Leena Watts
Following Laparoscopic Nissen Fundoplication surgery, patients must adjust their diet to prevent a blockage, discomfort, and vomiting. The surgery results in a narrow stomach opening and a slightly reduced stomach size, so it is recommended to eat 'little and often'. Patients may experience difficulty swallowing, abdominal bloating, and pain after eating, so dietary modifications are necessary to minimise these symptoms. Patients should start with small meals of clear liquids three to four times a day, gradually reintroducing soft foods and other textures. A referral to a dietitian may be beneficial for those with specific dietary restrictions or allergies.
| Characteristics | Values |
|---|---|
| Diet type | Soft foods, liquid meals |
| Food texture | Well-cooked, soft, mashed |
| Food examples | Eggs, fish, vegetables, fruit, couscous, pasta, rice, meat |
| Food to avoid | Bread, batter, breadcrumbs, sausages, burgers, tough meat |
| Eating pattern | Little and often, eat slowly |
| Intolerance/allergy | Refer to a dietitian for tailored advice |
| Symptoms | Blockage, discomfort, vomiting, abdominal bloating |
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What You'll Learn
- Patients should eat 'little and often' to prevent vomiting and discomfort
- Soft foods are recommended, such as scrambled eggs and flaked fish
- Well-cooked vegetables are advised, like carrots, cauliflower and broccoli
- Patients should avoid bread, burgers, sausages and tough meats
- Milk intolerance, milk allergies and veganism may require tailored advice
Patients should eat 'little and often' to prevent vomiting and discomfort
Following laparoscopic Nissen fundoplication surgery, patients are advised to eat little and often to prevent vomiting and discomfort. This is because the surgery involves tightly wrapping the top of the stomach, resulting in a narrower stomach opening. This means that patients may feel full easily, and their stomachs may have slightly reduced in size. Eating smaller meals more frequently can help to manage this and prevent a blockage.
In the first few days after surgery, patients should stick to soft foods and liquids, progressing to solid foods as they feel able. Patients should eat and drink slowly, stopping when they feel full. Patients can also drink between meals if they are struggling to eat.
It is recommended that patients gradually reintroduce different types of food, starting with eggs (scrambled or mayonnaise), flaked fish in a sauce, soft or mashed vegetables (such as carrots, swede, cauliflower or broccoli), tinned peaches or mandarins, couscous, well-cooked pasta, and tender, thinly sliced meats. Patients should avoid bread, sausages, burgers, and tough cuts of meat, such as chops, as these can cause discomfort and blockage.
If patients have a milk intolerance, a cow's milk protein allergy, or follow a vegan diet, they may require more tailored advice and should speak to a dietitian.
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Soft foods are recommended, such as scrambled eggs and flaked fish
Following laparoscopic Nissen fundoplication surgery, the top of the patient's stomach is wrapped very tightly, resulting in a narrow stomach opening. This means that patients should be careful to follow dietary advice to prevent a blockage, discomfort, and vomiting. Patients may also feel full more easily due to their reduced stomach size. It is recommended that patients eat 'little and often' and opt for soft foods.
Soft foods are recommended as patients may experience difficulty swallowing following the surgery. Soft foods that patients can eat include scrambled eggs and flaked fish. Patients should avoid eggs that are poached or in an omelette, as these are harder to swallow. Fish should be flaked and mashed in a sauce, avoiding any batter or breadcrumbs.
In addition to eggs and fish, patients can also eat soft-cooked or mashed vegetables. It is recommended to start with well-cooked carrots, swede, cauliflower, or broccoli florets. Patients can also eat fruit, but this should be introduced gradually, starting with tinned peaches or mandarin. Patients should take care with oranges and grapefruit, ensuring the pith and skin are removed.
Savoury starchy foods can also be consumed, but bread should be avoided. Patients should start with couscous, then progress to very well-cooked pasta, and finally rice. Meat can also be consumed but should be introduced in the form of tender, thinly sliced meats. Patients should avoid sausages, burgers, and tough cuts of meat such as chops, as these can cause discomfort and blockage.
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Well-cooked vegetables are advised, like carrots, cauliflower and broccoli
Following Laparoscopic Nissen Fundoplication surgery, patients must gradually reintroduce food. The top of the stomach is wrapped tightly, so the opening into the stomach is narrow. This means that a strict diet must be followed to prevent blockage, discomfort, and vomiting. Well-cooked vegetables are advised, like carrots, cauliflower, and broccoli. These vegetables should be cooked until they reach a soft, "mashable" texture. This is because soft foods are easier to swallow and digest, reducing the risk of discomfort and blockage.
Well-cooked carrots are a good source of nutrition for patients recovering from Laparoscopic Nissen Fundoplication. Carrots are rich in vitamin A and fibre, which can aid digestion and support healing. Similarly, cauliflower is an excellent source of vitamins C and K, as well as fibre and B vitamins. Broccoli is also packed with vitamins C and K, and it contains a good amount of fibre and folic acid. These nutrients are essential for healing and maintaining overall health during recovery.
