全胃切除术后饮食如何安排 闫志峰 山西省肿瘤医院 скачать в хорошем качестве

全胃切除术后饮食如何安排 闫志峰 山西省肿瘤医院

全胃切除术后饮食如何安排 闫志峰 山西省肿瘤医院 全胃切除术以后手术的早期胃切除两周内饮食采取，循序渐进、少量多餐的原则，供应的食品品种比较少、体积小、次数多、清淡、易消化，可用十二指肠穿刺导管或空肠管早期进行肠内营养支持治疗，如补充特殊的医学用途食品，在手术的后期主要是防止倾倒综合征的发生，膳食中以黏糊固态食物为主，可减慢其进入空肠的速度，干稀分食，饮料必须在进食前后，30分钟内饮用，不宜饮用高渗饮食，饭后半卧或采用平卧位进餐法，餐后半小时卧床休息，每餐应当限制食物中的精致碳水化合物，最好采用单糖、双糖、多糖混合食物，若经调整饮食方案，仍不能保证足够摄入量及维持体重时，推荐经口补充营养或管鼻饲补充。 How to arrange the diet after total gastrectomy After total gastrectomy, early gastrectomy should be done within two weeks, Step by step, with a small amount of food, The supply of food is relatively small, small in size, many times, light and easy to digest, Early enteral nutrition support can be performed by duodenal puncture catheter or jejunal tube, Such as supplement of special medical food, In the later period of operation, it is mainly to prevent the occurrence of dumping syndrome, The diet is mainly composed of sticky solid food, It can slow down the speed of entering jejunum, Dry and thin food, Drinks must be prepared before and after eating, Drink within 30 minutes, It is not suitable to drink hypertonic diet, After meals, half lying or eating in a supine position, Rest in bed for half an hour after meal, Each meal should limit the amount of refined carbohydrates in the food, It is better to use monosaccharide, disaccharide and polysaccharide mixed food, If the diet is adjusted, When it is still unable to ensure adequate intake and maintain weight, It is recommended to take oral nutrition supplement or tube nasal feeding supplement.