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Clinical Hub,Patient Education,Health and Nutrition Facts For You,Nutrition

Modified Diet: Diet After Fundoplication (397)

Modified Diet: Diet After Fundoplication (397) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Nutrition

397


Diet after Fundoplication

Why do I need to follow a special diet after my surgery?
A Nissen Fundoplication is used to treat those who suffer from gastroesophageal reflux disease or
GERD. People with GERD have severe and chronic heartburn. These symptoms occur when the
muscle at the base of the esophagus is too loose to keep food from coming out of the stomach.
Fundoplication tightens this muscle in order to reduce the symptoms. To ensure proper healing, and
prevent the muscle from stretching, you will be put on a pureed diet for about two weeks after your
surgery. You will then slowly transition to a soft diet, and finally resume a normal diet. Your doctor
will help you to know when it is time to advance from one diet to the next.

What is a pureed diet?
A pureed diet includes any food that is the thickness of applesauce. Fruits and vegetables can be
cooked and mashed or put into a blender to make them the right texture. Meats can be pureed in a
blender and moistened with sauces and gravies. The chart below shows you some of the foods that
are allowed on a pureed diet. This list is a sample of foods for you to choose from and does not
include every food you may have.

Food Group Allowed Avoid
Cereals, breads, grains ξ Cooked cereals (cream of wheat, thin
oatmeal, etc.)
ξ Pureed pastas
ξ Breads
ξ Donuts
ξ Crackers
Fruits ξ Fruit juice
ξ Pureed fruit (canned baby food or
pureed in blender)
ξ Applesauce
ξ Raw or cooked, whole fruit
ξ Dried fruit
ξ Citrus fruit and juices
Vegetables ξ Pureed vegetables
ξ Mashed potatoes
ξ Raw or cooked, whole
vegetables
Meat/Meat
substitute/Nuts/Legumes
ξ Pureed meats, poultry, and fish
ξ Creamy peanut butter
ξ Pureed refried beans
ξ Whole or ground meat, poultry,
or fish
ξ Nuts and seeds
Dairy* ξ Milk (not chocolate)
ξ Yogurt (seedless)
ξ Cheese sauces
ξ Cottage cheese
ξ Solid cheese
Condiments ξ Butter, margarine
ξ Salad dressing
ξ Salt/Pepper
ξ Mayonnaise/Mustard
ξ None

2
Food Group Allowed Avoid
Soups ξ Pureed soups ξ Chunky soups
Desserts ξ Custards
ξ Sherbet
ξ Pudding
ξ Fruit Ice
ξ Popsicles
ξ Bread pudding
ξ Cake
ξ Cookies

*Be aware that dairy products may cause stomach problems, including diarrhea, right after surgery.
You may want to avoid dairy products at first and then try adding them in to your diet a little at a
time.

Additional Tips
ξ Swallowing air can cause gas. To prevent this, avoid drinking through a straw, chewing with
your mouth open, or chewing gum or tobacco.
ξ Pay attention to which foods give you gas and avoid them. Some foods that tend to cause gas
include corn, dried beans, peas, lentils, onions, broccoli, cauliflower, and any food from the
cabbage family.
ξ Avoid caffeine, carbonated drinks, alcohol, citrus and tomato products.

What is a soft diet?
Your doctor will tell you when you can advance to a soft diet. A soft diet will include all of the foods
listed above from the pureed diet along with more solid foods that are soft and easy to chew. You
will want to avoid any foods that are crunchy (fresh fruits and vegetables or crackers) or that are
tough (whole cuts of meat or hard breads). Try using canned fruits and steaming your vegetables to
make them soft. You can also use more tender protein sources such as fish, poultry, ground meats,
and eggs. Do not forget, the key is to prevent any stretching at the site of your surgery.


Teach Back
What is the most important thing you learned from this handout?

What changes will you make in your diet/lifestyle, based on what you learned today?

If you are a UW Health patient and have more questions please contact UW Health at one of the
phone numbers listed below. You can also visit our website at www.uwhealth.org/nutrition.

Nutrition clinics for UW Hospital and Clinics (UWHC) and American Family Children’s Hospital
(AFCH) can be reached at: (608) 890-5500

Nutrition clinics for UW Medical Foundation (UWMF) can be reached at: (608) 287-2770

Your health care team may have given you this information as part of your care. If so, please use it and call if you have any
questions. If this information was not given to you as part of your care, please check with your doctor. This is not medical
advice. This is not to be used for diagnosis or treatment of any medical condition. Because each person’s health needs are
different, you should talk with your doctor or others on your health care team when using this information. If you have an
emergency, please call 911. Copyright 2/2015 University of Wisconsin Hospital and Clinics Authority. All rights reserved.
Produced by the Clinical Nutrition Services Department and the Department of Nursing HF#397.