The first week after removal of the gallbladder food. Diet after laparoscopic gallbladder removal. The need for a diet

How to eat during the rehabilitation period after gallbladder removal

The modern level of development of medicine makes it possible to perform an operation to remove the gallbladder (cholecystectomy) with the least traumatism. Laparoscopy is used to remove the gallbladder. With such an operation, the main period of rehabilitation under the supervision of doctors lasts an average of two weeks. According to medical prescriptions, you can’t eat for a day after surgery. The first meal on the second day usually includes a light vegetable soup and porridge with water. A further diet provides for maximum sparing of the organs and departments involved in the pathological process of the liver, bile ducts, and intestines. The fact is that after the operation, the liver continues to produce bile, but in the absence of the gallbladder, it immediately enters the intestines. This can provoke the development of inflammation of the hepatic duct and intestinal walls, since bile is no longer pre-treated in the gallbladder and has irritating properties. For a similar reason, the process of splitting and assimilation of fats can be disrupted.

On the 5th day after the operation, it is allowed to add grated vegetables and lean ground meat to the patient's diet. The same applies to fish - boiled sea low-fat fish can be gradually introduced into the menu in crushed form. Low-fat cottage cheese is well tolerated.

Thus, in the first days of rehabilitation after cholecystectomy, the dietary menu may include:

• Vegetable soups (preferably mashed soups).
• Well boiled porridge on the water.
• Puree of boiled or cooked vegetables.
• Low-fat boiled meat and fish in grated form.
• Low-fat cottage cheese.
• Kissels from fruits with low sugar content.

Diet after gallbladder removal

In gastroenterology, the therapeutic diet No. 5 according to Pevzner (table 5) is widely used, which has several modifications. All 5 table diets are designed according to the following principles:

• Fractional nutrition (at least 5 meals per day).
• Small portions (the size of a fist or the size of a palm).
• Dishes and drinks should not be consumed excessively cold or hot.
• The amount of simple carbohydrates and fats is strictly limited.
• All fried foods are completely excluded.
• The use of seasonings, spices and spices in cooking is limited, as well as the amount of salt.
• Smoked meats, marinades and pickles are excluded.
• Fatty desserts with cream and chocolate are prohibited.
• The use of coffee, strong tea, cocoa is limited, sweet soda is prohibited.
• Taboo on alcohol and smoking.

Diet number 5 well helps to normalize the general condition of the gastrointestinal tract (GIT), namely, after removal of the gallbladder, as in diseases of the gallbladder and biliary tract, doctors prescribe a diet plan classified as diet number five with an index "a" . Compliance with diet 5a provides the patient with adequate nutrition with a sparing regimen in relation to the digestive organs, on which the additional load is redistributed when the gallbladder is removed (pancreas, liver, duodenum, stomach). It is necessary to strictly observe the dietary diet for 4 months after the operation.

Doctor's advice. After following an intensive 4-month course of diet therapy during the rehabilitation period, it is necessary to adhere to the diet for about 2 more years. This is a necessary condition for the full recovery and restructuring of the body after surgery.

Distinctive features of nutrition 5 tables for the postoperative period are as follows:

• The fat load on the digestive system is reduced by reducing fat intake.
• Food is consumed mainly in a grated form, which reduces the risk of irritation of the sensitive membranes of the digestive organs.
• "Heavy foods" are excluded, the digestion of which requires the active work of enzymatic reactions. These foods include mushrooms, some legumes, fatty meats and fish, and fatty cheeses.
• Dishes containing a lot of extractives are prohibited. These include rich meat and fish broths.
• In cooking, refractory and industrially hydrogenated fats (lard, margarine) are not used.
• Any smoked dishes and canned food are excluded.
• Fatty, spicy and salty sauces (mayonnaise, mustard, horseradish, ketchup, etc.) are prohibited.
• The consumption of raw fruits and vegetables is limited.
• Not recommended for fresh bread.
• A ban is imposed on caffeine and cocoa in large quantities, and, accordingly, dishes containing them (coffee, chocolate, strong tea).
• Cream desserts and sweet pastries are not allowed.
• No alcoholic drinks or sweet sodas.

Important! After cholecystectomy, the amount of fat in the diet is strictly limited. Up to 40 g of butter and 60 g of vegetable oils are allowed per day as part of various dishes.

Sample diet menu number 5 for the week

If necessary, follow a long-term diet. It is important to learn how to properly compose the menu, making it varied and adapted to your own taste preferences.

Expert advice. When the gallbladder is removed, it is useful to consume a glass of low-fat kefir daily before bedtime.

The formation of a dietary menu can cause certain difficulties. To facilitate this task, we offer an approximate weekly diet of 5 tables after removal of the gallbladder:

Table 1. Menu for the week.

Important! Such an exemplary menu can be used one month after cholecystectomy. It is important to make diets varied every day and select foods based on their nutritional value and tolerance in the gastrointestinal tract.

