How long does it take for the liver to shrink....

boomsheeka01
on 3/25/10 7:45 pm - Killeen, TX
I have been doing great on my pre-op diet! I had to pee a lot during the first two days of this diet. I just wanted to know how long it actually takes for the liver to shrink??  Especially considering that some people on have to do a couple of days....Thanks! 
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Guernica Loser
on 3/25/10 8:14 pm
I would think it takes as long as your doc puts you on the pre op diet.  I'm thinking each person is somewhat different depending on BMIs and how fatty a liver may be.  I know if a doc can't get around the liver laproscopically then it's OPEN and no one wants that. 

You can do this.  I KNOW it's hard, but just think how good you'll feel after surgery.  WLS is not an answer.  It's just a tool, so you will still have to monitor all you eat.  I put SF candies or gum in my mouth when I was unable to eat.  I had swanson broth with taco bell sauce.  I has SF pudding and dannon diabetic friendly yogurt.  When I was on liquids only, no yogurt of pudding, I managedd, but it wasn't easy.

YOU CAN DO IT.  HANG IN THERE
I've been on prednisone and chemo for over 7.5 years.  Gained over 160 pounds due to pred. Highest wt. 410. Surgery wt. 365. Current wt. 299
See ya,400s, 90s,80s,70s, 60s, 50s, 40s, 30s, 20s, 10s 300s!!!!  
                                    
             
CHYNALYZ
on 3/25/10 10:13 pm
RNY on 03/16/10 with
I am 10 days post op and I didnt have to do a liquid diet but the day before along with a bowel prep. I know that my surgeon did do an extra incision a couple inches below my breast to stich up my liver a little higher. It was all done Laparoscopic.... Looks like I was in a fight and got stabbed 5 times.. LOL

HW 250/SW 249/CW 147/GW 140

chrissyce
on 3/26/10 12:19 am
RNY on 04/05/10 with
From an article in sciencedaily.com.

"Fatty liver disease is completely reversible," he says. "If you lose a small amount of weight, you can markedly reduce the fat content in your liver. In fact, even two days of calorie restriction can cause a large reduction in liver fat and improvement in liver insulin sensitivity."
(deactivated member)
on 3/26/10 5:31 pm
Chrissy,

That is correct except if one has had fatty liver of hepatic steatosis long enough to cause fibrosis.  Once the liver is fibrotic, it is not reversible.  That was the worry with me as I have been over 300 hundred pounds for many years.  I was lucky though, no fibrosis and I can completely heal my liver.

To the OP:
I had to lose weight prior to surgery to shrink my liver.  My nutritionist recommended a high protein, low fat, low carb diet.  I stuck to it like it was life or death and lost 24 pounds in 47 days.

Good luck with the rest of your pre-op diet and your coming surgery.
mrsstewart09
on 3/26/10 5:34 am
boom im also on my 1 week liquid but my procedure is open....so i am wondering y i even need liver to shrink?? hmmmm its sooooo hard! im starving lol
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sunni1974
on 3/26/10 7:34 am
 I had a 2 week liquid diet, carnation instant breakfast, clear broth and one pudding or yogurt allowed a day (all no sugar added stuff).  It is hard but the more you can stay on track the better for you and your surgeon come surgery day.  Any weight loss ahead of time is in your favor and the more fat stores leave the liver the easier it is for the surgeon to maneuver around.  Good luck to all of you on this part of the journey, you can do it!
    
326 start weight 280 day of surgery        
Jacqueline F.
on 3/26/10 8:01 am - Flagstaff, AZ
The goal of the presurgical diet is to get the liver to be less slippery so they can do your surgery laproscopically and not have to switch to an open proceedure.  I don't know why some do not require it, but it to me was not worth the risk to test the theory by not staying low carb low fat.

Good luck!

jackie
                          
mkbeany
on 3/26/10 11:19 am
My surgical experience (RN for 22 years) is that 2 weeks of low (or no) carb diet can shrink the liver significantly.

I have seen big, slippery livers in the OR. It is nothing nice and really makes it harder for the surgeons to do laparoscopic procedures.

Try to stick with it. I had to do it too. I know it is tough.
"And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom. " -- Anais Nin

Revised from Band to Bypass 10/26/09
High Wt 355/ Surgery Wt 343 (BMI 61) / Current Wt 190 on 3/17/12

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ivazoo
on 3/26/10 4:29 pm - Pen Argyl, PA
DS on 08/16/10 with
Ok I am not asking this to sound rude but......if you can not handle sticking to this pre-op liquid diet for a mere 2 weeks what makes you think you are ready for a surgery that you will have to make lifetime changes for????

I ask this since I read your post about cheating on your liquid diet and now this post. Have you really thought about the future? Are you sure that you can stick with the diet and suppliments even if you think it is a pain or inconvienent?

I realize that you have not had the surgery yet and you have to control your mind while the Dr does what he can surgically to control your body. Really think about that. You are about to have a major surgery that will change your entire way of life. It will change the way you eat, what you eat, when you eat, how much you eat etc. I just want you to be sure you can do this post op.

