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Recipes of dishes after resection of the stomach. Nutrition and menu after stomach surgery

Nutrition after gastrectomy should be corrected. after removal or resection of the stomach, food passes too quickly from the esophagus and the remaining part of the stomach into the small intestine, where the absorption of essential nutrients occurs. In this case, the patient may experience a feeling of heaviness in the epigastric region shortly after eating, general weakness, sweating, dizziness, increased heart rate, dry mouth, bloating, drowsiness, desire to lie down.

These phenomena are most often observed after eating, especially after eating sweet and hot food, and are defined as dumping syndrome. Proper nutrition helps to avoid complications.

After resection of the stomach, the following dietary rules must be observed

strictly adhere to the diet
eat often - 5-6 times a day, due to the fact that the stomach has decreased in volume (during resection).
food should be taken slowly, chewing thoroughly.
limit foods and dishes containing easily and quickly digestible carbohydrates;
these are, first of all, sweets - sugar, honey, jam, sweet milk porridge, sweet tea. It is these foods that are most often the cause of poor health.
it is advisable to consume the third dish not immediately, but 0.5-1 hour after eating, so as not to overload the stomach. This applies to tea, milk, compote at lunch, to milk and kefir after dinner. The amount of liquid for 1 dose should not exceed 200 ml.
It is very important that the food after the operation on the stomach is tasty, varied, and includes all the main nutrients. Particular importance is attached to complete animal proteins (lean meat, chicken, fish, eggs, cottage cheese, cheese) and vitamins (vegetable dishes, fruits, berries, vegetable and fruit juices, rosehip broth, other vitamin drinks).

The emphasis on nutrition should be done in the first 2-3 months after the patient is discharged from the hospital: it is at this time that the digestive system and the body as a whole adapt to new conditions in connection with the operation.

The tactics of diet therapy can be schematically represented in this way. In the first 2-3 months after the operation, it is recommended to eat at least 6 times a day mainly chopped dishes and pureed steamed foods. In fact, the same diet is recommended as for peptic ulcer(diet table number 1, wiped version).

However, it is necessary to limit the consumption of sweets. After 2-3 months, the doctor may recommend an unwashed version of diet table No. 1. After 3-4 months after the operation, diet table No. 1 or No. 5 is allowed.
Specific dietary advice related to the first 2-3 months after the surgery, are as follows.

Nutrition in the first days after gastric resection

1st day: the patient does not receive food.
2nd day: no strong tea, fruity not very sweet jelly, mineral water- 30 ml every 3-4 hours.
3rd and 4th day: 1st breakfast - soft-boiled egg, half a glass of tea or steam omelette; 2nd breakfast - juice, jelly or mineral water, pureed rice porridge; lunch - rice slimy soup with meat puree or meat soup-cream; afternoon snack - tea or rosehip broth; dinner - cottage cheese or meat soufflé; at night - unsweetened fruit jelly - 1/2 cup.
5th and 6th day: 1st breakfast - soft-boiled egg, or steam omelet, or meat soufflé, tea with milk; 2nd breakfast - mashed rice or mashed buckwheat porridge; lunch - mashed rice soup, steamed meat soufflé; afternoon snack - cottage cheese soufflé without sugar; dinner - steamed meat dumplings, carrot puree; at night - fruit jelly without sugar.
7th day: 1st breakfast - 2 soft-boiled eggs, liquid rice or buckwheat porridge, tea; 2nd breakfast - cottage cheese steam soufflé without sugar; lunch - mashed rice soup with potatoes, steamed meat cutlets, mashed potatoes; afternoon snack - fish steam soufflé; dinner - calcined cottage cheese, jelly. White bread crackers are allowed.

