Diet after gallbladder removal.

• Efficiency:therapeutic effect after 1-3 months
• Dates:from 1. 5 months to a year

General rules

No matter what techniquecholecystectomyUsed: laparoscopy or traditional open cholecystectomy, diet in the postoperative period is the most important component of the treatment and recovery period, and the first days after surgery are especially important.

After the operation, it is strictly prohibited to drink liquid for 4 to 6 hours. Only wetting the patient's lips with water is allowed, and a little later (after 5-6 hours) it is allowed to rinse the mouth with herbal infusions.

After 12 hours and until the morning of the day after surgery, you are allowed to drink still water every 10-20 minutes in small portions (1-2 sips) with a total volume of no more than 500 ml.

On the second day, low-fat kefir, unsweetened tea and gelatin are introduced into the diet (volume up to 1. 5 l/day). Serving – no more than ½ glass. Administration frequency – 1 time/3 hours.

On the third/fourth day, the patient is allowed to eat: semi-liquid mashed potatoes, puree soups in vegetable broth, egg white omelette, grated boiled fish, fruit jelly and 1 teaspoon of low-fat sour cream. Meals up to 8 times a day, in portions of 150-200 g, of liquids you can drink juices (apple, pumpkin) and tea with sugar.

On the fifth day, crackers and dry wheat bread (no more than 100 g) are introduced into the diet.

On days 6-7, puree porridge (buckwheat, oatmeal), boiled minced fish and meat, low-fat puree cottage cheese, vegetable puree and fermented milk products are introduced.

On the eighth day after gallbladder laparoscopy, depending on the severity and prevalence of symptoms of the main, concomitant or complicating disease,Diets No. 5A, 5, 5P(1 or 4 groups). Alternatively, you are assignedDiet number 5SH(described in the "varieties" section).

Basic diet after gallbladder removal.Table No. 5and its variants. In case of a severe inflammatory process, an anti-inflammatory option from table 5 can be prescribed for 3-4 days. Diet 5B. Its peculiarity is the limitation of the amount of food ingested. The calorie content of the diet is 1600-1700 kcal (55-65 g of protein, 40-50 g of fat, 250 g of carbohydrates).

All dishes are served exclusively in puree without broth or the addition of butter: various types of viscous cereal soups, semi-liquid puree porridge with the inclusion of a small amount of skimmed milk, gelatin, puree compotes and vegetable juices. Next, include steamed meat, boiled fish, low-fat cottage cheese, crackers or dry wheat bread in the diet in small quantities.

Meals after gallbladder removal at least 5 times, in divided portions, about 200 g, without salt, with plenty of liquid (about 2. 5 l/day). Then on days 8-10 it is prescribed to the patient.Diet 5Aand thenDiet number 5.

Diet number 5 refers to physiologically complete nutrition and is aimed at normalizing the process of bile secretion and reducing the level ofcholesterolin bloodSmall and frequent meals are recommended (5-6 times a day), which promotes the release of bile. To enhance bile secretion, vegetables are introduced in the form of vinaigrette and salads, seasoned with unrefined vegetable oils.

Almost all easily digestible carbohydrates are very limited in the diet, since their intake contributes to the development of bile stagnation (sweets, jams, sugar, honey) and vegetables containing oxalic acid and essential oils in large quantities (sorrel, spinach, citrus). ).

To stimulate the secretion of bile, the diet includes vegetables, berries and fruits, as well as chicken eggs (no more than one). The calorie content of the diet is 2800-3000 kcal (100 g of proteins, 90 g of fats, 450 g of carbohydrates). Salt consumption at the level of 8-10 g, liquid - 1. 5 liters.

With cholelithiasis, concomitant diseases of adjacent internal organs (duodenum, pancreas, biliary tract) often occur:duodenitis, cholangitis, pancreatitis, dyskinesia.And often in this context aftercholecystectomyit developspostcholecystectomy syndrome (sphincter of Oddi dysfunction), which is accompanied by the constant release of poorly concentrated bile into the lumen of the duodenum with the additional addition of pathogenic microflora and the development of inflammation of its mucosa, which causes pain, digestive disorders and intestinal disorders. These consequences of bladder removal are also corrected with nutrition.

In this case, it is necessary to reduce the process of bile secretion, which is achieved by reducing the amount of fat to 60 g, completely eliminating solid animal fats and vegetable oils from the diet. Raw fruits and vegetables, fatty meats and fish, smoked and spicy foods, onions, radishes, garlic, radishes and strong broths based on meat, fish and mushrooms are completely excluded from the diet. The consumption of extracts, easily digestible carbohydrates, coarse fiber, table salt and liquids is also reduced to 1. 5 liters per day.

