What is the diet after stomach surgery?

2024 Author: Isabella Gilson | [email protected]. Last modified: 2023-12-17 03:14

In a number of diseases, a resection of the stomach is necessary, that is, the removal of an organ (complete or partial). Alas, without this step it is often impossible to save the patient's life. Despite the rather vague forecasts of doctors, many patients live a completely full and happy life for decades after the operation. But there is one caveat - you need to follow a diet. After stomach surgery, a lot depends on the diet: the recovery process after surgery, the patient's well-being and vigor, as well as the presence of possible complications.

Nutrition after gastrectomy

Ordinary nutrition, to which we are all accustomed, which is accompanied by chewing, followed by the passage of food through the esophagus and into the stomach, is called parenteral in medicine. The diet after surgery (gastric resection), whatever its cause, begins sequentially, from the first day, changes slightly every week. However, the patient will not be able to returnto the usual and previously loved diet. There are people who are forced to adhere to a relatively he althy diet and proper nutrition all their lives - they will not have to drastically change their habits. The diet after stomach surgery, in fact, is the most adapted version of proper nutrition. But those who are used to eating junk food will have to completely restructure their diet.

Parenteral nutrition after surgery, which involves the removal of the stomach or part of it, begins with the appointment of a medical diet No. 0A, then - No. 0B and No. 0C. The purpose of such nutrition is to avoid a deficiency of minerals, vitamins and amino acids that are necessary for a recovering body. Such nutrition is also aimed at unloading, sparing the functioning of the stomach, preventing flatulence and maximally aiding the normal functioning of the intestines. Of course, a diet after stomach surgery is a necessary condition for the restoration of the body, but it is not enough. You will also have to follow the prescription of the attending physician - tablets, suspensions, preparations to restore microflora should be taken without fail.

Nutrition for the first few days after surgery

On the first day immediately after the surgical intervention, the patient is shown hunger. As a rule, a person feels bad - he is moving away from anesthesia, so that his appetite does not bother him. But in some patients, the feeling of hunger may worsen.already on the first day after the anesthesia wears off.

The second and third day after the operation also does not imply getting the usual hard food. These are drinking days - you can drink a quarter cup of unsweetened tea or rosehip infusion in small sips several times a day. At the same time, the attending physician should monitor the patient's well-being: whether he has pain, nausea, etc. The diet after gastric resection surgery must be strictly observed. Some patients succumb to hunger and secretly from honey. personnel eat bread and other products prohibited during this period. Such inappropriate eating behavior can lead to serious consequences, including internal bleeding.

Meals a week after surgery

On the fourth or fifth day, if the patient feels acceptable, diet No. 0A is prescribed (contains 5-10 g of proteins, 15-20 g of fat and 180-200 g of carbohydrates), as well as a couple of soft-boiled chicken eggs. Food should be chewed for as long as possible. Diet No. 0A involves grinding foods to a puree consistency.

What diet after stomach surgery will help to switch to a relatively normal diet? Every day, food will return to the usual more and more. On the 6-8th day after the operation of removing the stomach, the diet becomes even more acceptable (in medical language, such nutrition is labeled as "Diet No. 0B"). Contains a certain amount of nutrients: no more than 40-50 g of proteins, 50 g of fat and 250 g of carbohydrates. The volume of free liquid (optimally, if it is ordinary clean drinking water onat this stage) up to 2 l / day. The maximum amount of servings is 300 mg. Food should be fractional, 5-6 times a day. All dishes should be as lean as possible, the ingredients should be crushed or ground to a puree state.

If the recovery is going well, after 4-5 months we can talk about switching to diet number 1. After surgery on the stomach, you will have to adhere to it for the rest of your life. Some people don't grind their ingredients as much as possible, while others have to constantly use a blender.

Sample diet menu after stomach surgery

After the adaptation in terms of nutrition is completed, you should get used to a new way of life. The diet menu after stomach surgery (whether oncology caused resection, an ulcer or other diseases - it doesn’t matter, the nutrition plan will be the same, only parallel drug treatment will differ) is presented below:

1. Breakfast - apple compote, croutons from Borodino bread, snack - one banana, mashed and heated in the microwave, lunch - soup puree from allowed vegetables and meat, snack - vegetable salad with vegetable oil (all vegetables should be crushed as much as possible), dinner - cottage cheese with a glass of fermented baked milk.
2. Breakfast - oatmeal on the water, a cup of tea and lean cookies, snack - a piece of boiled fish, lunch - pilaf with lean meat and minimal oil, snack - lean meat stewed in sour cream sauce, dinner - a cup of tea with croutons from Borodino bread.
3. Breakfast- grated buckwheat porridge with milk, snack - a cup of tea with jam, lunch - mashed potatoes, lean meat cutlet with gravy, dinner - pasta with minced meat.