A week after the operation, diet No. 1 is prescribed, a pureed version with a restriction of easily absorbed carbohydrates (primarily sugar and sweets).

soups: on vegetable broth with various mashed cereals, vegetables, pasta;
meat and fish dishes: from lean meat, poultry (chicken, turkey) and fish (cod, hake, ice, saffron cod, pike perch, carp, perch) - boiled or steamed. Meat is mainly in the form of cutlets, dumplings, meatballs, mashed potatoes, soufflé;
vegetable dishes: potatoes, carrots, beets, cauliflower, pumpkins, mashed marrows, steamed soufflés and puddings;
cereals and from pasta: pureed milk porridges (rice, oatmeal, pearl barley, barley, buckwheat); oatmeal porridge "Hercules", soufflé, puddings from pureed cereals; dishes from vermicelli, pasta, homemade noodles;
egg dishes: soft-boiled egg, steam omelet;
milk and dairy products: whole milk, powdered milk, condensed milk without sugar (added to the dish), sour cream, cream, freshly prepared cottage cheese;
fruit and berries: ripe fruits and berries - boiled, mashed or baked;
sauces: milk, sour cream, fruit;
snacks: mild cheese, low-fat ham;
sweets: honey, jams, marshmallows, marshmallows in limited quantities, subject to good tolerance;
drinks: weak tea with milk or cream, weak coffee with milk or cream;
kissels and juices: fruit, berry (not very sweet), vegetable juices, rosehip broth;
fats: butter, ghee, vegetable (added to ready meals);
bread and bread products: wheat, slightly dried, non-bread biscuits; crackers.

Excluded from the diet after gastric resection

meat, fish, mushroom broths;
fatty meats, poultry (duck), fish;
all fried foods, pickles, smoked meats, marinades, spicy snacks, pastry, pies, raw vegetables and fruits, radishes, rutabaga.

Some dangerous diseases lead to resection of the stomach, diet therapy in this situation is an integral component of the patient's rehabilitation, and a specific diet after gastric resection is an integral part of everyday nutrition, in most cases forever.

The postoperative period requires a serious attitude. In the early postoperative period, patients cannot eat naturally. As a rule, parenteral nutrition, including albumins, is prescribed. The need for nutrients is determined based on a blood test.

During this period, the patient is prescribed hunger for 2 days, active aspiration of gastric contents is carried out. From the third day, if the peristalsis of the stomach is restored, they give not strong tea, rosehip broth, slightly sweet compote without berries in small portions - 20-30 ml, 5-6 times a day. For the introduction of protein products from the first days, the use of protein enpit (40 g per glass of water) is recommended. Usually, in the first few days, 30-50 g of such a solution is given through a probe, and later, after removing the probe, in a natural way. Gradually, as the peristalsis is restored, and postoperative healing, the load on the gastrointestinal tract is increased and the amount of protein is increased to sufficient. A specific diet should be recommended by a doctor. The use of enpits allows you to bring the amount of animal protein in the diet to the physiological norm, to provide the body with the necessary vitamins and mineral salts.

From the third, fourth day after the operation, the diet is expanded and mucous soups, meat, fish and cottage cheese purees and soufflés, soft-boiled eggs are prescribed, and on the fifth or sixth day - steam omelettes, pureed cereals and vegetable purees in small quantities (50 g per serving) . From the fifth day, with good tolerance to such nutrition, each meal should already include protein products. Gradually, the portions of food taken at a time are increased (from 50 ml on the 3rd day to 200-250 ml on the 7th day and up to 300-400 ml on the 10th day). Thus, in the early postoperative period, patients will receive a sufficient amount of high-grade protein in an easily digestible form.

A sparing diet is prescribed 1-2 weeks after the operation for 4 months. In the presence of gastritis of the stomach stump, inflammation of the anastomosis, peptic ulcer, patients should follow the diet for a longer time. The main purpose of the diet is the prevention or reduction of the inflammatory process, the prevention of dumping syndrome. .

This is a physiologically complete diet with a high protein content (meat, fish), a normal content of complex carbohydrates (cereals, cereals, vegetables, unsweetened fruits) and a sharp restriction of easily digestible carbohydrates (sugar, sweets, confectionery, fruit water, canned juices), with normal fat content, limitation of mechanical and chemical irritants of the mucous membrane and the receptor apparatus of the gastrointestinal tract, with a maximum limitation of nitrogenous extractives (especially purines), refractory fats (mutton), fat breakdown products resulting from frying (aldehydes, acroleins), with exclusion of strong stimulants of bile secretion and secretion of the pancreas and intestinal glands, foods and dishes that cause dumping syndrome (sweet liquid milk porridges, for example, semolina, sweet milk, sweet tea, hot fatty soup, etc.).

