Following gastric resection, the period of readjustment to eating follows no predictable pattern; the diet needs to be adjusted frequently to meet the patient’s increasing tolerance.
The troublesome feature is the dumping syndrome.
Dumping syndrome is caused by a reaction to the hypertonic stomach contents which have passed into the ileum with abnormal rapidity. In this, the following dietary considerations are important:
1. Milk often causes difficulty, as in many gastrointestinal disorders.
2. Concentrated sweets and carbohydrates in general are poorly tolerated.
3. Volume of feedings, especially liquids should be limited.
4. Proteins and fats should be used in increasing amounts according to the individual tolerance.
The diet should be adequate in calories, high in protein and low in carbohydrates. The diet regimen is outlined in three steps for the convenience of the physician and the dietary personnel.
After gastric section patient should follow the following regimen:
1. Clear liquid diet.
2. Semi-solid diet (no milk, no cheese).
3. Regular diet, i.e., high protein, low fibre.
Avoid milk as beverage, raw fruits and vegetables, nuts and
concentrated sweets.
The troublesome feature is the dumping syndrome.
Dumping syndrome is caused by a reaction to the hypertonic stomach contents which have passed into the ileum with abnormal rapidity. In this, the following dietary considerations are important:
1. Milk often causes difficulty, as in many gastrointestinal disorders.
2. Concentrated sweets and carbohydrates in general are poorly tolerated.
3. Volume of feedings, especially liquids should be limited.
4. Proteins and fats should be used in increasing amounts according to the individual tolerance.
The diet should be adequate in calories, high in protein and low in carbohydrates. The diet regimen is outlined in three steps for the convenience of the physician and the dietary personnel.
After gastric section patient should follow the following regimen:
1. Clear liquid diet.
2. Semi-solid diet (no milk, no cheese).
3. Regular diet, i.e., high protein, low fibre.
Avoid milk as beverage, raw fruits and vegetables, nuts and
concentrated sweets.
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