List of allowed foods and dishes

The diet menu after gastric ulcer surgery is also compiled on the basis of medical table No. 1. If the patient has undergone gastric resection, then the transition to the first diet should be as described above (through temporary hunger, then diet No. 0A, etc.)

The menu should include only dishes from the following products:

• buckwheat, rice, cereals from ground and chopped oatmeal;
• crackers from white or black bread;
• milk, cream, sour cream, low-fat cottage cheese;
• lean meats and fish (no tendons, no bones);
• butter and vegetable;
• boiled chicken eggs;
• tea, jelly, compotes with a little sugar.

What diet is needed after gastric ulcer surgery? If part of the stomach was cut out, then the sequence of nutrition described above should be followed - first diet No. 0A, then No. 0B, and so on. Then, as the patient's condition improves, switch to diet No. 1, if necessary, adjusting it to the individual characteristics of the patient.

What should never be eaten?

Whatever diet is prescribed after stomach surgery, you should stop eating the following foods and do notuse them in cooking:

• vegetables: onion and green, cabbage, sorrel, spinach, horseradish, swede;
• all legumes are prohibited (in rare cases, with the permission of the doctor, it is permissible to include them in the diet);
• cereals: corn, barley, millet, barley;
• pasta of any variety is prohibited;
• fresh baked goods;
• confectionery products are prohibited (with the exception of lean cookies);
• sauces: mayonnaise, mustard, horseradish, ketchup, etc.;
• sour cream is permissible to use very rarely and with minimal fat content;
• any canned food;
• dried, smoked, s alted fish;
• fatty meats - duck, venison, pork, etc.;
• any kind of smoked, s alted meat and fish;
• cooking fat, animal fat, and margarine are banned.

The patient will have to give up the products listed above for the rest of his life. The diet menu after surgery for a perforated stomach ulcer may be softer - after recovery, occasionally eat foods from the list, but only after passing the tests and with the approval of the attending physician.

Importance of the water regime in the postoperative period

We should not forget the importance of what the patient drinks. It is permissible to drink tea with the addition of a small amount of sugar, compotes and jelly.

Ban any alcoholic beverages, be it wine, beer or spirits. Coffee and chicory are also banned. Sweetcarbonated drinks "Pepsi", "Sprite", etc. are banned, they are almost guaranteed to adversely affect the pancreas, they can only be consumed by completely he althy people.

Rules for preparing first courses after surgery

First courses should not include cabbage, onions, as well as any products from the list of prohibited items. The patient should experiment and learn how to cook delicious puree soups for himself. Since after resection of the stomach or part of it, you should grind the components of the dishes as carefully as possible, then puree soup is an excellent way out.

Just boil all the necessary ingredients, add a little s alt and grind in a blender until completely smooth.

Patient baked goods

No fresh baked goods: Yeast is almost guaranteed to cause bloating and flatulence. If possible, you can make your own yeast-free bread and try to eat it. If there is no bloating, then occasionally it is acceptable to eat it.

You can also eat pita bread, as no yeast is added during its manufacture. However, before such experiments with nutrition, one should consult with the attending physician: is the patient's body strong enough to introduce new foods into the diet.

Dishes of meat, fish - what is possible and what is not

It is acceptable to cook goulash from chicken breast, veal, turkey. The sirloins should be selected as they do not contain tendons, andThis meat is considered dietary. It is permissible to stew or bake fish in foil without adding oil (otherwise it will turn out to be fried, and this will increase the load on the pancreas and liver).

In no case should you fry meat in oil or on a fire - there may simply not be enough enzymes and gastric juice to digest such food. It is also forbidden to eat meat marinated in vinegar, mayonnaise, horseradish, etc.

Which cereals are allowed and which are prohibited

There is an opinion that diet food allows eating any cereals, only you should cook them on water. This is a misconception: when the stomach or part of it is removed, only oatmeal (and from pre-ground flakes), buckwheat or rice porridge can be eaten. You can boil them in water or low-fat milk, add a little butter or vegetable oil to the finished dish.

But millet, barley, corn porridge are prohibited both in the postoperative period and after it. Dishes from this cereal require a large amount of gastric juice, acid, enzymes. In addition, for many people, eating porridge from these cereals contributes to bloating.

Preservation, condiments, fast food after surgery

Fast food (french fries, hamburgers, burgers, Pepsi and other products, dishes and drinks of this category) is strictly prohibited both in the postoperative period and after it. Any preservation (meat, vegetables, fruits or other food products) is also prohibited.

Spices are forbidden to add tofood. Occasionally, you can sprinkle the dish with as finely chopped dill as possible. S alt should also be added to dishes to a minimum.