Meat is given in chopped form, and side dishes are not pureed (porridge-smear, mashed potatoes). Salads, fresh fruits and vegetables, brown bread are excluded. All dishes are boiled, mashed or steamed. Third courses at lunch - unsweetened (no sugar) or with the addition of xylitol (10-15 g per serving). The patient is given a strictly limited amount of sugar,

Complex therapy aimed at compensating for impaired functions of various body systems begins after 2 weeks. after surgery and lasts 2-4 months. Diet is an important part of complex treatment during this period. This is a physiologically complete diet with a high protein content (140 g), a normal content of fats (110–115 g) and carbohydrates (380 g) with a restriction of mechanical and chemical irritants of the mucous membrane and the receptor apparatus of the gastrointestinal tract. Refractory fats, extractives, easily digestible carbohydrates, fresh milk are excluded. Patients must comply with the regime of fractional nutrition. It is necessary to strictly limit the intake of easily digestible carbohydrates in order to avoid the development of hypoglycemic and dumping syndrome. At the same time, the appointment of only a protein diet without a sufficient amount of carbohydrates is impractical, because under conditions of carbohydrate restriction, proteins may not be economically consumed to cover energy costs, which leads to an increase in protein deficiency in the body. However, given the loss of the peptic factor in such patients, preference should be given to protein products that are easily "attacked" by trypsin - fish and dairy. The intake of foods with coarse fiber and a large amount of connective tissue should be limited or they are subjected to heat treatment.

Approximate diet menu after gastric resection - wiped version

1st breakfast: soft-boiled egg, buckwheat, rice or oatmeal porridge, coffee with milk.
2nd breakfast: baked apple, rosehip decoction.
Lunch: vegetarian potato soup, meat
steam cutlets with milk sauce, pureed fresh fruit compote or jelly.
Dinner: boiled fish, boiled potatoes.
At night: kefir or weak tea with milk.
List of recommended dishes and products:
soups: on vegetable broth with various cereals, vegetables, pasta, beetroot soups, milk soups with cereals, fruit soups with rice. Low-fat meat soup is allowed 1-2 times a week, subject to good tolerance;
meat and fish dishes: from lean meat, poultry, fish - boiled, baked (pre-boiled), stewed (with juice removed);
vegetable dishes: from fresh vegetables (tomatoes, cucumbers, carrots), boiled and stewed (from carrots, potatoes, beets, zucchini, pumpkin, cauliflower). Non-acidic sauerkraut, fresh herbs (parsley, dill) are allowed;
cereals and pasta: various cereals - rice, buckwheat, oatmeal, millet. You can cook crumbly cereals, cereals, puddings, rice pilaf with fruits; vermicelli, pasta;
egg: soft-boiled egg, scrambled eggs;
milk and dairy products: whole milk (if well tolerated); milk with tea and as part of various dishes; kefir, curdled milk, acidophilus; sour cream mainly as a condiment; cottage cheese freshly prepared. They also cook cottage cheese, various puddings, soufflés, dumplings;
fruit and berry: ripe, raw and baked fruits (apples). Plum, cherry, currant, strawberry, etc.; √ sauces: dairy, sour cream, fruit;
snacks: Doctor's sausage, low-fat ham, jellied fish, cheese, boiled tongue, salads from raw and boiled vegetables, soaked herring;
sweets: jam, honey, marshmallows, marshmallows, jams (in very limited quantities);
drinks: tea, weak coffee with and without milk, compotes from fresh fruits, berries and dried fruits (not very sweet);
kissels and juices: fruit, berry (not very sweet), vegetable. A decoction of rose hips;
fats: butter and vegetable oil (added to ready-made dishes);
bread and bread products: wheat, rye, preferably slightly dried, crackers, lean cookies, products made from lean dough.

Baking, pickles, smoked meats, marinades, canned snacks, radishes, rutabagas, hot spices are excluded from the diet.