For inflammation of the pancreas after cholecystomy, it is prescribed.Table 5P. At the same time, the protein content in the diet is increased to 120 grams and fatty and carbohydrate foods are limited. The total calorie content of the diet is reduced to 2500 Kcal. Avoid spicy, sweet, spicy, acidic and very fatty foods that stimulate the pancreas and foods that contain a lot of fiber, purine bases and extracts.

Varieties

After cholecystectomy withhypermotor dyskinesiabiliary tract or with accompanyingpancreatitis, duodenitisA soft diet is prescribed (No. 5Sh). It is used for 14-21 days until the pain disappears anddyspeptic symptoms. The patient is then transferred toDiet number 5.

General characteristics: calorie content reduced to 2000-2200 Kcal limiting the consumption of fats (vegetable oils and also foods rich incholesterol). The consumption of easily absorbed carbohydrates is also reduced in the diet.

Products containing purines, nitrogenous extracts and coarse fiber are completely excluded from the diet. Easily digestible proteins are not limited. The amount of salt does not exceed six grams. Food is prepared by steaming or boiling.

Drinking regimen: up to 2 liters of liquid per day. Five meals a day, portions not exceeding 200 g with one fasting day per week. Chemical composition: 90 g of proteins, 60 g of fats (excluding vegetables), 300 g of carbohydrates.

If bile stagnation occurs after laparoscopic cholecystectomy due tohypomotor dyskinesiathe patient is prescribed to improve intestinal motor function and stimulate bile secretionLipotropic fat diet (No. 5 L/F). The total calorie content of the diet is about 2600 kcal.

The dietary characteristics of this diet include a high fat content (50% should be vegetable oils), a reduced simple carbohydrate content (up to 300 g) and a slight increase in protein (up to 100 g). The diet includes lipotropic protein products (lean meat, egg whites, fish, cottage cheese), wheat bran, refined vegetable oils and greens.

Butter dough, whole milk, refractory animal fats and spices are completely excluded. The consumption of extractive substances (meat and fish broths) and foods containing cholesterol is very limited. Food is baked or boiled, oils are added exclusively to prepared dishes, there is no need to chop them.

Indications

• diet number 5b- with severe inflammation afterwardscholecystectomy;
• diet number 5a- between day 8 and 10 of treatment;
• diet number 5- in the recovery stage, after5A diet;
• diet number 5SH- after cholecystectomy withhypermotor dyskinesiabiliary tract or with accompanyingpancreatitis, duodenitis;
• diet no. 5L/F— after cholecystectomy in the contexthypomotor dyskinesiaimprove intestinal motor function and stimulate bile secretion;
• diet number 5p- after cholecystectomy withacute pancreatitis.

Authorized products

Products and dishes allowed after surgery include: cereal/vegetable soups, day-old wheat bread, wheat bread crackers, dry crackers, cutlets, fish, lean meat (rabbit, beef, lean young lamb), steamed chicken, boiled in pieces, fermented. baked milk, kefir, whole low-fat milk, yogurt, low-fat cottage cheese and dishes based on it (dumplings, casseroles), soft low-fat cheese, chicken eggs or steamed white omelet (one per day), pasta boiled and cereals (oats and buckwheat), pumpkin caviar, vegetable salads with vegetable oil, greens, vinaigrette, lean ham, doctor sausage, fruit and berry juices, dried fruits, non-acidic fruits and berries, marshmallows, jam, black/green tea, rosehip infusion, still mineral water.

Fats of animal and vegetable origin are added to prepared foods.

