbecue (BBQ ) sauce, peanuts, tree nuts, cold cuts, frankfurters, shellfish, dairy foods, eggs, wheat, corn, barley, spelt, kamut, oats.
Raw fruit (except banana) are not recommended in gut healing. Frozen fruits are a better choice until raw can be tolerated.
- • Salad greens, tomatoes, onions, garlic consumed in small amounts are usually tolerated. Minimum amounts of broccoli, Brussels sprouts, kale need to be added slowly to access tolerance.
- 4-R Program
The goal in successful weight management postsurgery needs to include a 4-R approach to establishing and maintaining a healthy gut: Remove, Replace, Reinoculate, and Repair.
- • Remove from the diet any foods that interfere with a healthy microbiota balance that could cause bad microbiota growth— sugar, trans fats, soy, gluten, dairy (if lactose intolerant or sensitive).
- • Replace with foods from low-inflammation diet—vegetables, fruits, lean proteins, healthy fats like avocado and olive oil.
- • Reinoculate with probiotics and digestive enzymes.
- • Repair the microbiota with adequate dietary supplements and amino acids.
Bariatric surgery candidates can be introduced to the 4-R program in support groups in preparation for surgery. Many of them could profit from this approach to changing their diet for a better outcome instead of thinking the surgery will be all that they will need to lose weight.
Carswell and Vincent followed Roux-en-Y Gastric Bypass (RYGB) patients and found few abnormalities in malabsorption of fats and sugars indicating diet modification to be critical for success in bariatric surgery .