Diet menu diet after gastric resection - unworn version

1st breakfast: tomato salad or vegetable vinaigrette, boiled meat, loose buckwheat porridge, tea with milk.
2nd breakfast: fresh or baked apple or raw grated carrot.
Lunch: salad, vegetarian borsch, boiled fish (cod, hake, ice) with boiled potatoes, sauerkraut, compote.
Afternoon snack: fresh fruit.
Dinner: scrambled eggs, buckwheat cereal, tea.
At night: kefir or curdled milk.

5-6 months after partial or complete removal of the stomach, the attending physician, depending on the state of health, the presence or absence of complications from various organs of the digestive system (liver, gallbladder, pancreas, intestines), may recommend that the patient adhere to a diet such as dietary table No. 5 or number 15.

In the long term, after consulting the attending physician, if there are no complications and severe concomitant diseases, fried foods, more fresh vegetables and fruits, meat and fish broths are introduced into the menu after gastric resection, of course, with good tolerance.

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Modern clinical medicine is armed with powerful pharmacological means of pathogenetic therapy that can block the progression of many pathological processes that form inflammatory and degenerative lesions of the digestive tract.

At the same time, a fairly large list of indications for surgical interventions on the organs of the gastrointestinal tract remains.

Surgical technique of surgical treatment of diseases of the digestive system has reached a high level, and the individualization of the approach to choosing the method of surgery has been worked out.

However, the operations performed after a longer or shorter period of time in a number of patients lead to various forms of postoperative disorders that require correction of treatment and individualization of the diet.

One of the main components of the postoperative rehabilitation of patients who have undergone surgery on the digestive organs is therapeutic nutrition, which largely satisfies the plastic and energy needs of the body, helps to reduce the incidence of complications and faster recovery.

The most important task of diet therapy both in the conditions of inpatient and outpatient rehabilitation stages (especially the first 2-3 weeks of rehabilitation treatment) is considered to be overcoming the protein, vitamin, mineral and energy deficiency that develops in many patients due to malnutrition in the first days and even weeks after surgery, blood loss, fever.

Nutrition of patients after operations on the esophagus

Patients who have undergone surgical treatment of diseases of the esophagus and gastroduodenal zone are transferred to outpatient treatment, as a rule, no later than 1.5-2 months after surgery. This is usually preceded by restorative treatment in the surgical hospital where the operation was performed, and then in the gastroenterological department, where the patient goes to aftercare, and in some cases in the rehabilitation department of the sanatorium type.

Diet therapy is an important part of the whole complex of postoperative rehabilitation of patients who underwent surgery on the esophagus. For 4-6 months of the outpatient stage of rehabilitation, a diet is prescribed, the characteristics of which are given in Table. 40.1, 40.2.

Table 40.1. Characteristics of the diet for patients undergoing esophageal surgery at the post-hospital stage

general characteristics
Diet	Fractional 5-6 times a day
Culinary processing:	Steaming, wiping
Meal temperature
Chemical composition:
squirrels	140 g
fats	110-115 g
carbohydrates	380 g
energy intensity	3000 kcal
free liquid	1.5 l
general characteristics	Physiologically complete diet with a high protein content, normal fat content, with limitation of mechanical and chemical irritants of the mucous membrane of the esophagus and stomach and the receptor apparatus of the gastrointestinal tract, with a maximum limitation of nitrogenous extractives, refractory fats, fat breakdown products, with the exception of strong biliary stimulants and secretions of the pancreas and intestinal glands, with salt restriction
Diet	Fractional, 5-6 times a day
Culinary processing:	Steamed, mashed
Meal temperature	Hot dishes less than 50-60 °С; cold dishes over 15 °C
Chemical composition:
squirrels	140 g
fats	110-115 g
carbohydrates	380 g
energy intensity	3000 kcal
free liquid	1.5 l
Recommended:
Milk and dairy products- milk with tea and other products or as part of various dishes, if tolerated - whole milk; kefir is activated 2.5-3 months after the operation; sour cream only as a condiment; cottage cheese, freshly prepared, mashed Vegetables and greens- boiled vegetables, pureed; only cauliflower, boiled with butter, stewed zucchini and pumpkin, carrot, beetroot, mashed potatoes Fruits, berries, sweets- natural fruits and berries, fresh and dry in the form of unsweetened pureed compotes, kissels, jelly, mousses; baked apples, sugar-free non-acidic varieties; fruits and berries with coarse fiber (pear, quince, persimmon) are not allowed; you can give compotes, kissels on xylitol, while sugar, honey, jam are limited Cereals and pasta- unsweetened, mashed, viscous cereals, puddings, rice casseroles, groats, rolled oats; pasta only finely chopped, boiled Fats- butter, ghee, sunflower, refined; do not fry, but add to dishes in their natural form Snacks- cheese (Dutch, Soviet, Russian, athlete, Estonian) mild grated, minced caviar, granular in a small amount, jelly from boiled legs and boiled meat on gelatin (without extractives) Sauces on vegetable broth, sour cream sauces, butter; flour for sauces is not browned with butter Drinks and juices - juices in the form of unsweetened fruit, berry and vegetable; they should be diluted, only freshly prepared; decoctions from rose hips; weak tea, tea with milk, weak surrogate coffee on water and with milk
Forbidden: sweet and hot dough products, brains, liver, kidneys, light, meat, fish, mushroom soups, cabbage soup, borscht, pickles, smoked meats, marinades, spicy and salty dishes, spicy seasonings, meat, fish and other canned snacks, smoked sausage ; cold and carbonated drinks; chocolate, cocoa, ice cream; alcohol in all forms; white cabbage, legumes, spinach, sorrel, mushrooms, radish, swede, onion, garlic, spices; foods rich in organic acids: sour varieties of berries and fruits - cranberries, gooseberries, red and black currants, red cherries, lemons, sour varieties of apples