Table of permitted products

	Proteins, g	Fats, g	Carbohydrates, g.	Calories, kcal
Vegetables and greens
eggplant	1. 2	0. 1	Four. Five	24
pumpkin caviar	1. 2	7. 0	7. 4	97
cabbage	1. 8	0. 1	4. 7	27
broccoli	3. 0	0, 4	5. 2	28
bulb onions	1. 4	0. 0	10. 4	41
carrot	1. 3	0. 1	6. 9	32
cucumbers	0, 8	0. 1	2. 8	fifteen
salad pepper	1. 3	0. 0	5. 3	27
parsley	3. 7	0, 4	7. 6	47
radish	1. 2	0. 1	3. 4	19
iceberg lettuce	0, 9	0. 1	1. 8	14
Tomatoes	0, 6	0, 2	4. 2	twenty
dill	2. 5	0. 5	6. 3	38
fruit
bananas	fifteen	0, 2	21. 8	95
apples	0, 4	0, 4	9. 8	47
Nuts and dried fruits
walnuts	15. 0	40. 0	200	500
happens	2. 9	0, 6	66. 0	264
dried apricots	5. 2	0. 3	51. 0	215
almond	18. 6	57, 7	16. 2	645
hazelnut	16. 1	66, 9	9. 9	704
prunes	23	0, 7	57, 5	231
Cereals and porridges
buckwheat	Four. Five	23	25. 0	132
oatmeal	3. 2	4. 1	14. 2	102
rice	6. 7	0, 7	78, 9	344
flour and pasta
pasta	10. 4	eleven	69, 7	337
pancakes	6. 1	12. 3	26. 0	233
Bakery products
bran bread	7. 5	1. 3	45. 2	227
whole grain bread	10. 1	23	57. 1	295
Dairy
kefir 1. 5%	3. 3	fifteen	3. 6	41
Riazhenka	2. 8	4. 0	4. 2	67
Cheeses and cottage cheese
cottage cheese 1%	16. 3	1. 0	1. 3	79
meat products
beef	18. 9	19. 4	0. 0	187
rabbit	21. 0	8. 0	0. 0	156
Sausages
boiled diet sausage	12. 1	13. 5	0. 0	170
boiled milk sausage	11. 7	22. 8	0. 0	252
milk sausages	12. 3	25. 3	0. 0	277
Bird
boiled chicken breast	29, 8	1. 8	0. 5	137
boiled chicken thigh	27. 0	5. 6	0. 0	158
boiled turkey fillet	25. 0	1. 0	-	130
Eggs
hard-boiled chicken eggs	12. 9	11. 6	0, 8	160
Fish and seafood
flounder	16. 5	1. 8	0. 0	83
pout	15. 9	0, 9	0. 0	72
cod	17. 7	0, 7	-	78
hake	16. 6	2. 2	0. 0	86
Oils and fats
butter	0. 5	82, 5	0, 8	748
olive oil	0. 0	99. 8	0. 0	898
sunflower oil	0. 0	99, 9	0. 0	899
Non-alcoholic beverages
water	0. 0	0. 0	0. 0	-
Green Tea	0. 0	0. 0	0. 0	-
*data is per 100 g of product

Totally or partially limited products

If the gallbladder is removed, the diet includes the exclusion of soups with meat/mushroom/fish broth, solid animal fats (lard, cooking fats), goose, duck, fatty pork, smoked meats, most sausages, fresh bread, preserves, dough (butter), puff pastry), fried or hard-boiled chicken eggs, salty and fatty fish, fried cakes, canned fish, whole milk with 6% fat, cream, whole cottage cheese, sour cream, salty cheese, various condiments and sauces.

Difficult to digest plant foods are limited: all types of legumes, radishes, mushrooms, sorrel, radishes, garlic, green onions, spinach, canned and pickled vegetables. Excluded are spicy and fatty snacks, ice cream, sweets, chocolate, cocoa, drinks containing alcohol, red fruits and black coffee.

Table of prohibited products

	Proteins, g	Fats, g	Carbohydrates, g.	Calories, kcal
Vegetables and greens
canned vegetables	fifteen	0, 2	5. 5	thirty
peas	6. 0	0. 0	9. 0	60
chickpeas	19. 0	6. 0	61. 0	364
beans	7. 8	0. 5	21, 5	123
spinach	2. 9	0. 3	twenty	22
Sorrel	fifteen	0. 3	2. 9	19
Berries
grape	0, 6	0, 2	16. 8	Sixty-five
Fungus
fungus	3. 5	twenty	2. 5	thirty
Appetizers
chips	5. 5	30. 0	53. 0	520
flour and pasta
vareniki	7. 6	23	18. 7	155
dumplings	11. 9	12. 4	29. 0	275
Bakery products
sliced bread	7. 5	2. 9	50, 9	264
buns	7. 9	9. 4	55, 5	339
Confectionery
Cookie	7. 5	11. 8	74, 9	417
Frozen
frozen	3. 7	6. 9	22. 1	189
Chocolate
chocolate	5. 4	35. 3	56, 5	544
Raw materials and seasonings.
mayonnaise	2. 4	67. 0	3. 9	627
Dairy
milk 4. 5%	3. 1	Four. Five	4. 7	72
cream 35% (fat)	2. 5	35. 0	3. 0	337
Cheeses and cottage cheese
Gouda cheese	25. 0	27. 0	twenty	356
Parmesan	33. 0	28. 0	0. 0	392
meat products
fatty pork	11. 4	49. 3	0. 0	489
lounge	2. 4	89. 0	0. 0	797
bacon	23. 0	45. 0	0. 0	500
Sausages
smoked sausage	9. 9	63. 2	0. 3	608
Bird
duck	16. 5	61. 2	0. 0	346
goose	16. 1	33. 3	0. 0	364
Fish and seafood
salmon	19. 8	6. 3	0. 0	142
salmon	21. 6	6. 0	-	140
trout	19. 2	twenty-one	-	97
Alcoholic beverages
white dessert wine 16%	0. 5	0. 0	16. 0	153
dry red wine	0, 2	0. 0	0. 3	68
vodka	0. 0	0. 0	0. 1	235
beer	0. 3	0. 0	4. 6	42
Non-alcoholic beverages
soda water	0. 0	0. 0	0. 0	-
Salary readjustment	0. 0	0. 0	10. 4	42
*data is per 100 g of product

