This is an automatically translated article.
The article was professionally consulted by a doctor from the Department of Medical Examination & Internal Medicine - Vinmec Danang International General Hospital.Insertion of a nasogastric tube is an effective procedure in supporting the feeding and giving medication to patients who have lost the ability to eat by mouth. The technique of inserting a tube into the stomach is indicated depending on the purpose and duration of the treatment, and the appropriate method and type of catheter is selected. However, regardless of type, it is necessary to pay attention to the menu and how to care for patients eating through a nasogastric tube.
1. Principles of formulating menus for gastric bypass surgery patients
The nutrients introduced when taking care of gastric bypass surgery patients must comply with the principles of treatment of each type of disease. For example, a hepatic coma requires increased sugar in the diet, especially simple sugars. But conversely, coma due to hyperglycemia requires reducing the amount of sugar in the diet, especially simple sugar. Coma due to cerebrovascular accident of high blood pressure should reduce fat, reduce salt. If you are in a coma in a traumatic brain injury or a traffic accident, there is no need to abstain from anything...2. Number of meals for gastric bypass surgery patients
Number of meals a day: should eat many meals/day (average 6 meals a day).The amount of food in a meal depends on each patient and depends on the condition of the disease. In adults, the average is about 300 ml - 400 ml/meal. In children about 200 ml/meal. If the patient is too severe, there is cachexia, feed them little by little and then increase gradually.
Nourishing fluid for gastric bypass surgery patients must be fine to pump through the catheter easily. Food should have a high nutrient density, on average 1 kcal/ml.
Số lượng thức ăn trong một bữa tùy thuộc vào từng bệnh nhân
3. Menu of care for gastric bypass surgery patients
There are many recipes for feeding a catheter-fed patient as follows:3.1. Juice Orange or lemon juice 50 ml. Sugar 250g. Boil water to cool just enough 1000ml. Each liter of juice provides 1017 kcal, 218g glucide. However, this formula cannot be applied for a long time because there are no proteins and lipids.
3.2. Cow's milk Condensed milk 250g. Just enough boiling water 1000ml. Or:
Skimmed milk powder 120g. Sugar 50g. Cooking oil 20g. Boiled and cooled water just enough 1000ml. Each 1000 ml of milk mixed in the above way will provide the patient with the following nutrition:
Protein: 22.5g. Lipid: 22.1g. Glucid: 172g. Energy: 977 kcal. 3.3. Mixed flour Rice flour: 40g. Soybean meal: 40g. Moringa powder: 10g. Moringa powder: 10g. Sugar: 100g. Skimmed milk powder: 20g. Cooking oil: 10g. Just enough water: 1000ml. Each 1000 ml of mixed powder mixed in the above way will provide the patient with the following nutrition:
Protein: 26g. Lipids: 17.6g. Glucid: 151.5g. Energy: 876 kcal. 3.4. Vegetable and meat soup Potato or taro: 300g. Carrot or pumpkin: 100g. Kohlrabi: 50g. Lean meat: 50g - 100g. Rice: 30g. Moringa powder: 10g. Moringa powder: 10g. Cooking oil: 10g. Table salt: 4g. Just enough water 1000ml. Each 1000ml of vegetable and meat soup in the above way will provide the patient with the following nutrition:
Protein: 20g. Lipids: 18g. Glucid: 90.2g. Energy: 603 kcal.
Thức ăn cho bệnh nhân mổ thông dạ dày phải nhuyễn để bơm qua ống thông dễ dàng
Protein: 30.3g. Lipid: 37.9g. Glucose: 180g. Energy: 1181kcal. 3.6. Available preparations Vivonex, Ensure, Enplus...
4. Patient Meal Example
Adult patient, diagnosed coma due to traumatic brain injury after traffic accident. Need to provide 400ml/meal x 6 meals/day. Ingredients for a meal include:Plain rice flour: 40g. Cooking oil: 10g. Soybean meal: 20g. Bean sprouts: 50 g. Chicken eggs: 1 egg. Salt: 1 g. Milk box: 10g. Just enough water: 400 ml. Meal times: 7am - 9am - 11am - 2pm - 5pm - 8pm.
Orange 500g squeeze to get pumped water separately for a few times after eating the above culture. Do not squeeze the juice into the culture fluid to avoid clumping.
Nutritional value of the serving:
Protein: 132.6g. Lipid: 120.7g. Glucid: 307g. Energy: 2920 kcal.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