Note: At lunch, the third courses are unsweetened (no sugar) or xylitol (10-15 g per serving), using other sugar substitutes. Sugar on the hands of the patient is given in a limited amount, it is recommended to use it "bite"

Table 40.2. Approximate one-day menu of a patient who underwent surgeryon the esophagus

After a four-month period after the operation, in the absence of complications and an unfavorable course of the recovery process, it is necessary to expand the diet, remove a significant part of the dietary restrictions and switch to a diet that corresponds to the principles of the numbered diet No. 1. When the patient is in medical and preventive institutions (MPU) a variant of the diet with mechanical and chemical sparing is recommended.

Subsequently, not earlier than 1 year after the operation, subject to the normalization of all body functions, primarily the gastrointestinal tract, it is possible to expand the patient's diet to the usual diet (general diet No. 15), for health facilities the main version of the standard diet.

In cases where patients undergo chemo- or X-ray radiotherapy, a full-fledged varied food for enhanced nutrition of high calorie content, with a large amount of complete proteins, fats, carbohydrates, and vitamins, is justified. These patients are shown a high-protein diet (previously numbered diet No. 11).

Therapeutic nutrition of patients after operations on the stomach and duodenum

Before the expiration of 2-4 months after surgery in an outpatient rehabilitation treatment, a pureed version of the P diet is prescribed, which helps to reduce inflammation in the gastrointestinal tract and improve postoperative healing processes. This diet is the basis for preventing the development of complications and the unfavorable course of the disease.

After 2-4 months (in some patients, after 4-5 months), it is recommended to switch to the non-mashed version of the P diet, which contributes to the further adaptation of the functioning of the gastrointestinal tract and the whole organism after a surgical injury. It has a beneficial effect on the activity of the liver, biliary tract, pancreas and intestines.

The transition from the mashed to the non-mashed version of the P diet should be done gradually. In the first days, unmashed vegetables are recommended in small quantities, first they give unmashed vegetables in the first course, and later black bread is added, sauerkraut, salads. Changing the diet can be carried out only with good dynamics of rehabilitation treatment.

It is necessary to follow a diet that provides chemical sparing of the stomach and intestines (non-mashed version of the P diet) for a long time (up to 11.5 years), since the restoration of the functional state of the digestive organs occurs gradually, approximately during this period.

1-1.5 years after the operation, in the absence of complications from the digestive organs, the patient can eat food prepared according to the requirements of the main variant of the standard diet (diet No. 15), but in compliance with the principles of fragmentation of nutrition and restriction of foods and dishes that are individually intolerable.

Subsequently, even if a patient who has undergone gastric resection or other types of surgical treatment of diseases of the gastroduodenal zone has no signs of complications of the operation, it is necessary to adhere to preventive measures in nutrition for 4-6 years.

