Gastric dumping syndrome primary prevention: Difference between revisions
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===Diet=== | ===Diet=== | ||
'''Dietary Modifications (Level III; Grade B)''' | |||
* Decrease [[carbohydrate]] intake | |||
** Avoid simple [[Sugar|sugars]] like soda, candy sweets, and cookies | |||
* [[Fluid]] restriction | |||
** Wait at least 30 minutes after a meal before drinking | |||
* Increase [[protein]] intake | |||
* Increase [[fat]] intake | |||
* Increase fiber intake | |||
* [[Dairy]] and [[dairy]] product restriction | |||
* Shorter meals | |||
* Eat slowly | |||
* [[Mastication|Chew]] properly | |||
* Lying [[supine]] for 30 minutes after a meal | |||
* [[Glycemic index]] education of foods is important | |||
<br><br> | |||
===='''Dietary Foods''' ==== | |||
The following is a table that illustrates the types of food to take and avoid in the case of [[Gastric dumping syndrome|dumping syndrome]]. | |||
{| class="wikitable" style="margin: 1em auto 1em auto" | |||
!'''Breads, Cereals, Rice and Pasta''' | |||
!'''Foods To Choose''' | |||
!''' Foods to Avoid''' | |||
|- | |||
| | |||
* 6-11 servings each day | |||
* One serving equals: 1 slice bread, 1 cup ready-to-eat cereal | |||
** 1/2 cup cooked cereal, rice, or pasta | |||
| | |||
* Breads, bagels, rolls, unsweetened cereals, pasta, potatoes, rice, crackers, and soup (only if taken one hour after [[solid]] foods at medium temperature). | |||
| | |||
* Sweet rolls and doughnuts | |||
* Sweetened cereals | |||
* Pancakes and waffles with syrup | |||
* Soup (taken with solid foods) | |||
|- | |||
! '''Fruits''' | |||
!'''Foods to Choose''' | |||
!'''Foods To Avoid''' | |||
|- | |||
| | |||
* 2-4 servings each day | |||
* One serving equals: 1 medium size fresh, 1/2 cup canned, 3/4 cup juice | |||
| | |||
* All fresh fruit | |||
* Drained, unsweetened canned fruit | |||
* Unsweetened frozen fruit | |||
* 100 percent pure juice (taken one hour after meals) | |||
| | |||
* Canned fruits in heavy syrup | |||
* Sweetened frozen fruit | |||
* Sweetened juice (that is, punch or sports drinks) | |||
* Candied fruit | |||
|- | |||
!'''Milk and Dairy Products''' | |||
!'''Foods To Choose''' | |||
!'''Foods to Avoid''' | |||
|- | |||
| | |||
* Limit to 2 servings each day | |||
* One serving equals: 1 cup milk or yogurt | |||
| | |||
* Plain or unsweetened yogurt | |||
* Skim, 2 percent, or whole milk (taken one hour after meals) | |||
| | |||
* Milkshakes and chocolate milk | |||
* Sweetened yogurt | |||
|- | |||
!'''Meats, Poultry, Fish, Dry Beans, Peas, Eggs and Cheese''' | |||
!'''Foods to Choose''' | |||
!'''Foods to Avoid''' | |||
|- | |||
| | |||
* 2-3 servings or a total of six ounces daily | |||
** One serving equals: 2-3 ounces cooked meat, chicken, or fish (about the size of a deck of cards) | |||
** or 1/2 to 3/4 cup cottage cheese or tuna fish | |||
** or one egg, 1/2 cup cooked beans, two tablespoons peanut butter, or one ounce of cheese. | |||
* Choose leaner cuts of beef and meat and limit the amount of high-fat items like eggs and cheese. | |||
| | |||
* All meat, fish, poultry, peanut butter, cheese, eggs, and dried beans or legumes | |||
| | |||
* Any not tolerated | |||
|- | |||
!'''Vegetables''' | |||
!'''Foods to Choose''' | |||
!'''Foods to Avoid''' | |||
|- | |||
| | |||
* 3-5 servings each day | |||
* One serving equals: 1 cup raw, 1/2 cup cooked or chopped. | |||
| | |||
* All vegetables | |||
| | |||
