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The stomach balloon helps in reducing weight for people whose body mass is more than 27 in order to decrease their weight and reach an ideal healthy weight. This balloon was designed to partially fill the stomach so they feel satisfied and will eat fewer quantities of food and this leads to losing weight gradually.
This system depends on an overall changing of the patient in their food behavior, which needs patience, calmness and following instructions carefully to achieve this goal, knowing that the decreasing percentage in the weight differs from one person to another
The Diet System
This system consists of several stages which start from the first hours from
the operation:-
• The first stage: the clear fluids (duration: one day)
• The second stage: full fluids (low-fat and sugar) (duration: three days)
• The third stage: the pureed food (duration: one week)
• The fourth stage: soft and easy chewing food (duration: one week)
• The fifth stage: regular food.
General tips:-
• The transition from one stage to another depends on the patient’s
ability to bear the types of food which he eats
• The patient must stop eating immediately once satisfied, because it may cause vomiting
• The patient should drink at least 8 cups of water per day distributed throughout the day
• The patient should remember that after the operation the stomach can only take a smaller quantity of food
• At the beginning of the solid food stage, the patient should eat a smaller quantity of food slowly and chew it well
• In all stages, the food should be low in fat and sugar
• The patient should stop eating food with high calories (sweets, fried food, and soft drinks), and low value, because it prevents losing weight
• The patient should follow a healthy diet with low calories (1200
calories) and follow-up with a nutritionist even after removing the balloon to keep the new smaller weight
• The patient should exercise regularly and follow a healthy life style to keep the requested weight
1. The first stage: The Clear Fluids
Duration: One day after the operation
Permitted Drinks: Water, filtered soup, chicken or beef filtered soups
(cream free), jelly, anise, tea with mint, tea algal, and filtered fresh fruit juice
without sugar
How to drink: Drink a little quantity every 30 minutes, and average 2- 3
liters per day
Follow the instructions:
• Avoid sweetened drinks
• Avoid soft drinks
• Drinks should be at the room temperature, and free of sugar( it can be
sweetened by using artificial sweetner)
• You should stop drinking once you feel that your stomach is full
2. The second stage: The Full Fluid
Duration: Three days
Permitted Drinks: All the clear fluids, milk, and low-fat yogurt
Pudding or custard made from low-fat milk, Non-sweetened fresh juices
Quantity and How to drink: 6 meals per day, each meal is about 120
milliliters (1/2 cup), while keep drinking two liters of clear fluids
per day
Examples of daily meals for the stage of full drinks with low-fat and sugar-free
| Time | Meal |
| Breakfast | 1 cup of low-fat milk or semolina pudding + 1 cup of clear fluids |
| Snack | 1/2 cup of pudding |
| Lunch | Unsweetened jelly, 1/2 cup of yogurt or low-fat milk, 1/2 cup of filtered grinded soup |
| Snack | 1 cup of filtered fresh juice |
| Dinner | Unsweetened jelly, 1/2 cup of yogurt or low-fat milk, 1/2 cup of filtered grinded soup |
| Snack | 1 cup of low-fat milk, or low-fat yogurt |
** Keep drinking water between meals
3. The third stage: Pureed Food
Duration: One week (depends on the patient’s ability)
Start eating slowly, and in case you are not able to eat pureed food, eat the
previous stage’s food for several meals, then try the pureed food again.
Start eating your food from the protein collection(chicken, fish, meat,
cheese, yogurt, and eggs) then take vegetables and carbohydrates.
