衛教資訊
Gastric Restriction Surgery Diet Principles 減重手術飲食原則
Gastric Restriction Surgery Diet Principles 減重手術飲食原則
2024/1/15
Goal
Relieves the abdominal distension, vomiting, gastric reflux, constipation, and nutritional deficiencies caused by gastrointestional restrictions following gastric restriction surgery.
Object
- patients who have received gastric restriction surgery
- Patients who have received vertical banded gastroplasty
- Patients who have received stomach detouring surgery
- Patients who have received miniature biliopancreatic disversion surgery
After surgery, follow these guidelines and doctor’s orders for food intake
- Smalls meals more frequently throughout the day, amount based on patient’s post-OP condition
- Start with clear liquid diet, 4-6 times per day, such as rice water, nutritional formulas, no-fiber fresh juice 30 ml/serving.
- Afterwards, start a complete liquid diet, 4-6 meals per day (e.g., steamed vegetables, meat, porridge, noodles, then fruit and vegetable juice diluted with lukewarm water)
- May try new foods (choose foods that are soft and easy to digest, avoid oily and fried foods)
- Patient’s diet can gradually be increased to a normal diet 3-6 months after surgery.
- Obey your nutritionist’s diet guidelines that are specific for your weight.
General Principles
- Amount of food intake is determined by gastric space following surgery.
- Begin to eat food in smaller amounts more frequently throughout the day. Snacks may be consumed in between meals. If there is no sensation of hunger, stop eating.
- Chew slowly and carefully. Spend 20-30 minutes per meal.
- Avoid carbohydrates such as sweet soft drinks, candy, and cake.
- Choose non-irritable foods that are soft in nature, such as porridge, steam eggs, and cheese. Avoid stimulatory drinks such as coffee.
- Avoid high-caloric and oily foods, such as milk shakes, chocolate, cake, fatty meats, and fried foods.
- Choose a balanced diet with an appropriate amount of protein. If meat causes indigestion or discomfort, switch to fish, milk, beans, and eggs.
- Avoid consuming excessive amounts of water during meals and 1 hour after meals.
- If abdominal distension is present, avoid foods that produce gas, such as beans and milk.
- Consume food in a sitting position, chew completely before swallowing, and rest for 30 minutes after meals.
- 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.
- After surgery, vitamin B1, B12, iron, folic acid, calcium, and other nutritional deficiencies may occur. Use vitamin and mineral supplementations as directed by your doctor.
- If dumping syndrome occurs, please refer to our pamphlet regarding dumping syndrome.
Common nutrition questions
- Diet guidelines for vomiting and indigestion
- Follow nutritionist’s diet orders.
- Eat more slowly.
- Reduce the amount of food for each meal.
- Light diet.
- Avoid eating foods that are large in size.
- Diet guidelines for constipation
- Consume an adequate amount of fivers and beans, such as red beans and green beans. Follow nutritionist’s orders regarding your diet and fiber supplementations.
- Per kilogram of body weight x 30 ml water.
- Adequate exercise, increase amount of daily activities.
- Depending on the situation, avoid a completely oil-free diet.
- If necessary, follow doctor’s orders on taking laxatives.
- Gastric reflux diet guidelines
- Consume only warm food, avoid irritable foods such as spicy foods, alcohol, tea, and coffee.
- Avoid eating oily foods, such as fatty meats and fried foods
- Smaller meals more frequently throughout the day.
- Elevate bed 30-45 degrees for 30 minutes following each meal; avoid consuming food or drink before bed.
- Consume low dregs food, avoid foods that are high in fiber, such as vegetables, fruit. Avoid tough meats and animal feet.
- When necessary, follow doctor’s orders regarding the following:
- The use of antacids and anti-histamine agents to neutralize gastric acid and inhibit gastric reflux.
- The use of medications to suppress gastric acid production, such as omeprazole.
- Take medications that increase esophageal sphincter tone, such as metoclopramide and cisapride.
- American Society for Metabolic and Baritatric Surgery. (2020). AACE/TOS/ASMBS/OMA/ASA Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient – 2020 Update. https://asmbs.org/resources/aace-tos-asmbs-oma-asa-clinical-practice-guidelines-for-the-perioperative-nutritional-metabolic-and-nonsurgical-support-of-the-bariatric-surgery-patient-2020
製作單位:臨床營養科 編碼:HE-8C026-E
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電話:(04) 22052121 分機 13253
若有任何疑問,請不吝與我們聯絡
電話:(04) 22052121 分機 13253
中國醫藥大學附設醫院暨體系院所