I think you need to be concentrating on your future. You need to keep yourself busy and not worry about why others have different requirements. Your dr is treating YOU not others. He is looking out for YOU. If he did not think something was appropriate for YOU he would not require it. 

Relax and go with the flow,
enjoy the ride, good luck
 Sue 
karlakay
on 3/26/11 10:38 am
HEY BOOMSHEEKA!!  I AM DOING THIS DIET TOO!!  MY SURGEON HAS ME ON A PROTEIN LIQUID DIET UNTIL MY SURGERY DATE 3/31/11.  ALTHOUGH MY SURGERY WAS NOT SET UNTIL THURSDAY SO HE SAID I SHOULD BE O.K. JUST DOING A WEEK.  IT IS SO HARD THOUGH.  I AM SO HUNGRY.  I THINK THE SAVING GRACE IS THAT AFTERWARDS WE SHOULDN'T FEEL A HUNGRY, AS OUR STOMACH WON;T BE AS BIG!!  HANG IN THERE.  WHEN IS YOUR SURGERY?  I AM IN VIRGINIA, HOW BOUT YOU?
mrstuttle09
on 5/30/11 7:52 pm - MA
RNY on 06/06/11 with
 i like your post. and a lot of what you said makes sense to me but i to am having problems complying to my pre op diet. i can drink the shakes and the water and so on but then i get the worst tummy sickness ever, it's like the flu or something so then i eat food. not a lot and no sweets but still stuff that's not on my diet plan. i need help. my date is exactly one week from today. thanks
Tresia S.
on 7/24/14 6:13 pm - Italy, TX
with

See I have a nother way of looking at it. If you can lose weight 30 pounds on a diet before surgery, why can't you just keep going instead of getting surgery?  what I mean is, be more understanding about these people are saying they fell off the wagon during their pre op diet. as long as I get back on the wagon right away, it will be ok.Yes it is good to stay on it. But if we had self control we wouldn't be wanting surgery.the surgery enables us you have more self control removing the hunger hormone and making your stomach shrink.so I would say for those of you with no problem dieting for 2 weeks and don't mess up at all maybe you should consider not getting surgery and just trying to lose it dieting since youre doing so good on the diet...I wouldn't be getting this surgery if I had self control and could do a diet on my own.  so for those of you who, like me, slipped up one time on your pre op diet, don't beat yourself up just get back on the wagon right away. But know the importance of saying on it. an idea: you can tell yourself if you're tempted have a protein shake first before you make any decisions. That way once the protein shake hits your stomach and you feel better the temptations not so strong

Thanks!

Tresia :-)  

sweet11jesus
on 9/25/13 7:06 pm

I AM HAVING MY SURGERY NEXT WEEK I AM EXCITED FOR THIS WHOLE NEW MAKEOVER FOR MY LIFE, ANY TIPS WILL BE GREATLY APPRECIATED.

jgoble44
on 10/21/13 11:45 am

I have many of the same thoughts as you guys so it is wonderful that I have found this site. I am having surgery in 8 days and I am totally stressed about the liquid diet. Diet's like this have never worked, but I have never been doing it to shrink my liver for surgery.

And for those who ask, if you can do this before surgery do you really need/want the surgery (I have been asked this myself a few times), not everyone is having this surgery for the sole purpose of losing weight. My reasons are completely different, mine are do to concerns about a hernia and about severe damage to my esophagus. The weight loss is just like a bonus!

Melissa1313
on 3/1/14 11:23 am

I know for me, having NASH I have dropped 25% liver fat in 2 months on Optifast. Hard for the first week I would say but getting accustomed to it after was a little easier. Now saying this, I have to agree with a previous poster asking if you can stick to a liquid diet for a few weeks, how will you make significant changes diet wise AFTER the surgery? Being on the liquid diet has made me extremely aware as to what is good and bad. Been on it for 3 months now a s have dropped 55lbs. I am on this for a different reason than WLS. I am a live liver donor for my father and told throughout this process that I have an extremely fatty liver. Starting off weight was 180, now down to 125 and I have 10% more liver fat to loose until surgery. I also have to say that I was on this during Christmas, which led me to be a little unfaithful to the diet for about 2 weeks. So with a little hardwork and big will power, you can get there. And by doing so you will start to condition your body and mind with what food choices are better than others. The way to start is by educating yourself as to how the body works when flushing fat out of your liver. High carbs, high fat and sugar will not help in any way. Eating complex carbs ( carbs from veggies) and lean protein while completely banning sugar may bring your body into ketosis. It takes different amount of carbs and protein ration for everyone. For example, my daily carb intake is  64g, protein, 108g and fat 28g. This puts my body into ketosis. It's actually quite interesting stuff to read up on, our bodies are amazing!

boomsheeka01
on 3/26/10 5:17 pm - Killeen, TX
Thanks Sue! I did mess up on the 1st day, but I have been doing good ever since...this diet is not easy at all! I was only asking this question because I just think its weird how some people only have to do a few days vs 2 weeks.....My hubby and mom are doing it with me so I am actually doing great! Its not easy, but I am ready for this. I am not planning to mess up, and I was not trying to come across like I was. I was just asking out of curiousity. Thanks for your concern!! 
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