[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-404156-105":59,"doc-detail-404156-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","pre-operative-liver-reducing-diet-patient-information","Pre-operative Liver Reducing Diet - Patient Information","","Pre-operative Liver Reducing Diet instructions guide patients to follow a very low-calorie, low-carbohydrate and low-fat regimen for two weeks before surgery. The diet aims to shrink the liver to support laparoscopic keyhole surgery and reduce surgical risk and delayed recovery if the liver is too large. Guidance covers how glycogen loss reduces water content in the liver, potential distress for some patients, medication adjustment for diabetes, and what to do based on BMI and diabetes status. It also outlines three diet plans, portion measurement, and exclusions for specific populations.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/pre-operative-liver-reducing-diet-patient-information/404156/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/pre-operative-liver-reducing-diet-patient-information/404156.png","ImageObject",300,407,{"name":92,"@type":93},"Grenda","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-02","2026-09-27",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why is the pre-operative liver reducing diet required before surgery?","Question",{"text":113,"@type":114},"It is designed to shrink the liver so the operation can be performed using the laparoscopic (keyhole) method. If the liver is too large, surgery may need to be changed to an open approach, increasing risk and delaying recovery.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How does the diet help the liver shrink?",{"text":118,"@type":114},"Following a strict low-starch and low-sugar diet reduces liver glycogen stores and related water in the body. With less glycogen and water, the liver size decreases.",{"name":120,"@type":111,"acceptedAnswer":121},"Who should not follow the liver reducing diet?",{"text":122,"@type":114},"The leaflet states it is not advised for adolescents, pregnant or lactating women, the elderly, people with unstable cardiac or cerebrovascular disease, acute or chronic renal failure, severe or end-stage liver failure, and acute psychiatric disorders. If in doubt, contact the dieticians for advice.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},404156,1790624748,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},7971474921005,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","PATIENT INFORMATION  \nPre-operative Liver Reducing Diet  \nAs part of your preparation for surgery your surgeon feels it would be beneficial for you to follow a diet very low in calories, carbohydrate (starches and sugars) and fat for 2 weeks before your surgery.  \nWhy do I need to follow this diet? This is to shrink your liver down to ensure that the operation can be done by the keyhole (laparoscopic) method. If your liver is too big, the surgeon may abandon the operation, or you will have to have an open operation, the risks of surgery will increase, and your recovery will be delayed.  \nBy following a strict diet, your body reduces its glycogen stores (glycogen is a form of sugar stored in the liver and muscles for energy) . With each ounce of glycogen, the body stores 3-4 ounces of water, so when you follow a very strict diet, especially one that is low in starch and sugar, your body loses its glycogen stores and some water. The liver shrinks as it has less glycogen and water in it.  \nIMPORTANT For some people who might have had difficult experiences with food / eating or dieting in the past, this diet can be challenging and sometimes distressing. For this reason, you are invited to have support from a specialist dietitian experienced in dietary counselling. (See below for contact details)  \nIf you are taking medication for diabetes (e.g. Insulin, gliclazide, glibenclamide, metformin), you will need to contact your GP or diabetes doctor/nurse/dietitian to have your dosage adjusted while you are on this diet in order to make sure that your blood sugar does not fall too low.  \nThis diet is only recommended for two weeks before surgery and is not to be followed afterwards.  \nWorking with you, for you  \nNOTE: If you have received this information leaflet please inform the team at your preassessment appointment. You will not take the pre-op drinks usually offered before surgery  \nWHAT HAPPENS NEXT?  \n• If Your Body Mass Index (BMI) is 40+ or you have a BMI of 35 upwards and diabetes you will receive an invitation to an appointment with a dietitian. If you do not hear from them or you have any worries or concerns you can call the secretary on 01803 654380. If you are given a date for surgery before you have seen the dietician please contact either the dietician team or your consultants secretary. At the appointment, your dietitian will support you to choose your diet option. You will also have the opportunity to discuss any questions of concerns that you may have.  \n• If your BMI is less than 40 you will not routinely receive an appointment to see a dietician and should choose from the diets below, however, if you feel you need support with the diet please contact our dietitian team.  \nPre-operative Liver Reduction Diet (LRD) is not advised for:  \nAdolescents, pregnant/lactating women, the elderly, people with unstable cardiac or cerebrovascular disease, acute or chronic renal failure, severe or end stage liver failure, or acute psychiatric disorders. If in doubt, please contact the dieticians for advice.  \nThere are three different plans available for a liver reducing diet:  \n1. Food plan: Normal foods using carefully measured portions of carbohydrate.  \n2. Milk plan: Using only semi-skimmed, soya or almond milk and multivitamin tablets.  \n3. Meal replacement Shake plan: Using only shakes Slimfast®  \n1. Food plan  \nThis diet is designed to give you approximately 100g of carbohydrate per day. It is low in fat (although how low will depend on the foods you chose) and moderate in protein. The energy value of the diet is between 800-1000kcal per day. It is very important to measure your portions accurately or you may end up eating too much and the diet will not work.  \nPer day you should take three meals and choose from the options listed below.  \nBreakfast (15g carbohydrate each)  \nChoose one of the following options (use milk from your additional daily allowance listed on the next page):  \n• 5 dessert spoons of bran flakes or fruit","cbCaiiLPBJiUt9XB","https://ap.wps.com/l/cbCaiiLPBJiUt9XB","pdf",253710,"English","# Why follow this diet?\n# Important safety notes\n## Diabetes medication adjustment\n## Not recommended groups\n# What happens next\n# Three diet plans (LRD)\n## Food plan\n## Milk plan\n## Meal replacement shake plan","[{\"question\":\"Why is the pre-operative liver reducing diet required before surgery?\",\"answer\":\"It is designed to shrink the liver so the operation can be performed using the laparoscopic (keyhole) method. If the liver is too large, surgery may need to be changed to an open approach, increasing risk and delaying recovery.\"},{\"question\":\"How does the diet help the liver shrink?\",\"answer\":\"Following a strict low-starch and low-sugar diet reduces liver glycogen stores and related water in the body. With less glycogen and water, the liver size decreases.\"},{\"question\":\"Who should not follow the liver reducing diet?\",\"answer\":\"The leaflet states it is not advised for adolescents, pregnant or lactating women, the elderly, people with unstable cardiac or cerebrovascular disease, acute or chronic renal failure, severe or end-stage liver failure, and acute psychiatric disorders. If in doubt, contact the dieticians for advice.\"}]","Pre-operative Liver Reducing Diet - Patient Information | PDF",1790546079,15]