How you should feed during the gastrectomy post operatory process
It is called gastrectomy to the partial or complete resection of the stomach, removing part of the fundus (initial portion of the duodenum), or in some cases, the whole organ.
As a consequence, we have alterations or deletions of the gastric functions as the capacity to storage and the time of gastric evacuation. Also, due to the decrease or lack of hydrochloric acid, the processes of gastric digestion are disturbed; the bile and pancreatic secretions are diminished by the absence of gastric secretion, and due to this, the fat digestion is affected as well.
What should you do after a gastrectomy?
-Normalize the nutritional state of the patient
-Avoid the dumping syndrome or the accelerated gastric emptying syndrome.
Food incorporation
First phase:
Liquid diet with the addition of CINa and 5% glucose
Second Phase:
Cereals and Derivates:
Cornstarch, starches, flours: semolina, corn flour.
Decorticated grain: rice, oats, pearl barley
Simple thin laminated pasta, semolina pasta and stuffed pasta with allowed fillings.
Dried white bread (preferably bakery, which has less fat content than packed bread), low-fat soda crackers (less than 5% fat), dry biscuits, and breadsticks
Legume flours.
Fruits and vegetables:
Skinless, seedless, stemmed and without ribs
Pumpkin, cored carrot, zucchini, pod, tomato, asparagus, eggplant, sweet potato, potato, artichoke hearts, center of palm, and in progression will be added chard, spinach, onion, lettuce, broccoli, chili and leek.
Banana, apple, pear, peach, apricot, honeydew and quince
Dried fruit: apricots of allowed fruits
Canned fruits: without syrup
Do not eat dried fruit
Meats, egg and milk:
Skinless poultry: turkey and chicken (preferably breast)
Lean fish: hake, halibut, codling, grouper fish, pike, sword fish, angelfish
Crustaceans: lobster, prawns, shrimp
Mollusks: mussel, oysters, scallops
Lean red meat: thigh, beef eye, beef loin, rump, tenderloin. Chopped and steamed
Egg: poached egg or in dietetic preparations as pudding, soufflé, omelettes, flan without caramel
Cheese: low-fat spreadable, skim ricotta, mozzarella, Port Salut
Milk: partially or completely skimmed, natural nonfat yogurt or flavored, cultured skim milk
Fats and sweets
Crude vegetable oil
Low-fat mayonnaise
Soft low fat margarines
Desserts: gelatin, flan, cereal desserts with skim milk, sorbets
Sugar and honey respecting concentrations
Jams, jellies and candy, respecting concentrations
Avoid chocolate and Dulce de Leche
Beverages, spices and teas:
Water, mineral non-gasified water, fruit juice diluted with water, broths of allowed fruits, homemade vegetable broths or diet soup without salt
Avoid soda drinks, alcoholic beverages and juice concentrates
Recommended: chamomile tea, mallow, decaffeinated coffee
Aromatic spices: cinnamon, vanilla, nutmeg, anis, oregano, saffron, basil, laurel, parsley, thyme, tarragon, mint, cumin, sage and cloves
In this is a restrictive technique food does not pass through the stomach, therefore the patient feels full by eating less food.