However, it is important to note that broccoli and cauliflower can cause stomach gas and bloating. Patients should introduce these vegetables gradually and monitor their tolerance. Cooking these vegetables well can help reduce the potential for gas and make them easier to digest.
In addition to well-cooked vegetables, patients are advised to eat "little and often" to accommodate their reduced stomach size. They should also prioritise soft, tender meats, thinly sliced, and well-cooked starchy foods like couscous, pasta, and rice. Patients should avoid raw, fried, coarse, and fibrous foods, as well as carbonated beverages, for at least 3 to 4 weeks post-surgery.
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Patients should avoid bread, burgers, sausages and tough meats
Following laparoscopic Nissen fundoplication surgery, it is important to follow dietary advice to prevent a blockage, discomfort, and vomiting. The surgery results in a very narrow stomach opening, and the stomach may have reduced in size, so patients should eat 'little and often'.
Patients should avoid bread, burgers, sausages, and tough meats. Bread, burgers, and sausages are best avoided because they are often made with batter or breadcrumbs, which are difficult to digest. Tough meats should be avoided as they can cause discomfort and blockage. Patients should opt for tender meats, slicing them very thinly.
In addition to the above, patients should also be cautious of foods that are difficult to swallow or distend the stomach, as these can cause abdominal bloating and pain. Patients should opt for soft foods and eat slowly over an hour until they feel full.
For the first two days after surgery, patients should eat small meals of clear liquids three to four times a day. After this, patients can gradually reintroduce other foods and textures. Eggs are a good option, starting with egg mayonnaise or scrambled eggs before progressing to poached eggs or omelettes. Fish should be flaked and mashed in a sauce, avoiding any batter or breadcrumbs. Vegetables should be soft-cooked or mashed, starting with well-cooked carrots, swede, cauliflower, or broccoli. Fruit should be introduced gradually, starting with tinned peaches or mandarin, and progressing to oranges and grapefruit, ensuring the pith and skin are removed.
Savoury starchy foods can be reintroduced, starting with couscous, and then very well-cooked pasta and rice. It is important to note that milk intolerance, cow's milk protein allergy, or veganism may require tailored advice from a dietitian.
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Milk intolerance, milk allergies and veganism may require tailored advice
Following Laparoscopic Nissen Fundoplication surgery, patients are advised to gradually reintroduce food. As the surgery results in a very narrow stomach opening, dietary advice is necessary to prevent vomiting, discomfort, and blockage. Patients may feel full quickly due to their reduced stomach size, so it is recommended to eat little and often.
Milk intolerance, milk allergies, and tailored advice
If you have a milk intolerance, cow's milk protein allergy, or are vegan, you may need to speak to a dietitian for tailored advice. Milk intolerance and milk allergies differ in that the latter involves the immune system and can cause anaphylaxis, a severe and life-threatening reaction. Milk intolerance, on the other hand, causes digestive problems such as bloating, gas, or diarrhea. Avoiding milk and milk products is the primary treatment for milk allergies, and children often outgrow this allergy.
For those with milk intolerance, it is important to understand the difference between lactose intolerance and milk protein intolerance. Lactose intolerance is the body's inability to digest lactose, a sugar present in milk and other foods, and typically causes bloating, abdominal cramps, and loose bowel motions. Milk protein intolerance, on the other hand, involves an immune system response to milk proteins, causing the production of immunoglobulin E (IgE) antibodies. This can lead to allergic reactions ranging from mild to severe, including wheezing, vomiting, hives, and digestive issues.
Veganism and tailored advice
Veganism is a plant-based lifestyle that has gained popularity for various reasons, including health, ethical, and environmental concerns. A well-planned vegan diet can be incredibly rewarding and provide several health benefits, such as lower blood pressure, improved heart health, and better weight management. However, it is important to consult with a healthcare provider to ensure all nutritional needs are met, as a vegan diet may lack certain essential nutrients like protein, iron, calcium, vitamin B-12, and omega-3 fatty acids.
To thrive on a vegan diet, individuals can incorporate meal prep, include a diverse range of fruits, vegetables, grains, and proteins, and aim for a balance of macronutrients in each meal. Fortified plant milks, cereals, and nutritional yeast can help meet vitamin and mineral requirements. Additionally, B-12, vitamin D, and omega-3 supplements are often recommended.
Veganism also extends beyond diet, and individuals can promote this lifestyle through education, literature, and activism. This includes writing articles, displaying information in public spaces, and engaging in creative forms of activism that align with one's strengths and interests.
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Frequently asked questions
The surgery will leave the top of your stomach wrapped very tightly, so it is important to follow a liquid diet for the first few meals, then a full liquid diet, and eventually a soft diet. You should also eat small meals frequently and chew your food well.
Carbonated drinks should be avoided for the first six to eight weeks after surgery. Dairy products may also cause diarrhea, so it is recommended to substitute them with lactose-free beverages.
The most common side effect is difficulty swallowing.
You can expect to go home 1 to 3 days after the surgery.
