Post-Gastrectomy Diet

This diet is designed for patients to follow after a gastrectomy (stomach surgery).

Important points to keep in mind:

  • Your body needs added calories and protein to help heal itself. Start slowly and gradually eat more as you are able.

  • Eat small, frequent meals at least six times per day. See sample menu on a following page.

  • Everyone tolerates foods differently. Avoid those foods known to cause you problems.

  • Keep high-calorie snacks handy, such as cheese, peanut butter crackers, and yogurt.

  • Pack extra protein into foods by adding shredded cheese, dry milk powder, or peanut butter.

  • Drink only nutritious beverages. Try milk, eggnog (without alcohol), or unsweetened juice instead of coffee, tea, diet soda, or water.

  • Report any weight loss to your doctor.

About Dumping Syndrome

When food or fluids move too quickly through your digestive system, it’s called “dumping syndrome.” Symptoms of dumping syndrome are:
  •  Nausea

  • Dizziness or light-headedness

  •  Weakness and fatigue

  •  Rapid pulse

  •  Abdominal cramping

  •  Diarrhea

It’s very important to tell your doctor if you have any of these symptoms.
 
Here are some tips to help avoid dumping syndrome:
  •  Don’t drink liquids with your meals. Wait one-half to one full hour after eating solid food to drink something.  

  •  Limit sweets. Use sugar-free foods and drinks in place of regular sweet foods or drinks.  

  •  Lactose (milk sugar) may also cause diarrhea and cramping. Drink lactose-free or lactose reduced milk, or take lactase enzyme tablets (like Dairy Ease) when you eat dairy products.

  •  Adding extra fats (like butter, margarine, cheese, gravy, cream, or sour cream) to foods may help slow down the movement of food through your system.  

  •  Avoid extremely hot or cold foods.

  •  Avoid carbonated drinks and alcohol.  

  •  Eat slowly and chew your food carefully.

Post-Gastrectomy Diet

 

Food Categories Foods Recommended Servings Per Day
Meat, fish, poultry, and cheese
Serving size: 2 to 3 oz.
Count one egg or 2 tablespoons of peanut butter as 1 oz.
  • Any meat, poultry, or fish (as tolerated)
  • Peanut butter
  • Eggs
  • Cheese and cottage cheese
  • At least 2 or 3 servings (6 oz.)
Milk
Serving size: 1 cup
  • Milk, cream, and yogurt
  • Fortified soy milk, lactose-reduced or lactose-free milk
  • At least 2 servings (if tolerated)

 

Starches
Serving size: 1 slice or 1/2 cup

  • Any breads, cereals, and rolls
  • Rice, pasta, and potatoes
  • Muffins
  • Crackers
  • 6 to 11 servings
Vegetables
Serving size: 1/2 cup cooked vegetables or 1 cup raw vegetables
  • Any vegetable or vegetable juice (as tolerated)- boost calories by adding extra butter or salad dressing
  • 2 to 3 servings
Fruits
Serving size: 1 medium piece of fresh fruit or 1/2 cup canned fruit
  • Any fresh fruit, unsweetened canned fruits, and unsweetened fruit juice
  • 2 to 4 servings
Fats
  • Butter, margarine, oil, salad dressing, mayonnaise, and cream cheese
  • add extra fats to all foods
    •  *Sweets and desserts
      • Sugar-free pudding, custards, plain cake, and cookies
      • 1 serving

       

      * Foods that are high in sugar may cause dumping syndrome in some people. Use sugar-free items, or eat sweets with a meal to limit symptoms.

      Sample menu

       Breakfast
      •  1/2 banana
      • 1 slice toast
      • 1 egg
      • 2 teaspoons margarine
      • 1 cup 2% milk (drink 1/2 to 1 hour after eating)
      Snack
      • 1 oz. cheese
      • 4 crackers
      Lunch
      • 2 oz. hamburger
      • 1 small bun
      • 1/2 cup fruit cocktail
      • 1/2 cup vegetable juice (drink 1/2 to 1 hour after eating)

      Snack

      • 1 tablespoon peanut butter
      • 3 graham crackers
      • 1/2 cup orange juice (drink 1/2 to 1 hour after eating)
      Dinner
      • 1/2 chicken breast
      • 1/2 cup mashed potatoes
      • 1/2 cup green beans
      • 2 teaspoons margarine
      • 1/2 cup applesauce
      • 1 cup 2% milk (drink 1/2 to 1 hour after eating)
      Snack
      • 1/2 turkey sandwich
      • 1 cup 2% milk (drink 1/2 to 1 hour after eating)

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