Diet for people who have a total gastrectomy

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Nguyen Thai Binh - Gastroenterologist - Department of General Surgery - Vinmec Ha Long International General Hospital. Master, Doctor Nguyen Thai Binh has more than 20 years of experience working in abdominal surgery.
Like all other cancers, when operating on stomach cancer, the surgeon always wants to cut out, completely remove the cancer cells. Indications for total gastrectomy may be performed in patients with gastric cancer. Therefore, the diet for the person who has undergone a complete gastrectomy is extremely important to help the patient ensure nutrition to maintain life.

1. What's wrong with gastric bypass?

In gastric cancer, resection of the entire stomach according to the principle with some adjacent organs as the above authors, has the advantages of: not omitting cancer cells in the stomach wall, removing a large area of ​​​​the stomach. It is not possible to determine how far the cancer cells have metastasized.
In other words, the ability to radicalize is good, but it has major disadvantages such as high mortality, reduced gastric capacity and contraction, and more severe post-operative nutritional disorders.

2. Diet for people with total stomach removal

Gastrectomy is a common treatment performed for patients with stomach cancer. After surgery, patients need to pay special attention to the best diet after gastrectomy to help recover quickly and avoid possible complications.
Principles that the patient should follow in the diet after gastric bypass surgery:
2.1 General principles in eating General principles in eating that any patient after gastric bypass surgery The stomach also needs to do that is to divide meals instead of eating 3 main meals as usual.
Along with that, patients need to pay attention to eat slowly, chew thoroughly to make the digestion process more convenient and easier. According to advice, patients should divide meals into 6-8 meals / day is reasonable.
2.2 Eat protein-rich foods

Protein-rich foods not only help provide essential nutrients to help patients recover quickly, but also help slow down the digestive process and prevent diarrhea.
Therefore, patients should eat foods such as meat, poultry, fish, eggs, cheese, butter... are foods that contain a lot of protein, which is very good for health.
2.3. Grains According to nutritionists, patients with total gastric bypass surgery should choose low-fiber cereals. Fiber is an essential component of a healthy diet. Found only in plant-based foods (such as grains, fruits, and vegetables), fiber helps build up food mass and helps it move food through the digestive system. Regular and adequate intake of fiber helps prevent constipation and certain cancers such as colon or colon cancer.
However, people with diverticulosis or chronic diarrhea should adopt a low-fiber diet. In addition, people who are sensitive to fiber will experience discomfort and diarrhea if consuming too much fiber. Eating a low-fiber diet as recommended by your doctor can help relax your digestive tract and make you feel better.
2.4. Fruits and vegetables Most fruits and vegetables are good for people after gastric bypass surgery to eat. However, you should note that with green vegetables, you should eat them ripe, with fruits, you should peel them before eating and remove the seeds. Among the fruits, bananas and watermelons are said to be the two best fruits for patients in this case to eat. Therefore, patients need to pay attention to supplement to be most effective.
2.5. Milk Milk is an important and essential food in the diet of most gastrointestinal diseases to help provide the necessary amount of nutrients for the body when the patient cannot or should not eat foods. other products of similar origin. For people after gastric bypass surgery can choose skim milk (fully skimmed milk) and dairy products containing 1% fat for daily diet.

In addition to the foods mentioned above, patients may need to take additional vitamins such as vitamin B1, B12 and iron tablets to improve health and prevent anemia caused by surgery. In addition, you should note that you should limit your intake of fermented foods such as pickles, salted onions or hot and spicy spices, sour fruits, stimulants and hard foods. for disease recovery.
Total gastrectomy is surgical removal of the entire stomach, above to the abdominal esophagus and below the pylorus to the duodenum. Digestive circulation is accomplished by connecting the jejunum to the esophagus. This is a heavy and complex surgery that requires specialized gastroenterology surgeons and a good preparation of the patient (NB) before surgery.
At Vinmec hospital, this technique has been applied for many years with a team of experienced doctors and nurses, patients can rest assured. This procedure is applicable to the following techniques: Total gastrectomy due to cancer, total gastrectomy due to cancer with small bowel reconstruction, first total gastrectomy or re-surgery..

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