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

After esophageal cancer surgery, the normal physiological state of the patient's digestive tract is changed, the stomach is in the chest, the vagus nerve is cut, etc., which causes certain changes in the patient's digestive function, so the eating habits should be adjusted accordingly: the vagus nerve is not cut during the operation, and the patient often does not feel full or hungry after the operation, so the diet should be small and frequent, and should not wait until hunger to eat, and eat 6-7 times a day depending on the situation; because of the nerve cutting and position change, the patient's stomach emptying function may be poor after surgery, so take a proper walk after meals to promote digestion and emptying. The normal gastroesophageal anti-reflux mechanism is destroyed during surgery, and the gastric contents are easy to reflux, which can easily cause anastomotic stomatitis and anastomotic bleeding. In severe cases, aspiration of reflux may cause pneumonia or even suffocation, so take a walk after meals and avoid bed rest; fast for 2 hours before going to bed at night, and try to raise the head of the bed 15 degrees when sleeping to avoid reflux of gastric contents. The postoperative recovery is smooth, and generally you can gradually transition to a normal diet in about three weeks. Anastomotic stenosis may occur after surgery, but eating solid food can dilate the anastomosis to a certain extent, so do not eat semi-liquid food for a long time after surgery.

Patients with esophageal cancer need to fast after surgery. Generally, after 3 to 4 days, intestinal peristalsis will be restored and the gastric tube will be removed. On the fifth day, a liquid diet without residue can be taken. Water is the main food, 50 ml each time, once every 2 hours. On the sixth day, a liquid diet is taken, mainly rice juice, once every 3 hours, 100 ml each time. On the seventh day, egg soup and porridge are the main foods, 200 ml each time. Once every 4 hours. Generally, a semi-liquid diet is taken on the twelfth day after surgery, mainly light and easily digestible food. The diet of patients with esophageal cancer after surgery should be gradual, with small and frequent meals, to promote the recovery of digestive function.

For patients with confirmed early and middle stage esophageal cancer, we should seize the opportunity to increase their nutrition comprehensively, give them soft food or semi-liquid food containing high protein and high vitamins, and make full use of their gastrointestinal absorption function to supplement more nutrition, so that the patients have a better physical condition so that they can receive surgery or chemotherapy and radiotherapy. When the patient feels choking during eating, do not force swallowing, otherwise it will stimulate local cancer tissue bleeding, spread, metastasis and pain.

When choking is severe, liquid or semi-liquid food should be taken; cold liquid food should be avoided, and cold noodles, milk, egg soup, etc. that have been left for a long time should not be drunk. Because the narrow part of the esophagus is very sensitive to cold food, it is easy to cause esophageal spasm, nausea, vomiting, pain, swelling and numbness. Therefore, it is better to eat warm food; spicy, pungent, smelly, and stimulating food should not be eaten, because these foods can also cause esophageal spasm and make patients uncomfortable. For esophageal cancer patients who cannot eat at all, intravenous hypernutrition should be used to input nutrients to maintain the needs of the patient's body.

The above is a detailed introduction to the dietary precautions after esophageal cancer surgery. If you have other knowledge you want to know, you can click to consult our online experts and we will give you detailed answers. Feihua Health Network has always been by your side and paid attention to your health. I wish you health and happiness!

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