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Stomach (Dietary Management (resect) (Chew food well, Small freq meals,…
Stomach
Dietary Management (resect)
Chew food well
Small freq meals
Fluids seperate from meal
Manage dumping: avoid sugary foods
Hiatus Hernia
REFLUX
small frequent meals
Avoid late night meals
Lose wt (overt)
Drink fluid away meal
Adequate fibre
IRRITATION
Avoid spicy/carbonation/citrus
Try avoid unnec restrictions
INCREASE CLEARING TIME
stay upright: walk
avoid eating 2-3 hrs before bed
Resections
Subtotal
Total Gastrectomy
Bypass
Micronutrients
Calcium
less efficient due to rapid empying
Binds to unabsorbed fat
Absorbed in duodenum
3-4 serves Ca rich foods
B12
Intrinsic Factor
Iron
Reduced gastric acid
3-5 serves iron rich food
Resection Nutrition
Pre Op
Post op
Diarrhoea/Steatorrhoea
Weight Loss
Lactose Intolerance
Micronutrient malabsorption
Dumping Syndrome
Gastric Cancer