Post procedure diet - post fundoplication 2
This document is part of the ACI Diet Specifications for Adult Inpatients. It is not to be used for patient education.
Aim
To provide a diet appropriate for patients progressing from Fundoplication 1 diet post fundoplication surgery, to minimise pain, discomfort or obstruction at the surgical site.
Characteristics
Meats are minced or soft in texture. Vegetables are mashed or pureed and fortified. High fat and highly spiced foods are avoided.
Where appropriate, clinicians may consider ordering this diet for patients:
- After the first one to three weeks of Fundoplication 1 diet following fundoplication surgery or hiatus hernia repair (as clinically indicated or as per surgeons recommendations).
Nutritional adequacy
This diet may not be nutritionally adequate and patients will require assessment and monitoring by a dietitian.
Precautions
Patients should progress to a full diet as individually tolerated.
Paediatrics
Suitable for use in paediatrics when combined with an age-appropriate diet.
Specific menu planning guidelines
| Allowed | Not allowed | |
|---|---|---|
| Hot main dishes | All pureed and served with gravy Flaked fish with sauce | Fried foods Highly spiced dishes (e.g. curry) |
| Sauces, gravies | All | - |
| Starchy vegetables / pasta / rice | Mashed potato with added milk powder Plain pasta, rice, noodles, quinoa, couscous and polenta | All others |
| Vegetables | All pureed /minced in texture Added milk and margarine may be used to increase energy density | All others |
| Soups | All | - |
| Sandwiches | None | - |
| Salads, dressings | None | - |
| Breads, cereals | Rolled oats, semolina, wheat biscuits and other plain cereals with milk | Cereals with dried fruit (e.g. muesli) All breads |
| Spreads | Smooth dips and spreads e.g. honey, jam without seeds, hummus, tahini and smooth nut butters | All others |
| Hot breakfast choices | Scrambled or poached eggs, baked beans, canned spaghetti, plain omelette, semolina | All others (including fried bacon |
| Fruit | Cut-up canned fruit Soft bananas, oranges and mandarins | Large pieces fruit (e.g. apple, grapes) Dried fruit and peel Fibrous fruit (e.g. pineapple) |
| Yoghurt | All other yoghurts and yoghurt like puddings, including those with soft fruit | Yoghurt with dried fruit, nuts or muesli |
| Desserts | All others | Any desserts with hard pastry Cakes, unless served with custard |
| Milk and cheese | All milk Soft cheeses (e.g. cottage cheese) | Semi-hard and hard cheeses (unless used as an ingredient) Cheese with dried fruit or nuts |
| Beverages | Fruit juices, water, cordial, tea, coffee | Carbonated drinks |
| Biscuits | All others | Biscuits and crackers with dried fruit, nuts or seeds |
| Miscellaneous | Salt, pepper Sugar, sweetener Chocolate, cream | Nuts, chilli, pepper, seeds |
References
- Mahon LK, Escott-Stump S. Krause’s food and nutrition therapy. 12th ed. St Louis: Saunders Elsevier; 2008.
- Queensland Health (2015). Nutrition after fundoplication surgery. [Accessed 06 June 2023]
- Richter JE. Gastroesophageal reflux disease. Best Pract Res Clin Gastroenterol 2007;21(4):609-31.
- University of Pittsburgh Medical Center. Diet after Nissen fundoplication surgery. 2003.
- Aronson BS, Yeakel S, Ferrer M, Caffrey E, Quaggin C. Care of the laparoscopic Nissen fundoplication patient. Gastroenterol Nurs 2001;24:231-6.