The stomach is a very important digestive organ in the human body. After gastric cancer surgery, patients have partial or complete gastric resection, and the reconstruction of the digestive tract is also different from the past, which will seriously affect the patient's food intake, resulting in weight loss and malnutrition! Malnutrition is very common among patients with gastric cancer after surgery. How to deal with it?

The idea of ??"nurturing" is deeply rooted in the hearts of the people, especially after a "serious illness". However, many understandings of "nurturing" are not in line with modern medical concepts. For example, some people believe that a light diet should be eaten after surgery. , can foods with clear soup and little water satisfy the calories and protein needed by the human body? If the body is not satisfied, it must be in a state of hunger. How can we not lose weight? Can immunity be good?

After surgery, you need high-calorie, high-nutrition foods, but there is no limit to the amount. If there are too many, the body must be able to digest them! Therefore,

Due to the trauma of surgery, many patients have also undergone chemotherapy, and the amount of food intake may be less than before. This requires increasing the proportion of high-calorie and high-protein foods. Simply put, meat , to expand the scope is animal food, meat, eggs, milk!

Healthy people need to consume about 40-75g of meat every day, and cancer patients should double that! People need about 1,500 calories per day at rest, and 1g of fat has 9 calories, which is much higher than the 4 calories of carbohydrates!

Protein is the basic unit of living substances and a basic substance that affects immunity. Healthy people need 1.0-1.2g of protein per kilogram of body weight every day. Cancer patients consume more protein than healthy people, so they need more protein. Which foods are rich in protein? Meat, eggs, milk! The protein content of legumes is also good, but the utilization rate is much lower than that of animal foods.

Therefore, gastric cancer surgery still needs to be "meaty"! You can’t just drink soup, but also eat meat. The nutrients are all in the meat.

Some people have also said that the patient must be able to eat! Yes, it’s useless to say anything else if you can’t eat.

There are many reasons that affect patients’ appetite. Postoperative pain, nausea and vomiting caused by chemotherapy, and other discomforts caused by treatment all require symptomatic treatment to make the patient feel more comfortable, or to change the diet.

There are also some patients who do not want to eat or have no appetite due to psychological reasons. Please provide more comfort, encouragement and requests! Moderate activity may increase appetite if physical condition permits.

After gastric cancer surgery, especially for patients who have undergone total gastrectomy, changes in physiological functions must slowly allow the patient's remaining stomach or small intestine to adapt and replace the function of the stomach! Eat liquid or semi-liquid food first, then eat food that is easier to digest, eat normally, and gradually adapt to small and frequent meals. Don’t rush, otherwise, the more you eat poorly, the more irritable you will be, and the more irritable you will be, the less likely you will be able to eat well!

Even if patients are encouraged to eat more and eat well, there are still many patients who cannot meet their needs through food supply alone. What should we do? Nutritional supplements come in handy. Choose products with an appropriate price range. Most of them don’t taste good, so patients have to work hard! Intravenous nutritional support is generally not required.

The digestive system of patients after gastric cancer surgery is "renewed", and most of them require a "run-in period" of 3-6 months. This is also a period of time when special attention must be paid to the patient's nutritional status!

After total gastrectomy, the jejunum will anastomose with the esophagus. Without the original cardia that prevents reflux, bile and other digestive juices may reflux into the esophagus, causing patients to have heartburn and acid reflux! In order to reduce postoperative discomfort, although doctors have thought of many ways to reconstruct the digestive tract, heartburn and acid reflux are still common. What should we do?

First of all, we need to rule out whether there is any stenosis at the anastomosis? Is bowel movement good? Insufficient food flow will increase heartburn and acid reflux. Medications include acid-suppressing drugs and drugs that promote gastrointestinal motility. Posture changes are also measures to deal with heartburn and acid reflux. It is not advisable to lie down for at least half an hour after a meal. In severe cases, the upper body and head should be raised higher when sleeping in the late stage due to the effect of gravity!

The prognosis will be better if the nutritional status is good, so we should pay attention to it. We should also pay attention to the iron and folic acid status after gastrectomy.

I’m @ Doctor Liu Yongyi , thank you for reading!

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