* Any not tolerated | |||
|- | |||
!'''Fats, Condiments and Beverages''' | |||
!'''Foods to Choose''' | |||
!'''Foods to Avoid''' | |||
|- | |||
| | |||
| | |||
* All butter, margarine, cream, oil, and salad dressings | |||
* Salt, herbs, spices, and condiments | |||
* Any sugar-free beverage (coffee, tea, diet soda, etc., taken one hour after solids) | |||
| | |||
* Sweet pickles or relish | |||
* Sweetened drinks (regular lemonade, soda) | |||
* Any others not tolerated | |||
|- | |||
!'''Snacks, Sweets, and Desserts''' | |||
!'''Foods to Choose''' | |||
!'''Foods to Avoid''' | |||
|- | |||
| | |||
| | |||
* Sugar-free gelatin | |||
* Sugar-free pudding | |||
* Sugar-free candy | |||
* Sugar substitutes | |||
| | |||
* Sugar | |||
* Candy and chocolate | |||
* Cakes and cookies | |||
* Ice cream and sherbet | |||
* Honey, syrup, and jelly | |||
* Sugar alcohols such as [[sorbitol]], [[xylitol]], and [[mannitol]] | |||
|} | |||
<br> | |||
==References== | ==References== |
Revision as of 05:33, 13 December 2017
Gastric dumping syndrome Microchapters |
Differentiating Gastric dumping syndrome from other Diseases |
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Diagnosis |
Treatment |
Case Studies |
Gastric dumping syndrome primary prevention On the Web |
American Roentgen Ray Society Images of Gastric dumping syndrome primary prevention |
Risk calculators and risk factors for Gastric dumping syndrome primary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Effective measures for the primary prevention of dumping syndrome include preventing or avoiding surgery and preventing risk factor exposure. No vaccines are available for dumping syndrome.
Primary Prevention
Effective measures for the primary prevention of dumping syndrome include avoiding surgery, preventing risk factor exposure and a specific post-surgical diet.
- There are no available vaccines against dumping syndrome.
- Intravenous fluid substitution is not effective in preventing early dumping symptoms.[1][2]
- Continuous enteral feeding may be help in avoiding dumping symptoms after meal ingestion. However this is not suggested because it is invasive.
Diet
Dietary Modifications (Level III; Grade B)
- Decrease carbohydrate intake
- Avoid simple sugars like soda, candy sweets, and cookies
- Fluid restriction
- Wait at least 30 minutes after a meal before drinking
- Increase protein intake
- Increase fat intake
- Increase fiber intake
- Dairy and dairy product restriction
- Shorter meals
- Eat slowly
- Chew properly
- Lying supine for 30 minutes after a meal
- Glycemic index education of foods is important
Dietary Foods
The following is a table that illustrates the types of food to take and avoid in the case of dumping syndrome.
Breads, Cereals, Rice and Pasta | Foods To Choose | Foods to Avoid |
---|---|---|
|
|
|
Fruits | Foods to Choose | Foods To Avoid |
|
|
|
Milk and Dairy Products | Foods To Choose | Foods to Avoid |
|
|
|
Meats, Poultry, Fish, Dry Beans, Peas, Eggs and Cheese | Foods to Choose | Foods to Avoid |
|
|
|
Vegetables | Foods to Choose | Foods to Avoid |
|
|
|
Fats, Condiments and Beverages | Foods to Choose | Foods to Avoid |
|
| |
Snacks, Sweets, and Desserts | Foods to Choose | Foods to Avoid |
|
References
- ↑ JOHNSON LP, SLOOP RD, JESSEPH JE (1962). "Etiologic significance of the early symptomatic phase in the dumping syndrome". Ann. Surg. 156: 173–9. PMC 1466323. PMID 14452070.
- ↑ "www.practicalgastro.com" (PDF).