At the same time, you should observe fractional meals (4-5 times a day), limit foods and dishes that most often cause dumping syndrome (sweet drinks, sweet

After complex operations, doctors prescribe a special diet to the patient, which is necessary to maintain health and speed up recovery. In the case of the removal of the stomach, the issue of diet must be approached very responsibly.

Stomach cancer is a malignant tumor that is formed as a result of the inflammatory process of the mucous membranes with the abuse of alcohol, junk food and severe stress.

The disease initially affects the cells of the mucous membrane of the organ, gradually destroying them. This type of cancer requires immediate treatment. At an advanced stage, gastrectomy may be required to save the patient - removal of the part of the stomach affected by a malignant neoplasm by surgical intervention.

During the operation, all inflamed lymph nodes and connections to the digestive tract are removed. This is necessary in order to prevent the spread of the malignant process. Thus, the life of the patient is saved, but at the same time he loses part of a vital organ.

Effect of organ amputation on digestion

The condition of the digestive tract after the resection of the stomach can affect the body as follows:

In order to facilitate the process of blood circulation in the body, catheters and drains are placed at the surgical site, which are necessary to prevent the accumulation of fluids and blood.
The patient experiences cutting pains for a week, therefore, to facilitate postoperative recovery painkillers are prescribed powerful means.
Due to the removal of part of the stomach, the first for several days the patient cannot eat normally. It is recommended to eat food in small portions, 5-6 times a day instead of the standard 3-4.

Target

In order not to create an additional burden on the rest of the digestive organ, a special diet is prescribed.

The need to comply with restrictions can complicate everyday life the patient after a recovery period, since it is quite difficult to give up the already familiar and beloved food and know the measure in its use.

Proper nutrition is the key to health and longevity.(especially after overcoming such a serious and difficult to treat disease). To quickly restore strength, the patient should be picky about food - foods filled with fiber, proteins and vitamins will quickly raise a sick person to their feet.

Nutrition before surgery

It should be noted that not only after the operation you need to switch to healthy eating. In order for the removal of the stomach to be successful, the patient is advised to go on a diet that will prepare the body(this way it will be easier for him to endure the upcoming stress).

Product use high in protein and fiber.
Gets banned soda, sugary juices and alcoholic drinks.

Eliminate from the diet light carbohydrates, which the body mainly receives from sweets (buns, pastries, cakes and other confectionery products). It is recommended to replace this type of product with complex carbohydrates (cereals and some vegetables).

Well, for lovers of sweets, in addition to fruits, there are many alternatives, for example - for breakfast you can cook oatmeal with a teaspoon of honey and berries, and for dinner - cottage cheese pudding. Such desserts should be consumed before the operation, as they saturate the body with strength and energy.

Nutrition during rehabilitation

After a gastrectomy, the rules regarding the use of food are significantly tightened. This is especially necessary during the recovery period - the body is greatly weakened, the patient will feel constant pain in the abdomen. In this case, nutrition is reduced to low-fat meat broths, mashed soups and other liquid dishes.

After full recovery, the patient can begin to eat more diversely - fish, vegetables, meat, cereals, and so on. Well, for lovers of sweets, another alternative appears - this diet desserts that do not use flour and sugar.

For example - lean cottage cheese casserole, made from cottage cheese and corn flour, which is a healthy and dietary product rich in fiber.

An example of an indicative nutritional program that can be adjusted by the attending physician:

Day 1 to Day 3 the patient does not eat anything, drinks plenty of water.
3 to 7 days the patient can be given liquid dishes (soups and broths) prepared on lean foods. After a week after the operation, the pain begins to gradually recede, but the diet has not changed yet.
Starting from day 14 the patient can already eat chopped foods on his own (vegetables, chicken fillet, and so on).
After another week has passed, namely on day 20, you can eat boiled cereals, well-boiled chicken fillet or steamed fish and vegetables (thus they become as soft as possible).
Next comes gradual development of the daily diet, which is prescribed and controlled by the attending physician together with a nutritionist.

