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Nutrition
What to Eat After Whipple Surgery

You may need to make some changes to your diet to help you feel more comfortable.

· Eat 5-6 small meals a day (small meals are easier to digest).
· Eat slowly and chew your food well
· Drink at least 6-8 cups (1500 -2000 ml) of fluid a day
· Have protein with each meal and snack (You need protein to heal and to prevent infection. Good sources are meat, poultry, fish, eggs, milk products and smooth peanut butter.)
· Do not eat fried or greasy foods
To prevent gas and bloating:

· For the first 4 weeks after surgery, do not eat raw fruits (except bananas), raw vegetables, salads, nuts, seeds, popcorn, or the gassy foods listed here:
· Broccoli, brussels sprouts
· Cabbage, cauliflower
· Corn, green peppers
· Onions, turnips
· Baked beans
· Carbonated beverages
Good fruit and vegetables choices to eat:

· Bananas
· Canned and cooked fruits
· Fruit and vegetable juices
· Cooked carrots, squash, white and sweet potatoes (peeled)
· Well-cooked string beans
Do I need to take pancreatic enzymes?

After your Whipple, your body may make fewer pancreatic enzymes that help digest your food. This may lead to oily diarrhea, stools that float, pain in the abdomen, bloating, gas and weight loss. Talk with your doctor, as you may need to take pancreatic enzymes with your meals.

What if my stomach is slow to empty?

Your stomach may take longer to empty. You may feel bloated, have discomfort or fullness lasting for hours, and nausea with or without vomiting. This should improve within a few weeks of surgery. These diet tips may help you feel better if your stomach is slow to empty:

· Do not eat big meals. Have small meals more often.
· Chew foods well, especially meats.
· Sit up while you eat, and for one hour after.
· Limit high fiber foods. Choose plain white bread, rolls and bagels instead of whole wheat or multigrain. Choose cereals that have no more that 2 grams of fiber per serving. do not eat raw fruits and vegetables, nuts, seeds or popcorn.
· Do not eat high fat, greasy or fried foods
If you have tried all this and still do not feel better, you can try a liquid or pureed diet, as these digest quicker than solid foods. Try liquids high in calories such as milkshakes and nutrition drinks.

What if I am losing weight?

It is important that you eat enough to maintain your weight and to help you heal.

If you are losing weight, try these High Calorie, High Protein Snack ideas:

· Granola bars
· Muffins, biscuits, scones, bagels with cream cheese, jam or peanut butter
· Scrambled, poached, hard cooked eggs
· Cheese and crackers
· Cold sliced meat or poultry (try it in a wrap or sandwich)
· Canned tuna or salmon with mayo in sandwiches or on crackers
· Pudding, yogurt or custards
· Ice cream, sherbet or frozen yogurt
· Smoothies, milkshakes, eggnogs, floats
· Whole milk, soymilk, chocolate milk, hot chocolate
· Boost®, Ensure ®, Nestle Breakfast Anytime® or other nutrition drinks
Let your doctor know if you are still losing weight more than a month after surgery.
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