What should you pay attention to in your diet after gastric cancer surgery

Gastric cancer is one of the common malignant tumors in my country. Early stage gastric cancer is usually asymptomatic or has only mild symptoms. When clinical symptoms are obvious, the disease is already in the late stage. After gastrectomy, some patients cannot maintain their original weight. Due to trauma or inability to eat normally, protein and fat in the body are consumed, resulting in weight loss. Some vitamin deficiency diseases and complications after gastrectomy may also occur.

The most common complications are iron deficiency anemia and vitamin B deficiency. 15% of patients have osteomalacia, and due to the lack of vitamin D, very thin bones can easily change. In some patients without obvious vitamin D deficiency, early bone tissue changes can be corrected. This makes it difficult to infer whether osteoporosis and osteomalacia that occur after gastrectomy are related to vitamin D deficiency and calcium absorption. But in any case, these patients have obvious calcium absorption disorders and vitamin D deficiency. Patients after gastrectomy should pay attention to foods that supplement calcium and vitamin D in their diet, which is beneficial to bone calcification. Animal foods such as egg yolks and liver are high in retinol. Some plant foods such as yellow and red vegetables and fruits contain beta-carotene, which can be converted into vitamin A in the liver.

After gastrectomy, patients should usually fast and not drink. After 24 to 48 hours, when the general condition is good, intestinal peristalsis is restored, and anal gas is discharged, a small amount of warm water or glucose drink can be given. If there is no discomfort, a small amount of light liquid food can be given the next day, such as rice soup, vegetable soup, thin lotus root powder, light fruit water, etc., but sucrose, milk and soy milk cannot be eaten, because these foods can cause abdominal distension. Liquid food can still be used on the fourth day, but sweet milk, sweet soy milk, etc. can be added to the liquid food. On the fifth day, semi-liquid food with less residue can be used, such as rice porridge, minced meat and tofu stewed in tomato juice, wontons, noodles stewed in tomato juice or vegetable juice, bread, cake, milk, soy milk, etc. On the ninth day, a nutritious, easy to digest, non-irritating, soft and five-meal-a-day stomach disease diet can be used. If there is nausea, abdominal distension and other discomfort after eating, the diet should be reduced or stopped. After the symptoms disappear and the condition improves, start eating again.

Dietary recovery after gastrectomy: It is necessary to make up for the chronic consumption of preoperative diseases and the loss of surgical trauma. Therefore, five meals for gastric disease should be taken for a long time to ensure sufficient nutrition, high protein, high vitamins and foods with sufficient vitamin A, B and C content to promote the repair of trauma. Foods with high calcium content include various soy products, dairy products and oatmeal, cabbage, Chinese cabbage, carrots, celery, pumpkin, radish, spinach, gourd, leek, dandelion, winter melon, etc. Some hard fruits and seed foods are also high in calcium, such as dried almonds, walnuts, hazelnuts, sunflower seeds, etc. Fruits include oranges, etc. The oxalic acid contained in some vegetables and spinach, amaranth, water spinach, etc. affects the absorption of calcium. Vegetables with high oxalic acid content can be blanched in boiling water first, so that part of the oxalic acid is dissolved in water first, and the water is filtered out before frying. Note that adding a leavening agent to flour, corn flour, and bean flour, and prolonging the fermentation time can hydrolyze phytic acid, increase free calcium, and make calcium easier to absorb. Avoid eating irritating and indigestible foods, such as peppers, celery, wine, coffee, strong tea, and celery and leeks with high crude fiber content. In addition, do not rush to get out of bed after eating, but stay in bed to rest, and do not eat high-sugar foods to prevent dumping syndrome.

The above is the introduction of "What should you pay attention to in your diet after gastric cancer surgery?" I hope it can be helpful to everyone. Experts suggest: If you have symptoms of illness, do not delay diagnosis and go to a regular hospital for treatment in time to avoid delaying the disease and causing serious consequences. If you have other questions, please consult our experts online.

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