patient education : 16006--Nutrition Guidelines Post-Esophagectomy (Diet)
Nutrition and Diet instructions for after esophagus surgery from Nutrition Services
Handout File:
PE16006_eng_Post Esophagectomy Surgery Diet_February 2024.pdf — PDF document, 139 KB (142933 bytes)-
document content:
Nutrition Guidelines Following Esophagectomy
Why do I need this diet?
This diet is designed to exclude foods and drinks that might impair how you swallow or hurt the throat after surgery. This diet will also help you get enough calories and protein. This will help you heal and return to your normal life as soon as you are able.
Diet Progression
Follow all instructions provided by your surgeon and healthcare team.
You are to have nothing to eat or drink for days after surgery or until .
When directed by your surgeon, you may begin a liquid diet. You may be instructed to start with a clear liquid diet. Clear liquids include juices, broth, and jello (no carbonated drinks).
After clear liquids, you will advance to a full liquid diet. Full liquids are foods and beverages like broths, strained cream soups, milk, milkshakes, pudding, custard, popsicles, sherbet, vegetable and fruit juices, and other drinks that are not carbonated. Follow a full liquid diet for two weeks unless otherwise instructed.
When your surgeon says you can begin solid foods, you may advance to the post-esophagectomy soft diet (see the chart below). This is usually about ~3 weeks post-surgery but that may vary. You will need to follow this soft diet until your post-surgery follow up visit.
Once your body has had time to heal, you can slowly resume a normal, healthy diet. At your first post-operative appointment, your doctor or nurse will let you know if you can start eating different foods. Keep in mind that you may always need to eat small, frequent meals.
Guidelines for a Soft Diet
- Eat 4-5 small meals a day.
- Eat slowly, take small bites, and fully chew all food.
- Sit upright while eating and remain upright for 30-60 minutes after eating. Avoid eating or drinking 2 hours before bedtime or laying down. You will need to keep your head of bed elevated 30 degrees.
- Take one chewable multivitamin with minerals per day.
- Prepare foods so that they are moist, soft, and easy to swallow
- Carbonated drinks, such as soda, beer, and champagne should be avoided (Speak to your surgeon about when /if you may use them again.)
- Nutrition supplements or homemade milkshakes can be used to replace meals or snacks if you are having trouble taking in enough nutrition. Carnation® Instant Breakfast™ mixed with milk, Ensure®, Boost®, or store brand – choose the “plus” kind for the most calories.
Food Group
Include
Avoid
Milk and Milk Products
Milk: all types
Yogurt
Custard
Ice cream
Cottage cheese
Cheese
Ice cream or yogurt with chunks of fruit or nuts
Meat and Meat Substitutes
Soft eggs (eggs finely chopped)
Tofu
Casseroles
Moist Fish (NO bones!)
Meat and poultry (chicken or turkey)
Peanut butter
Fruits
All juices
All canned fruits
Fresh, peeled fruits: bananas, melons (seeded), berries, apples
Fresh fruit with skins: plums, peaches, nectarines, oranges, apricots
Dried fruits
Vegetables
Well-cooked, soft, or pureed vegetables
Raw vegetables
Bread and Starchy Foods
Cooked cereal
Mashed potatoes
Baked potato (without skin)
Soft, moist rice
Noodles
Macaroni
Spaghetti
Dry cereals softened in milk
Bread
Pancakes
Waffles
Dry cereals without milk
Potato chips
Popcorn
Crackers
Fats
Butter
Margarine
Mayonnaise
Salad dressings
Cream: sour, whipping, coffee
Cream cheese
Gravy
Bacon
Nuts
Deep fried, crispy food
Desserts
Sherbet
Gelatin
Puddings
All cake type desserts
Cookies
Pie crust
Dry desserts
Desserts with nuts or skins
Questions? Contact your healthcare team or call the dietitian in the Cancer Center at 434-243-9627.