Diet menu after gallbladder removal (Diet)

Below are some menu options.Table No. 5. It can be modified by looking at the food processing methods and food preparation technology within the list of products allowed for consumption. Meals are 6 times a day, the diet should alternate between protein dishes (beef, turkey, chicken, fish, cottage cheese) and carbohydrate dishes prepared on the basis of various cereals.

Option 1

Breakfast	oatmeal with milk; cottage cheese casserole; sweet tea with lemon
Lunch	low-fat cottage cheese; pretzels; rosehip decoction
Dinner	pearl barley soup with vegetables; meat cutlets; stewed carrots; dried fruit compote
Afternoon snack	fruit mousse
Dinner	2 egg omelet; rice porridge; tea with honey
At night	Riazhenka

option 2

Breakfast	buckwheat porridge with butter; honey carrot cheesecakes; juice
Lunch	baked apples with sugar
Dinner	vegetable soup; chicken casserole with vegetables; plum juice
Afternoon snack	Lazy cottage cheese dumplings
Dinner	boiled hake with vegetables; mashed potatoes; tea
At night	kefir

Option 3

Breakfast	white omelet based on two eggs; 2-3 pcs. cookies; butter; milk tea
Lunch	lazy meatballs
Dinner	Noodle Soup; cabbage rolls with rice and meat; jelly
Afternoon snack	carrot juice
Dinner	hake in sour cream; boiled rice; sauerkraut sour cabbage; apricot juice
At night	acidophilic milk

Dish recipes

Dietary nutrition should be as varied and tasty as possible and include all permitted foods. Recipes for removing the gallbladder can be changed according to your tastes and preferences. The main thing is to follow the cooking technology and use only approved products. Below are some healthy recipes.

First food

Vegetarian oatmeal soup with vegetables

Potatoes, carrots, zucchini, oatmeal or instant cereal, butter/vegetable oil, sea salt.

Prepare broth with finely chopped vegetables. Add oats and cook for another 5 to 10 minutes. Salt, add herbs and butter.

Chicken puree soup with vegetables

Any seasonal vegetables (broccoli, carrots, potatoes, eggplants), chicken fillet, herbs, salt, 10% sour cream.

Boil chicken with vegetables. Grind the meat. Add sour cream to the resulting broth, beat with a blender until puree, add salt, add herbs and pieces of meat. Serve with toasted bread and finely grated cheese.

Second courses

fish cutlets

White fish fillet, whole milk or cream, bread, egg, salt.

Soak the bread in milk. Grind the fish until minced, add the squeezed bread, egg white and salt. Mix the minced meat well. Form cutlets and bake in the oven or boil in a steam bath. You can use mashed potatoes or stewed vegetables as a garnish.

Steamed omelet with meat

Eggs, beef (chicken), milk, butter, salt.

Boil the meat until tender, pass through a meat grinder. Beat the eggs, pour in the milk and mix well, add salt. Mix the ground beef into the whipped mixture. Pre-grease the mold with butter and pour the egg and meat mixture into it. Steam.

Dessert

Casserole (cottage cheese with red fruit sauce)

Cottage cheese, eggs, sugar, semolina, butter.

Beat the cottage cheese in a blender, add semolina, sugar, eggs and nuts. Mix everything. Pre-grease the mold with butter, spread the prepared dough and bake in the oven for 30-40 minutes. For the sauce, beat the berries in a blender and add sugar. Serve with sauce or jam.

Baked apples with nuts.

Sour apples, nuts, honey, butter.

Wash the apples and remove the core. Fill the cavity with chopped nuts, sprinkle with cinnamon, add a little butter and honey. Bake in the oven until done.