Permitted Food: all the previous permitted food plus the following:
• The pureed meat or chicken, pureed fish
• Low-fat soft cheese (low-fat cream cheese)
• Scrambled eggs, cooked with little oil
• Grinded fruits and vegetables without peel or seeds
• It’s permitted to use children’s ready food
Quantity and How to eat: – 6 meals per day, and you should choose at
least 3 meals from the meat collection (meat or chicken or fish) or choose its
alternatives such as: yogurt, cheese, or eggs
An example of a daily diet program for the third stage
| Time | Meal |
| Breakfast | 1 egg (scrambled or soft boiled) with no fats Slice of cheese or 30 gm of low-fat cheese + 1 cup of low-fat milk |
| Snack | 1 cup of fresh juice or fruit cocktail juice |
| Lunch | 60 gm of grinded meet (chicken, fish, or turkey) 1 cup of soup + 1 cup of low-fat milk |
| Snack | 1/2 cup of rice pudding, or children’s food |
| Dinner | 4 spoons of tuna reserved in water or cheese or low-fat yogurt 1 cup of grinded vegetable or soup |
| Snack | 1 cup of low-fat yogurt |
4. The fourth stage: The Soft Food
Duration: 1 week (depends on the patient’s ability)
Permitted Food: In additional to the permitted food in the previous stages
you can also eat the following:
• Skinless chicken (boiled or grilled and well cut), grilled or cooked fish,
well-minced low-fat meat, canned tuna without oil
• Low-fat cheese
• Carbohydrates such as well cooked rice, potato, or pasta in a smaller quantity
• White bread without edges
• Soft fruits and vegetables without peels or seeds such as (bananas,
apples, papaya, and pears), apples and pears should be grated or cooked
to be easily cheweed
• It’s allowed to cook with a small quantity of oil (2 – 3 little spoons)
everyday
Quantity and How to eat: 6 meals per day
• You should get 30 gm (2 eating spoons) of meat or fish or chicken (3 – 4
times per day)
• You should have a small amount of water after the meal directly in this
stage and in the next stage in order to avoid the adhesion of the food to
the balloon.
Daily diet program for the fourth stage
| Time | Meal |
| Breakfast | 1 egg (scrambled or soft boiled) with no fats + 2 slices of toast without edges 1 cup of low-fat milk |
| Snack | Low-fat cheese sandwich (2 slices of bread without edges) |
| Lunch | 4 eating spoons (60 gm) of grinded or well cooked fish or meat or chicken 1/2 cup of well cooked or mashed vegetables 2/3 cup of well cooked rice |
| Snack | 1/2 cup of flavored yogurt |
| Dinner | 4 eating spoons (60 gm) of well cooked or minced fish or meat or chicken 2 slices of bread without edges 1/2 cup of well cooked or mashed vegetables |
| Snack | 1 piece of biscuit |
5. The fifth stage: Solid Food/regular Food
Solid food: is normal food and can be eaten gradually in the previous stage
whilst eating small quantities before following-up with a nutritionist to
determine the requested calories.
In case the patient couldn’t eat any of the mentioned food items, they should
try it again after a week.
The patient should have 2 cups of milk, or low-fat yogurt daily in order to
get enough calcium.
The patient should have 2 liters of water between the meals
After completing all the stages you should be committed to the following lowfat diet and low-sugar diet (1000 – 1200 Kcal) per day for three months.
Suggested Meal Plan for 1000 - 1200 kcal/Day
| Meal | Number of exchanges within the meal | Suggested Menu |
| Breakfast | • 2 Starches • 1 Milk • ½Vegetable • 1 Meat | • 2 slice bread or 1small loaf of bread • 1 cup low fat milk or yogurt • 100g tomato or cucumber or lettuce • 2 table spoons low fat labnah or cheese or 1 boiled egg |
| Snack (1) | • 1 Fruit • Beverages | • 1 apple or ½ of banana • 1 cup tea or coffee without sugar |
| Lunch | • 2 Starch • 1Vegetable • 2 Meat • ½ Milk • ½ vegetable | • 12 cup rice or macaroni (low fat) • 1 cup vegetable salad or ½ cup cooked vegetable • 60 gm fish or chicken or meat • ½ cup low fat yogurt • 1 cup vegetable soup |
