After gastrectomy, due to trauma or can not eat normally, so that the body protein, fat consumption, resulting in weight loss, but also some vitamin deficiency and complications after gastrectomy.
After gastrectomy, usually should be fasting, 24 hours-48 hours after the general condition is good, intestinal peristalsis recovery, anal exhaust, can be given a small amount of lukewarm water or glucose drinks. If there is no discomfort, you can give a small amount of light liquid food the next day, such as rice soup, vegetable soup, thin lotus root powder. Light fruit water, etc., but can not eat sucrose, milk and soy milk, because these foods can produce abdominal distension. On the fourth day, you can still use liquid food, but on the basis of liquid food, add sweet milk, sweet soybean milk and so on. On the fifth day, you can use less dregs and semi-liquid food, such as rice porridge, minced meat and tomato sauce stewed tofu, dull meat, tomato juice or vegetable sauce stewed noodles, bread, cake, milk. Soy milk and so on. On the ninth day, you can switch to a stomach disease diet that is rich in nutrition, easy to digest, non-irritating and soft five meals a day. If you have discomfort such as nausea and abdominal distension after eating, you should reduce or stop eating. Wait for the symptoms to disappear, improve the condition, and then start eating.It is very important to restore diet after gastrectomy, not only to make up for the chronic consumption of preoperative diseases, but also to make up for the loss of surgical trauma. Therefore, five meals with stomach disease should be used for a long time to ensure that there are enough nutritious, high-protein and high-vitamin food to promote wound repair. Such as eggs. Dairy and its products, lean meat, tofu, soy milk and other bean products, fresh and tender vegetables and ripe fruits. Avoid eating food that is irritating and indigestible, such as chili, celery, wine, coffee, strong tea and celery and leek with more crude fiber.Cooking methods should be more careful, do not use frying, frying, smoking and raw mixing and other methods, so as not to be difficult to digest, using steaming, boiling, stewing, stewing and other cooking methods. Patients have to wait for the surgical trauma and the weak body to fully recover, and then gradually transition to a normal diet. As the volume is significantly reduced after gastrectomy, the absorption of food nutrients is affected, so pay attention to the daily diet to increase the amount of vitamin D-rich foods, such as animal viscera and carrots, in order to prevent osteomalacia after operation. In addition, after eating, do not rush out of bed activities, should stay in bed rest, do not eat high-sugar diet, to prevent dumping syndrome.After gastrectomy, the most common complications are iron deficiency anemia and vitamin B deficiency. 15% of patients have osteomalacia, which can easily change bones due to vitamin D deficiency. Patients after gastrectomy should pay attention to dietary calcium, vitamin D food, which is beneficial to bone calcification.Foods high in calcium include a variety of soy products, dairy products and oatmeal. Cabbage, cabbage, carrots, celery, pumpkin, radish, spinach, gourd, leek, dandelion, wax gourd and so on. Some hard fruits and seed foods are also high in calcium, such as dried almonds, walnuts and hazelnuts. Sunflower seeds, etc. Fruits include oranges and so on.Spinach, amaranth, Yongcai and other oxalic acid all affect the absorption of calcium. Vegetables with high oxalic acid can be blanched in boiling water first, so that part of the oxalic acid is dissolved in water, filtered and then fried.
