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Tacoma, WA 98405
Phone: 253-572-7120
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Post-Gastrectomy and Anti-Dumping Diet

Following stomach surgery, the altered anatomy can have serious consequences. Rapid transit of food into the intestine can result in nausea, diarrhea and abdominal cramping pain, known as the "dumping syndrome". This occurs when concentrated sugars reach the jejunum without being first broken down by the action of the stomach. The Post Gastrectomy diet is used to slow the rapid passage of food from the stomach to the intestine, and alleviate the dumping syndrome.

Individual tolerances vary greatly, but the following principles usually apply:

  • Small, frequent feedings. 6 to 8 meals a day.
  • High protein and fat content for tissue growth and to increase calories.
  • A protein food should be served with each meal.
  • Omission of simple sugars.
  • In some cases, milk and other dairy products may be restricted.
  • Fluids to be taken only between meals (30 minutes after a meal).
  • Avoid extremely hot or cold foods beverages.
  • Because this is a highly individualized diet, each patient will progress at his own rate.  
  • Small amounts of the “foods not allowed” may be tried gradually.


â–º Dairy

  • Allowed: Skim milk and 2% milk.  One ounce of cheese may be substituted for one ounce of meat 
  • Not Allowed: Whole Milk, buttermilk, yogurt (may be restricted).


â–º Meats

  • Allowed: All, baked, stewed, fried, broiled or roasted meats. Peanut butter may be used as a substitute meat.


â–º Eggs

  • Allowed: All, Prepared any way.


â–º Vegetables

  • Allowed: All, as tolerated.


â–º Potato or Substitute

  • Allowed: All, White or sweet potato, rice macaroni, spaghetti, noodles,corn, dried beans, peas and lima beans. Mashed potatoes without milk.


â–º Fruits

  • Allowed:  Fesh fruit, or canned,sweetened artificially or un-sweetened fruits and fruit juices. Juices only between meals.
  • Not Allowed: Fruits packed in syrup, candied or dried fruits.


â–º Bread

  • Allowed: All as tolerated except those not allowed.
  • Not Allowed: Breads containing dried fruits.


â–º Cereal

  • Allowed: As tolerated accept those not allowed.
  • Not Allowed:  Sweetened or sugar frosted.


â–º Fat

  • Allowed: All, Margarine, butter, vegetable, shortening, bacon.


â–º Beverages

  • Allowed: Coffee, tea, decaffeinated coffee, artificially sweetened soft drinks. Not to be taken with meals.
  • Not Allowed: Sugared sodas, whole milk, milkshakes.


â–º Miscellaneous

  • Allowed: Condiments if tolerated, dill or sour pickles, artificial sweeteners.
  • Not Allowed: Sweet pickles, relishes.

â–º Soups

  • Allowed: All as tolerated.

â–º Desserts/Sweets

  • Allowed: None, except artificially sweetened products.
  • Not Allowed: Candy, sugar, syrup, jam, marmalade, jelly, ice cream, cake, cookies, etc.


Sample Menu

Breakfast
  • 1/2 banana
  • 1 slice toast
  • 1 egg
  • 2 teaspoons margarine
  • 1 cup 2% milk (drink 1/2 to 1 hour after eating)
Snack
  • 1 oz. cheese
  • 4 crackers
Lunch
  • 2 oz. hamburger
  • 1 small bun
  • 1/2 cup fruit cocktail
  • 1/2 cup vegetable juice (drink 1/2 to 1 hour after eating)

Snack

  • 1 tablespoon peanut butter
  • 3 graham crackers
  • 1/2 cup orange juice (drink 1/2 to 1 hour after eating)
Dinner
  • 1/2 chicken breast
  • 1/2 cup mashed potatoes
  • 1/2 cup green beans
  • 2 teaspoons margarine
  • 1/2 cup applesauce
  • 1 cup 2% milk (drink 1/2 to 1 hour after eating)
Snack
  • 1/2 turkey sandwich
  •  1 cup 2% milk (drink 1/2 to 1 hour after eating)