High score, how to pay attention to diet after 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.

Example of one-day diet for esophageal cancer:

Breakfast: 300g sweet milk (300g milk, sugar 10g, cocoa powder 10g) and egg soup (50g eggs).

Extra meal: freshly squeezed juice (200g orange juice)?

Lunch: rice porridge (rice 100g), minced meat, tofu and carrots (tofu 100g, minced lean meat 100g, carrot paste 50g), tomato soup (tomato 50g, cucumber 50g, egg 50g).

Extra meal: soybean milk (250 grams of soybean milk)

Dinner: fine noodles (noodles 100g), fried cucumber powder (50g lean meat powder, diced cucumber 100g tomato juice 100g).

Meal: milk (fresh milk 250g, cooking oil 40g).

Dietary principles and requirements of esophageal cancer;

1, the diet treatment of esophageal cancer focuses on prevention. Pay attention to prevent grain from becoming moldy, harvest autumn grain quickly, strengthen storage, eat more fresh vegetables and fruits, and change traditional bad eating habits. It is necessary to treat drinking water with bleaching powder to reduce the nitrite content in water, and often take vitamin C to reduce the formation of nitrosamines in the stomach. In addition, in order to avoid nitrite accumulation when fertilizing vegetables, molybdenum fertilizer can be applied.

Riboflavin should be given to patients with moderate or severe hyperplasia of esophageal epithelial cells to correct vitamin A deficiency, and early examination, early diagnosis and early treatment should be done as much as possible.

2. Esophageal cancer is different from other tumors, not anorexia, but dysphagia, unable to eat, leading to physical consumption. Therefore, we should eat as much food as possible that can enter the esophagus, such as semi-liquid food and total liquid food, pay attention to the quality of semi-liquid food and total liquid food, do not limit calories, be nutritious, and make the food soft and easy to digest and absorb. If necessary, we can make homogeneous meals, essence meals and mixed milk. Homogenated diet is a kind of diet which is made of normal human bones and then stirred into paste by high-speed tissue masher. The nutrients contained in it are similar to those in normal diet, but it is easy to digest and absorb after crushing in vitro, which can avoid long-term single diet and prevent constipation. The heat and nutrition requirements of a homogeneous diet can be formulated according to the illness and personal eating habits. You can choose rice, porridge, noodles, steamed bread, eggs, fish, shrimp, chicken, lean meat, pork liver, Chinese cabbage, carrots, rape, white radish, white gourd, potatoes, and appropriate amounts of milk, soybean milk, tofu, dried beans and other foods. The preparation method is also very simple. Such as chicken, lean meat, fish, shrimp, vegetables and so on. It must be washed first, then boned, peeled and pricked, cut into small pieces, cooked or fried, steamed bread peeled, eggs cooked, shelled and diced, all the food needed for each meal mixed, mashed together with appropriate amount of water (mashed with a medical tissue masher or a food masher), and then mashed into a paste without particles. Or stir-fry vegetables and mix them with cut steamed bread, then mash them with a tissue masher, and then take them orally or tube-feed them to encourage eating more.

You should stop drinking water after the operation. When the doctor tells you that you can drink water, you can drink a small amount of water to prevent anastomotic leakage. Generally, you should eat it after three days, and the semi-flow stage can be a little longer. Don't rush to the general food stage. The esophagus after operation is different from the normal esophagus, so we should pay more attention to food hygiene, avoid eating irritating food and spices, and the food should not be overheated and hard. Eat less and eat more. As long as you pay attention to your diet, you will change your nutritional status.

3. How to distribute the diet of patients with esophageal cancer?

Patients with esophageal cancer can't eat normally because of dysphagia, and their nutrition can't meet the needs of patients, and most of them lose weight greatly, and even show severe malnutrition. Therefore, in order to improve immunity and prolong life, diet and nutrition are very important. It can be deployed according to several situations:

(1). Patients with mild dysphagia can be given semi-liquid food with high protein, high calorie and high vitamins. Such as meatballs, shredded vegetables, Longxu Noodles, small wonton, all kinds of meat porridge, fluffy cakes and other soft and easy-to-swallow foods. In order to supplement vitamin C, tender leafy vegetables, eggplant and melons can be pressed into soft or muddy state. If you have difficulty swallowing, you should adopt a homogeneous diet or viscous liquid food, such as baby rice noodle paste, sesame paste, steamed egg soup, and various porridge. If conditions permit, you can feed homogeneous mixed milk or necessary diet with nasal feeding tube at an early stage to reduce weight loss and prevent malnutrition.