The first two weeks after the operation are the most difficult, as the patient experiences constant discomfort and hunger, which is not satisfied with lean soups and pasty dishes. The rehabilitation period takes 60 days, and during this time the patient gets used to the new diet.

Nutrition principles for convalescents

To fully restore your health, you must not only eat right, but also follow certain principles:

Food temperature should not exceed 37 degrees Celsius. If the smell of a warm meal causes vomiting, it can be consumed cold.
Completely excluded from the diet salt, pepper and other spices.
The consequence of cancer is hypercalcemia (excess calcium in the body). So it's worth the time Limit consumption of milk and dairy products. To normalize the level of calcium in the body, it is necessary to pay more attention to dishes with a high content of phosphorus, magnesium and protein.
If in the postoperative period the patient has temporary problems with the kidneys and the removal of fluids from the body - drinking more than a glass of water at a time is contraindicated.
Meals for the day are divided 4 to 6 times.

You need to follow the daily calorie intake (for women, 1500 kilocalories are required, and for men - 2000 kilocalories) and know which foods can be consumed and which should be discarded.

harmful products

Products prohibited for consumption:

Alcoholic, sugary and carbonated drinks- retain water in the body.
Fast food and other fatty or overcooked foods- creates a large load on the digestive tract.
Smoked, salted and peppered foods(for example, dried fish or smoked chicken breast), pickles, canned food and marinades - retain fluid in the body.
Vegetables that cause bloating ota - beans, peas and other legumes.

Healthy foods

Allowed products:

Containing a large number of protein- soft-boiled eggs, lean fish and chicken breast.
Puree soups cooked in chicken broth.
Overcooked cereals and cereals, because human body you need complex carbohydrates.
Recommended for use dairy(yogurt, kefir, fermented baked milk, curdled milk) along with fiber.
Vegetables- as the main source of fiber.
Fruit- filled with fructose, which is necessary for energy production and activation of brain activity.

To remove cholesterol from the body, it is necessary to consume pumpkin products (porridge, juice, puree). Beetroot juice helps to suppress the growth of cancer cells due to the high content of anthocyanins in this vegetable.

First meal- a glass of mineral water without gas with the addition of a small amount of lemon juice. It is necessary to awaken the body and activate metabolic processes.
Second reception mainly consists of vegetables and fruits, and for better absorption it is best to drink half a mug of kefir.
For lunch the patient is served liquid soup-puree and vegetable salad with dietary boiled meat.
For an afternoon snack you can eat a corn biscuit with nuts and honey, washed down with a glass of fruit juice.
For dinner an abundance of baked vegetables, rice boiled to a state of porridge and a little meat are recommended.

The diet should be compiled exclusively by a nutritionist, based on the prescriptions of the attending physician. The implementation of all recommendations and adherence to the diet will lead to the fastest recovery of the patient and the normalization of his life in the postoperative period.

In conclusion, we suggest watching a video recipe for baked vegetables:

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After surgery to remove a significant part of the stomach, a certain diet is required to restore the digestive tract. During this period, it is difficult for patients to take food and water through the mouth, for this reason nutrition is provided by intravenous injections of a nutrient, amino acid and protein solution. Based on blood test data, the body's need for certain nutrients is determined.

Diet after surgery

After the resection of the stomach, the patient is prescribed fasting for up to two days, during this period, active suction of the gastric contents is performed. On the third day after surgery, the patient can already consume rosehip broth, weakly brewed tea, compote, but not very sweet, without berries and in small portions (about 5-6 times a day, 20-30 ml each). But, in case of congestion in the stomach, it is not recommended for the patient to consume these drinks. Permissible is the use of children's protein enteral (dietary) nutrition in quantity. It is prescribed after two to three days after the operation and is administered in doses of 30-40 g through a probe. A little later, after the exclusion of the probe, the patient is allowed to consume protein enpit, which is necessary to provide the body with mineral salts and vitamins, orally. In this case, the diet is based on a gradual increase in the load on the stomach and intestines, as well as on the inclusion of an abundant amount of protein in the diet.

