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

Modified Diet: Diet Plan after Gastrectomy (463)

Modified Diet: Diet Plan after Gastrectomy (463) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Nutrition


Diet Plan after Gastrectomy

This diet is for patients who have had part or all of their stomach removed. A special diet can
help prevent food from passing through the digestive system too quickly.

What is dumping syndrome?

Dumping syndrome is a group of symptoms that occur after stomach surgery. It is caused by
rapid entry of food into the small intestine. Symptoms include nausea, vomiting, cramps,
abdominal pain, diarrhea, and feeling full after eating only a small amount of food. Not everyone
experiences dumping syndrome and even if you do it can improve over time.

How do I prevent dumping syndrome?

ξ Eat small meals throughout the day to avoid eating too much at one time. Have at least 6
small meals each day.

ξ Do not drink liquids with meals. Drink liquids 30-45 minutes before meals and wait for 1
hour after meals. This will help prevent food from moving too quickly through your
digestive system.

ξ Avoid sugars and alcohol. Try sugar-free foods.

ξ Eating foods high in fiber will slow down digestion.

ξ Eating foods with more fat will slow down digestion.

ξ Do not eat very hot or cold foods.
ξ Chew foods well and eat slowly.
ξ Rest after eating to decrease movement of food through your digestive system.
ξ Lactose in dairy products may cause diarrhea and cramping. If so, try lactose free
products or try taking lactase enzymes (Dairy Ease®) with meals.

What Foods Should I Eat?

In general, a diet high in protein and low in sugary foods is best. Everyone reacts differently to
foods and beverages. The chart below lists “Foods to Eat” that tend to be better tolerated, and
“Foods to Avoid” that may cause dumping symptoms in some people.

Food Group Foods to Eat Foods to Avoid
Starches Breads, unsweetened cereals, plain
rolls, rice, pasta, potatoes, pretzels,

Doughnuts, sweet rolls, sugary
Fruits Fresh fruit, unsweetened canned
fruit, light fruit juice

Dried fruits, canned fruits in
syrup, regular juice
Vegetables All vegetables

Dairy Milk, buttermilk, diet pudding,
light yogurt, cheese
(lactose may cause discomfort)

Cocoa, ice cream, chocolate
milk, regular pudding, regular
yogurt, milkshakes
Meat and Meat
Beef, poultry, fish, seafood,
peanut butter, eggs, cheese,
cottage cheese

Fats and Oils Butter, margarine, oil,
salad dressing, mayonnaise, cream

Sweets and Desserts Sugar-free pudding, sugar-free
gelatin, sugar-free popsicles, sugar-
free jelly, sugar-free syrup
Regular popsicles, cakes, pies,
cookies, jellies, jams, syrup,
gelatin, sherbet,
high sugar desserts

Beverages Water, sugar-free drinks, coffee, tea Regular soda, lemonade, Kool-
Aid, Gatorade, sugared drinks

Sample Meal Plan

The chart below gives an example of six small meals throughout the day. It is important to
remember to drink fluids between meals.
Breakfast 1 egg
1 slice toast
2 teaspoons margarine
1/2 banana
1 cup 2% milk (drink 1 hour after eating)
Mid-Morning Snack 1 ounce cheese
4 crackers
Lunch 2 ounces hamburger
1 small bun
1 tablespoon mayonnaise or ketchup
1/2 cup unsweetened fruit cocktail
1/2 cup vegetable juice (drink 1 hour after eating)
Mid-Afternoon Snack 1 tablespoon peanut butter
3 graham crackers
1/2 cup orange juice (drink 1 hour after eating)
Dinner 2 ounces chicken breast
1/2 cup mashed potatoes
1/2 cup green beans
2 teaspoons margarine
1/2 cup unsweetened applesauce
1 cup 2% milk (drink 1 hour after eating)
Bed-time Snack 1 slice bread
1 ounce turkey
1 tablespoon mayonnaise
1 cup 2% milk (drink 1 hour after eating)
* After surgery you may need extra iron, calcium and vitamin B12, please ask your doctor about
supplementing these nutrients.

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#463.