(2) After the hospitalization operation, the average person eats regularly after the operation, and can eat less and eat more oral food to ensure the nutritional intake. However, those who cannot take food orally or have fistula should be injected with nutrition from jejunostomy. The content can be homogeneous mixed milk or essential diet instead of normal diet, which plays a role in nutritional support.

(3) Patients with chemotherapy and radiotherapy have digestive tract symptoms such as nausea, vomiting and loss of appetite, which affect eating. You can use high-protein and low-fat foods instead of greasy fried foods. Cooking is easy and light, and the taste should be delicious. Pay attention to color and fragrance, and add some non-irritating condiments to increase the appetite of patients. Some acidic foods that can help digestion, such as hawthorn cake and red fruit sauce, can be used as food. Anemia should pay attention to the choice of iron-rich foods, such as liver, dates, animal blood and so on.

Chinese medicine dietotherapy for esophageal cancer;

(1) Lycium barbarum black-bone chicken: Lycium barbarum 30g, Black-bone chicken 100g, and proper amount of seasoning. Boil Lycium barbarum black-bone chicken with seasoning, then homogenize or add appropriate amount of starch or rice soup to make a thin paste and cook. Taking it several times a day has the effects of tonifying deficiency, strengthening body, nourishing yin and reducing fever, and tonifying liver and kidney.

(2) Garlic Carassius auratus: 1 live Carassius auratus (about 300g), appropriate amount of garlic.

① Remove intestinal impurities and leave scales on the fish, cut garlic into small pieces, fill in the belly of the fish, seal it with paper and dry it.

(2) dry charcoal fire and grind it into fine powder. 3 grams a day, 3 grams each time, taken with rice soup, has detoxification, detumescence and nourishing effects, and is suitable for early esophageal cancer.

(3) Sword bean pears: one pear 1 piece, 49 sword beans, and 30 grams of brown sugar. Dig the pear, fill it with kidney beans, cover it, and put it in a bowl with the remaining kidney beans. Put in a cage 1 hour, wash the beans and eat. Taking it regularly, eating pears and drinking soup is good for sore throat.

(4) Perilla vinegar powder: Perilla 30g, proper amount of vinegar. Grinding perilla into fine powder, adding 1500ml water, boiling in water, and filtering to obtain juice. Add the same amount of vinegar and boil it dry. Three times a day, each time1.5g, this prescription is easy to swallow, and is suitable for people with dysphagia.

(5) Egg and chrysanthemum soup: egg 1 piece, 5g chrysanthemum, proper amount of lotus root juice and a little aged vinegar. Mix the egg liquid with chrysanthemum, lotus root juice and mature vinegar, and steam and stew in water. 65438+ 0 times a day, this prescription stops bleeding, promotes blood circulation, reduces swelling and relieves pain; Suitable for people with severe cough and obvious vomiting, or you can choose chrysanthemum lotus root juice to stew eggs.

(6) Colla Corii Asini stew: 6 grams of Colla Corii Asini, 0/00 gram of lean pork/kloc, and proper amount of seasoning. First add water to stew pork, add glue to stew after cooking, and add seasoning to eat. Once a day 1 time, it has the functions of enriching blood and promoting blood circulation, nourishing yin and moistening lung, and is suitable for patients with esophageal cancer with long-term bleeding, physical weakness and anemia.

(7) Trichosanthes kirilowii cake: 250g seedless pulp, 0/00g sugar/kloc and 800g flour. Simmer on low heat, mix well and press into stuffing for later use. Flour is made into dough, stuffed and made into flour cakes, which are used for baking or steaming food. Take it regularly, and those who have the functions of clearing heat, relieving cough and relieving cough can choose it.

(8) Rhubarb porridge: water chestnut powder 10g, coix seed 10g, inner cinnamon 10g. Bake water chestnut powder, Coicis Semen, and Cortex Cinnamomi, and grind into powder. Taking rice soup is beneficial to the stomach to stop vomiting, which is suitable for people with aggravated vomiting.

(9) Pepper black jujube powder: white pepper and black jujube are equal. Grinding white pepper and black dates into fine powder. 3 times a day, 2 grams each time, this medicine warms the middle warmer, dispels cold and stops vomiting.

(10) Chestnut shell powder: appropriate amount of chestnut shell endothelium, half bowl of rice soup. Chestnut shells are baked with yellow-red soft skin and ground into powder. Three times a day, 3 grams each time, this medicine is suitable for nausea and vomiting.

(1 1) Raw reed porridge: fresh reed rhizome 30g, Redmi 50g. Boil reed rhizome with 1500ml water, take juice 1000ml, and add rice to the juice to cook porridge. Often eaten, this medicated porridge can clear away heat and promote fluid production.