| Snack (2) | • 1 Fruit | • 1 orange or pear |
| Dinner | • 1 Starches • 1 Vegetable • 1 Meat • ½ Milk | • 1 slice bread or ½ cup corn flakes • 1 cup salad or sautéed vegetable • 30 gm of tuna or low fat cheese or ¼ cup hummus or foul • ½ cup low fat yogurt or laban |
| Snack (3) | • 1 Fruit | • 12 piece of grapes or ½ cup of orange juice |
Exchange List
Note:
- One cup = 240ml
- 1 Tablespoon (Tbsp.) = 15ml
- 1 Teaspoon (Tsp.) = 5ml
Vegetables Group
(One exchange provides 25 Kcal, 5 grams Carbohydrates, and 2 grams protein, 0 gm fat and it is equivalent to):
• One cup raw or ½ cup cooked of the following vegetables :
• Marrow
• Carrots
• Cauliflower
• Broccoli
• Green Beans
• Cabbage
• Onion
• Okra
• Swiss Chard
• Spinach
• Lettuce
• Radish
• Beet Root
Fruit Group
(One exchange provides 60 Kcal, 15 grams Carbohydrates 0 gm protein ,0 gm fat, and it is equivalent to):
Fresh Fruits
• One medium size Apple, Orange, Pears, Peach, or Pomegranate
• ½ medium size Banana, or Mango
• 2 medium size Tangerine, or Fig
• 3 medium size Apricot, or Plums
• 5 medium sizes fresh Dates
• 12 medium size Grapes or Cherry
• One cup (Cubes) sweet Melon, Papaya, or Pineapple
• 1¼ cup (Cubes) Watermelon, or Strawberries
Dried Fruits
• 2 Table spoons Raisins
• 2 medium size Fig
• 3 medium size apricot, Prunes, Plums, or Dates
Fruit Juices
• ½ Cup fresh fruit juice
Milk Group (Skimmed Milk):
(One exchange provides 100 Kcal and 12 grams Carbohydrates 8 gm protein, 0- 3 gm fat and it is equivalent to):
• One cup (240 ml) skimmed Milk
• One cup (240 ml) skimmed Laban drink
• ¾ cup (180 ml) skimmed Yoghurt
Starch Group
(One exchange provides 80 Kcal and 15 grams carbohydrates, 3 gm protein,
0-1 fat and it is equivalent to):
• One slice Toast bread white or brown
• White or brown.1/4 Arabic Kubuz
• 1/4 Indian barata (Low fat)
• 1/2 medium size Bun or hotdog bread
• One small chapatti 15 diameter (27 gm)
• 1/2 cup Corn flakes or Bran flakes
• 1/3 cup cooked or boiled Rice / Couscous
• 1/2 cup cooked or boiled: Macaroni, Pasta,
or Noodles
• 1/2 cup cooked or boiled: Broad beans (Foul),
Lentils, Peas, White Beans , Oats, Jareesh,
Harees, Semolina Bulgur, Freeka
• 3 pcs medium size falafal
• One piece bran biscuit (weetabix) or 11/2 unsweetened Shaboora
• One small boiled or baked Potato (90 grams)
Meat group (Lean Meat)
(One exchange provides 45 Kcal and 7 grams Protein 0-3 gm fat, 0 gm
carbohydrate and it is equivalent to):
• 30 grams (two fingers size) boneless skinless chicken, fish or meat
• 30 grams low fat white cheese or cheddar cheese
• Low fat Labnah 2 Table spoons (40 grams)
• 1/4 cup cottage cheese
• One Table spoon (15 grams) peanut Butter
• One boiled Egg
• 2 boiled egg whites (very lean meat group)
Oil and Fat
(One exchange provides 45 Kcal, 5 grams Fat, and it is equivalent to):
• One Tea spoon Olive oil, Corn oil, Sunflower oil, or Canola oil
• One Tea spoon Coconut oil, Palm oil, Butter, Margarine, or Mayonnaise
• One Table spoon salad dressing or 2 table spoons low fat salad dressing
• 8 medium size Olives pickle
• 6 medium size Cashew nuts or Almond
• 2 Tea spoons seeds
• 15 medium size Peanuts
• Two Table spoons Coconut powder
• 4 halves walnuts
• 2 tsp Tahini or sesame paste
• 2 tablespoon Avocado ( 1 oz)
Sports and physical activity
• Daily exercising is considered to be a safe and an effective way of reducing
weight and burning calories and keeping the strength of the muscles, which leads to reducing the contouring skins which appear due to the weight loss.
• Walking is considered to be a perfect way to start the exercising program, to be gradually increased in distance and duration, as walking for 1/2 an hour per day helps to reduce weight moderately. Also, it is possible to do other exercises as the balloon can’t be considered as an obstruction for doing this.
