Digestive Healthcare of Georgia - Atlanta Office
Compassionate, advanced specialty care.
 |

Gastroenterology
Medical Services Links

 

 

 

 

 

 

Services – Diets for Gastroenterological Medicine

Post Gastrectomy Diet
(Restricted Carbohydrate, Increased Protein, Moderately High Fat)

The Post Gastrectomy diet is used to slow the rapid passages of food from the stomach to the intestine and therefore alleviate the dumping syndrome.

Dumping syndrome occurs when the patient experiences nausea, vomiting, and / or diarrhea soon after the ingestion of a meal because the food passed through the stomach and into the upper jejunum too quickly.

Individual tolerances vary greatly, but in general the following principles apply:

  1. Small, frequent feedings. Breakfast, mid-morning snack, lunch, mid-afternoon snack, supper, and an evening snack.
  2. High protein and fat content for tissue growth and to increase calories. A protein food should be served with each meal.
  3. Omission of simple sugars.
  4. In some cases, milk and other dairy products may be restricted.
  5. Fluids to be taken only between meals (30 minutes after a meal).
  6. Avoid extremely hot or cold foods beverages.
  7. Because this is a highly individualized diet, each patient will progress at his own rate. Small amounts of the “foods not allowed” may be tried gradually.

Nutritional Adequacy: This diet is nutritionally adequate according to the National Research Council’s Recommended Daily Allowances when planned by the suggested meal plan. Careful planning is necessary to meet calcium recommendation and iron recommendation for women under 51 years old.

• Dairy

Allowed: One ounce of cheese may be substituted for one ounce of meat.
Not Allowed: Milk, skim mild, buttermilk, yogurt (may or may not be restricted).

• Meats

Allowed: All baked, stewed, fried, broiled or roasted meats. Peanut butter may be used as a substitute meat.
Not Allowed: None

• Eggs

Allowed: Prepared any way.
Not Allowed: None

• Vegetables

Allowed: All as tolerated.
Not Allowed: None

• Potato or Substitute

Allowed: White or sweet potato, rice macaroni, spaghetti, noodles,corn, dried beans, peas and lima beans. Mashed potatoes without milk.
Not Allowed: None

• Fruits

Allowed: All fresh fruit, or canned,sweetened artificially or un-sweetened fruits and fruit juices. Juices only between meals.
Not Allowed: All fruits packed in syrup or candied.

• Bread

Allowed: All as tolerated except those not allowed.
Not Allowed: Breads containing dried fruits.

• Cereal

Allowed: All as tolerated accept those not allowed.
Not Allowed: Sweetened or sugar frosted.

• Fat

Allowed: Margarine, butter, vegetable, shortening, bacon.
Not Allowed: None

• Beverages

Allowed: Coffee, tea, decaffeinated coffee, artificially sweetened soft drinks. Not to be taken with meals.
Not Allowed: None with meals.

• Miscellaneous

Allowed: All condiments if tolerated, dill or sour pickles, artificial sweeteners.
Not Allowed: Sweet pickles, relishes.

• Soups

Allowed: All as tolerated.
Not Allowed: None with meals.

• Desserts/Sweets

Allowed: None, except artificially sweetened products.
Not Allowed: Candy, sugar, syrup, jam, marmalade, jelly.

Suggested Meal Plan:

Morning

  • 1 Meat or alternate
  • 2 Breads
  • 2 Fats

Noon and Evening

  • 3 Meat or alternate
  • 1 Potato or substitute
  • 1 Bread
  • 1 Vegetable
  • 1 Fruit
  • 1 Fat

Snacks

  • 1 Fruit or 1 Bread
  • 1 Meat or alternate
  • 1 Fat

Sample Menus

Morning

  • Scrambled Egg
  • Grits
  • Toast
  • Margarine

Noon and Evening

  • Lean Ham
  • Mashed Potatoes
  • Green Beans
  • Roll
  • Margarine
  • Peach Halves, unsweetened

Snacks

  • Roast Beef
  • Noodles
  • Broccoli
  • Roll
  • Fresh orange sections
  • Margarine

Morning

  • Apple
  • Cheese

Noon and Evening

  • ½ Chicken Sandwich
  • Lettuce, tomato

Evening Snack

  • Cottage Cheese
  • Crackers
  • Applesauce, unsweetened

Return to Diets