Esophageal cancer surgery

After esophageal cancer surgery, diet should be banned. Generally, after 3 ~ 4 days, the intestinal peristalsis recovered and the gastric tube was removed. On the fifth day, you can enter a slag-free liquid diet. Mainly water, 50 ml each time, once every 2 hours. On the sixth day, enter a liquid diet, mainly rice juice, once every 3 hours, each time 100 ml. On the seventh day, egg soup and porridge were the main ingredients, 200 ml each time. Every four hours. Generally, a semi-liquid diet is eaten on the first 12 day after operation, mainly light and digestible food. The postoperative diet of patients with esophageal cancer should be gradual, with a small amount of meals to promote the recovery of digestive function.

After esophageal cancer surgery, the normal physiological state of digestive tract changes, the stomach is in the chest, and the vagus nerve is cut off. The digestive function of patients has changed to a certain extent, so the eating habits should be adjusted accordingly: do not cut off the vagus nerve during surgery, and patients often do not feel saturated and hungry after surgery, so eat less and eat more, don't wait until you are hungry, 6-7 times a day as the case may be; Because the nerve is cut off and the posture changes, the emptying function of the patient's stomach may be poor after operation, so take a proper walk after meals to promote digestion and emptying. During the operation, the normal gastroesophageal anti-reflux mechanism is destroyed, and the gastric contents are easy to reflux, which is easy to cause stomatitis and anastomotic bleeding. In severe cases, pneumonia or even suffocation may be caused by inhalation reflux. Therefore, take a walk after meals to avoid staying in bed; Sleep for 2 hours at night, and fast. When sleeping, try to raise the bedside 15 degrees to avoid reflux of stomach contents. The postoperative recovery is smooth, and you can gradually transition to a normal diet in about three weeks. Anastomotic stenosis may occur after operation, but eating solid food will expand the anastomosis to a certain extent, so don't eat semi-liquid food for a long time after operation.

First of all, we should abstain from water after esophageal cancer surgery. When the doctor says that you can drink water, you can drink a small amount of water, but be careful not to burn it to avoid irritating the esophageal mucosa.

Secondly, 3~4 days after operation, after intestinal peristalsis recovered, you can take liquid food according to the doctor's advice, mainly rice soup, egg soup and porridge, usually once every 3~4 hours, and it is appropriate to take 100~200 ml each time according to the situation.

Thirdly, after 10 days, you can take a semi-liquid diet, but you should pay attention to the fact that the food should not be too hot and hard, and the food should be light and easy to digest. It's best to stick to it for a long time and don't rush into ordinary food.

After all, the esophagus after operation is different from the normal esophagus. For postoperative patients with esophageal cancer, the diet should be less and more meals, step by step, which is conducive to the recovery of digestive function.

When choking is serious, eat liquid food or semi-liquid food; Avoid eating cold and liquid food, and don't drink noodles, milk and egg soup. It's been cold for a long time. Because the narrow part of the esophagus stimulates cold food very obviously, it is easy to cause esophageal spasm, nausea and vomiting, pain and numbness. So it is better to eat warm food; Can't eat spicy, spicy, smelly, sober stimulating food, because these foods can also cause esophageal spasm, making patients feel uncomfortable. For patients with esophageal cancer who can't eat at all, we should adopt intravenous high nutrition and input nutrients to maintain the needs of patients.

For patients with early and middle esophageal cancer who have been diagnosed, we should seize the opportunity to increase nutrition in an all-round way, give patients soft food or semi-liquid food containing high protein and vitamins, make full use of their absorption function in gastrointestinal tract, supplement nutrition as much as possible, and make patients have better physical condition so as to receive surgery, chemotherapy and radiotherapy. When the patient has a choking feeling in diet, do not swallow it forcibly, otherwise it will stimulate the bleeding, spread, metastasis and pain of local cancer tissue. The content is provided by China Esophageal Cancer (TCM Esophageal Cancer Treatment Center of Henan Institute of Modern Medicine Hospital).