Diet therapy after resection of esophageal carcinoma

The esophagus and stomach are the important part of the digestive system of the human body. The patients with esophageal cancer and cardia c


The esophagus and stomach are the important part of the digestive system of the human body. The patients with esophageal cancer and cardia cancer mostly for esophageal and gastric subtotal or partial resection and achieve the purpose of cure, and then use the stomach or intestine as a substitute for transplantation, reconstruction of digestive tract. The whole process of trauma is very large, and it is easy to cause gastrointestinal dysfunction. To this end, esophageal and cardiac cancer patients after how to "eat" is very important, can be roughly divided into four stages.

Feeding stage after 1 to 5 days, the patient just at the trauma of surgery, anastomotic has not healed, gastrointestinal function are also not very good recovery, poor digestive function. It can only take the nasal feeding. It is a very thin and specially designed nutrient tube through the nose to the jejunum to deliver nutrients. Feeding stage can feed milk, vegetable juice, mixed with fruit juice, rice soup, from the first day of the injection volume of 500 ml, 2 ~ 3 times every day after infusion, according to the tolerance of patients increased from 1500 to 2000 ml.. The temperature of the drop is approximately equal to the body temperature. Requirements of nutrition liquid and try to reach the protein, fat and carbohydrate, vitamins, salt and water in proper proportion requirement.

Liquid phase refers to after 5 to 10 days. Here, the patient has had surgery, gastrointestinal function began to gradually recover, manifested as loss of appetite, anal exhaust (commonly known as gas). You can give a small amount of white boiling water (3 ~ 5 tablespoons), gradually increased to 30 ~ 50 ml, such as no obvious discomfort, can give the rice soup, soup, milk, fish and poultry stew soup, each 100 to 200 ml, 5 to 7 meals every day.

The half - flow diet began at second weeks after operation. Here, the patient after the operation of the various types of drainage tube has been removed, intravenous infusion of liquid gradually stopped, in addition to individual elderly or older patients can not get out of bed activities, most of them can walk, food intake gradually increased. But this issue can only be Shaoshiduocan, with no residue digestible food (such as Rice porridge, noodles, mainly egg soup, tofu etc.), especially some preoperative patients avoid eating a lot of food, so as not to cause gastrointestinal complications or anastomotic fistula.

This stage of the normal diet from the beginning of the first four weeks after surgery. Here, most of the patients have been discharged from home to rest by their loved ones to take care of. At this time, you can try to expand the scope of the diet (in addition to fried and sweet), in addition to the discharge of the doctor can not eat food can be eaten, and can guide the patient to do some appropriate physical activity, in order to facilitate digestion and absorption. The period of a few patient may appear abdominal distension, diarrhea, vomiting and other symptoms of acid water, taking domperidone 20 mg (2 tablets), 3 times a day; compound phenylethyl piperidine 2 tablets, 3 times a day. If symptoms are not relieved after treatment, patients can go to hospital for treatment.

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