On the fourth day after surgical treatment, the dietary diet is expanded. The patient is allowed to use liquid soups, fish, meat and curd soufflés and mashed potatoes, as well as soft-boiled eggs. On the fifth or sixth day, pureed cereals, steam omelets and vegetable puree are added to the menu in a small amount (50 grams per serving). With each subsequent meal, the portions increase from the 50 ml recommended on the third day after the operation, to 250 ml on the seventh day and up to 400 ml on the tenth. Thus, in the early postoperative period, patients receive a satisfactory amount of protein in an easily digestible form.

Sparing diet after 2 weeks after surgery

A sparing diet for patients is prescribed two weeks after the removal of some part of the stomach, it should be followed for at least four months. If the patient has complications in the form of gastritis of the stomach stump, peptic ulcer or anastomosis, he needs to follow the diet longer. The main goal of the diet is prevention, relief of the inflammatory process, prevention of dumping syndrome.

Patients from this time can eat meat, fish - foods with a high protein content, as well as a normal amount of complex carbohydrates - cereals, vegetables, cereals and unsweetened fruits. At the same time, the amount of carbohydrates that are quickly absorbed is limited - sugar, fruit waters, confectionery, sweets and canned juices, chemical and mechanical irritants of the mucous membrane and receptors in the intestines and stomach, fried foods. It is also unacceptable to eat food that stimulates the secretion of the pancreas and contributes to the occurrence of dumping syndrome - fatty, hot soups, sweet liquid cereals cooked in milk, tea and milk with added sugar. All food during the diet period should be boiled or steamed and mashed. The meat of the patient should be consumed exclusively in crushed form.

Salads, vegetables and fresh fruits, as well as gray bread and sugar are excluded from the diet. Instead of sugar, you can add in an amount of no more than a teaspoon (10 - 15 g) per serving to food and drinks xylitol - a sugar substitute that has no biological value.

Diet as part of complex therapy

Complex therapy begins two weeks after surgery and continues for two to four months. Its focus is the restoration of impaired functions in the body systems. Diet becomes an important part of treatment during this period. It is necessary for patients to consume a high protein content (at least 140 g per day), a sufficient content of carbohydrates (at least 380 g) and fats (at least 115 g) and the prevention of chemical and mechanical irritations of receptors and the mucous membrane of the stomach and intestines.

During this period, patients are forbidden to consume: refractory fats (mutton, pork, beef), easily digestible carbohydrates (any sweets and pastries), fresh milk. However, the use of only protein foods without the required amount of carbohydrates is irrational, since in this case proteins are wastefully consumed in order to cover the body's energy costs. Accordingly, this leads to protein deficiency. Therefore, preference should be given to the consumption of predominantly protein products - dairy and fish. Rough food, which contains a large amount of connective tissues in its composition, should be excluded from the diet or cooked before use.

Sample diet plan

Yesterday's wheat bread, wheat croutons, biscuits and biscuits with a little sugar. After at least a month after the operation, the use of bread is allowed, earlier it is not recommended.
Vegetable and pureed soup or soup based on cereal decoctions without the addition of cabbage and millet.
Meat and fish. The use of various dishes from lean chicken, beef, turkey, as well as veal and rabbit with prior removal of tendons. Oil-free fish include zander, carp, pike, cod, bream, as well as carp and silver hake. Both meat and fish should be eaten in minced form, such as mashed potatoes, quenelles, soufflés, meatballs, cutlets and rolls. Dishes are cooked over steam, boiled or baked without adding fat.
Soft-boiled egg - no more than one during the day or a protein omelette.
Dairy products, milk. You can use milk by adding it to tea or as part of various dishes. Kefir is allowed to be consumed at least two months after the operation. Sour cream can only be used as a condiment. The patient is allowed to use non-acidic, mashed and, most importantly, freshly prepared cottage cheese.
Greens and vegetables. Can be consumed boiled and mashed. Cabbage is allowed to be included in the diet only cauliflower, boiled with oil. Zucchini and pumpkin are also prepared during the dietary period. It is acceptable to use beetroot, potato and carrot puree.
Berries, fruits. In a limited amount, fruits and berries, only natural and fresh, can be included in the diet.

Following the removal of some part of the stomach, the diet should be followed for two to five years, even if there are no signs of illness. The diet should be varied and based on individual food tolerance. In any case, the recommendations of the attending physician are mandatory.