Advantages and disadvantages

pros	Disadvantages
It is not economically expensive, the products are available throughout the year. Physiologically balanced. Normalizes the process of bile formation and secretion.	Long compliance periods. Availability of culinary skills and knowledge in the preparation of dietary dishes. Requires free time for individual preparation.

Tips

After removal of the gallbladder, it is necessary to practice reasonable physical activity: morning exercises, walking. In the first six months, intense loads on the abdominal muscles are not allowed. In the first month after laparoscopy. cholecystectomyYou are not allowed to lift more than two kilograms. After 6 months there are no special restrictions for natural physical activity.

Treatment in a sanatorium is recommended no earlier than three months after cholecystectomy.

Many people complain of frequentconstipationafter the operation. If constipation occurs, we recommend including 6 to 8 prunes in the daily diet, which should be soaked in a glass of warm water and left overnight at room temperature, covered with a saucer. In the morning drink all the water and eat prunes (you can do it in two doses).

Comments from nutritionists.

After the first month, as a rule, the patient's diet is expanded and many patients begin to break the diet, which leads them to make a serious mistake. A diet after cholecystectomy is mandatory in the first three months, since during this period the functional activity of the digestive organs changes.

After cholecystectomy, during the absence of food in the small intestine, the possibility of bile deposition disappears. At the same time, due to the lack of ability to concentrate, the properties of bile change, which affects the function of the gastrointestinal tract. It is these characteristics that are taken into account in the dietary program. Therefore, the question of how long to follow this therapeutic diet can be answered: the minimum period is three months.

The consequences of not following a diet after a cholecystectomy can be very serious. Very often the patient developspostcholecystectomy syndromewith all the consequent consequences.

In general, after removal of the gallbladder, diet cannot be neglected. Diet and diet must be changed forever. Of course, over time, many requirements are simplified, but the basic principles must be respected. This will allow you to optimally maintain liver function and bile secretion, normalize the functioning of the entire gastrointestinal tract and prevent the appearance ofconstipation,swelling, bitterness in the mouth, often found after cholecystectomy.

Many women trying to lose weight are interested in the question of whether it is possible to fast if the gallbladder is removed. No, therapeutic fasting is strictly contraindicated for people after a cholecystectomy. They desperately need fractional meals. In the absence of a gallbladder, there is no natural accumulation of bile: it constantly enters the intestinal lumen, and during fasting and the absence of a food substrate in the intestine, bile will damage the intestinal mucosa. Fasting is for healthy people.

Reviews and results

Reviews of the overwhelming number of patients after cholecystectomy confirm the need and beneficial effect of therapeutic nutrition on the state of the gastrointestinal tract. A therapeutic diet allows the patient to recover more quickly and normalize her lifestyle:

• ". . . For a long time I was tormented by cholelithiasis. During an exacerbation I went to the hospital, but then the stones increased in size and the cramps became unbearable. They performed an operation and removed the bladder with stones. They said that diet when removing the gallbladder by laparoscopy is the most important thing in treatment. And it's been almost 3 months. Everything has more or less returned to normal, however, if there is a sudden violation of the diet (overeating, eating fatty foods, drinking a little), various complications begin. Although I understand that nutrition in the absence of a gallbladder must be constantly monitored. ";
• ". . . After I had my gallbladder removed, my diet was very strict. A month later I tried to expand it more or less, but I felt bad. The doctor said it was too early to switch to a communal table. And only after a year I was able to start eating normally.";
• ". . . For more than a year I followed the diet I needed after surgery: I did not eat lard, salads with peas, tomatoes, any dishes with tomato juice, borscht or radishes. It's been 3 years since the surgery, like almost everything. There is no discomfort or pain - life without a gallbladder is quite normal.";
• ". . . At the hospital they prescribed this diet for me. For people who have had their gallbladder removed, this is the solution. So I've been maintaining it for two months now. I think I will gradually expand it later.";
• ". . . The food is healthy and healthy, it is not difficult to sit on it, you can endure it, the main thing for me is that there is no pain.";
• ". . . I cook everything for my husband in a double boiler, I visited the forum and found many useful recipes and tips. Now the food has become varied and I have taught my children to eat like this too. this is great";
• ". . . The doctor warned that therapeutic nutrition after cholecystectomy should last 5-6 months, and then the diet can be slightly expanded. But I couldn't stand it for six months and after 4 months I switched to a normal diet, but without fried foods."

Diet price

Diet food includes the most accessible and economical products. Its acquisition is not very expensive.