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Dietary Principles for Total Gastrectomy 全胃切除飲食原則

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Dietary Principles for Total Gastrectomy 全胃切除飲食原則

2024/1/15

Goal

Patients who have undergone total gastrectomy are more susceptible to indigestion caused by stomach’s fragile ability in digesting food. The following dietary guidelines help improve these symptoms.

Subject

  1. Patients who have received total or partial gastrectomy.
  2. Patients who have received esophagojejunal anastomosis.

After the surgery, follow these food intake guidelines and instructions given by your doctor

Follow the doctor's instructions on diet after operation

 Day 1

Clear liquid diet, 6-8 times per day
(rice soup, filtered juice 30 c.c. once)
Days 2 and 3
Full liquid diet, 6-8 times per day
(Cut the cooked vegetables, meat, porridge and noodles into pieces, then add adequate warm water and the shreds to the blender and blend into liquids)
Days 4 and 5
Semi liquid diet, 6-8 times per day (e.g. porridge, noodles)
Days 6 and 7
Soft diet (choose foods that are soft and easy to digest; avoid deep fry and grill)
Day 8
Full diet

Important Reminders

  1. The amount of food intake is determined by the amount of food left in the stomach.
  2. Begin to eat smaller meals more frequently throughout the day; 3 meals with snacks in between are recommended.
  3. Avoid carbohydrates such as sweet soft drinks, candy, and cake.
  4. Do not drink a lot with meals, wait 30 to 60 minutes after a meal before drinking.
  5. Choose a balanced diet with an appropriate amount of protein, such as: fish, meat, legumes, eggs, and etc…
  6. Choose non-irritable foods that are soft in nature. Avoid stimulatory drinks such as coffee.
  7. If abdominal distension is present, avoid foods that produce gas, such as beans,dairy products,onions and sweet potatos.
  8. Consume food in a sitting position, chew completely before swallowing, and rest for 30 minutes after meals.
  9. When trying new foods, start with a small amount first, and only try one new food at a time. If there is no discomfort, the food may be added to the regular diet.
  10. If necessary, follow the doctor's instructions to supplement vitamins and minerals.
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