The location of the gallbladder is the lower edge of the liver. It is here that bile accumulates, which appears during the functioning of the body. Certain diseases that affect the gallbladder, such as problems with stones, may require surgery to remove them surgically. This operation is called cholecystectomy. The most gentle option for gallbladder removal surgery is laparoscopy. This type of surgery for stones in the organ is also called laparoscopic cholecystectomy. Such an operation consists in the fact that when the gallbladder is removed, the anterior abdominal wall is not cut, but pierced in several places.

The gallbladder was removed, but the bile has not disappeared anywhere, the liver continues to produce it in the same way as before and in the same volumes necessary for the complete digestion of food. But if earlier bile accumulated in the gallbladder, now, due to the lack of a reservoir created by nature, bile will go directly to the intestines. That is why a diet after gallbladder removal is a must.

Patient behavior after laparoscopy over the gallbladder:

1. Within three weeks it is necessary to refrain from sexual activity;
2. It is necessary to ensure that the stool is soft and regular;
3. For a period of up to six weeks, you should stop playing sports. Heavy physical labor is contraindicated;
4. It is necessary to follow a diet number 5 to fight bile;
5. You can not lift weights: weight limit - 3 kg, violations are not allowed;
6. You should start taking vitamins.

Of course, the doctor is obliged to advise the patient about what should be the diet after the removal of the gallbladder for the first days and how to eat immediately after the operation to remove the gallbladder. But just in case, it is better to prepare in advance and know what is possible and what is not possible in the first hours after laparoscopy. It may be difficult, but it is strictly forbidden to drink any liquid during the first five hours immediately after the operation. During this time, it is better to sleep and gain strength. Then, after five hours, it is allowed to drink one or a couple of sips of clean drinking water without gas. This is how you can take little sips of water at intervals of about 20 minutes.

In this way, you should drink no more than 500 milliliters of water per day. But such a strict drinking regime will not last long. From the next day after the operation to remove the gallbladder, you can drink water as usual again. But only water. What? Without gas! But drinks such as coffee, tea, juices and soft drinks, as well as alcoholic drinks are not allowed. In a word, it is better to refrain from any liquid except pure drinking non-carbonated water.

After the laparoscopic surgery has taken place, you can not immediately eat. At least half a day, that is, approximately 12 hours, you need to starve and only drink liquid. After this time, if desired, you can start eating, but only liquid diet food: light soup puree, liquid jelly, fat-free kefir. Next, diet 5 is used after gallbladder removal.

When 3 days have passed since the operation to remove the gallbladder, you can start adding other types of food to your diet. Just remember that the diet after gallbladder surgery is very important. Gradually start eating cereals boiled in water and rubbed through a sieve to an airy consistency. You can also boil vegetables, and then mash them with a fork or blender. You can treat yourself to low-fat yogurt, cottage cheese is also allowed, but it must be with zero fat. A permitted delicacy is baked apples, the flesh of which must be peeled and ground.

With the onset of the fifth day after surgery with laparoscopic removal of the gallbladder, you can add a steamed protein omelette to your diet. If earlier it was possible to eat only soups boiled in water, now it is allowed to use low-fat meat broth when preparing soup. You can eat some crackers with it as a snack. After a week, the diet continues after the gallbladder removal operation, and for lunch you can add boiled fish or meat, not necessarily fatty and not heavy - for example, chicken fillet. It must be eaten boiled and ground in a blender. In addition to baked apples, you can make yourself a banana dessert by grinding them into a puree. When preparing cereals, you can already add milk.

How long should the diet be followed after gallbladder removal?

At first glance, it may seem that this period lasts long enough: you need to follow a diet for a month and a half. A strict diet should be followed during the first week after surgery, then certain principles should be followed in your daily diet. The main principle is that all food should be steamed or boiled. You need to eat in small portions 5-6 times a day. The diet after removal of the gallbladder, the menu of which should be as useful as possible, excludes absolutely everything smoked from the diet, foods that are cooked with marinades, spicy foods and canned food. An important point: alcohol is strictly prohibited for use by those who underwent laparoscopy of the gallbladder, after which the stone disappeared from the body.

A month and a half after laparoscopic removal of the gallbladder, you can diversify your diet. You can start introducing new products with chicken yolk.

But it should be eaten no more than once a week. You can also afford a little boiled sausage, sweeten dishes with honey, sometimes eat non-spicy cheese, eat sour cream - preferably not too fatty, and also enjoy fresh fruits and berries. It is recommended to exclude sugar, and, if necessary, add a sweetener instead of it to food and drinks. Such a diet, which must be followed after laparoscopy, is called "table no5" or "hepatic".

How long should this diet be followed?

Approximately three months. Next, you need to consult with a gastroenterologist, who will tell you, based on the patient's condition, how it will be possible to expand and diversify his diet. But be that as it may, smoked, spicy, canned foods, as well as pickled vegetables and fruits, must be absolutely excluded from the diet.

What can improve the condition of the body after cholecystectomy on the gallbladder, due to which all the stones disappeared?

The most important and priority is to eat foods rich in plant fiber - namely, raw vegetables and fruits, as well as healthy cold-pressed vegetable oils. As for alcohol, it must be completely excluded.

1. Restore the body after laparoscopy will help fractional nutrition. This means that meals should be small but frequent. If you are used to eating three times a day, then with fractional nutrition, you should double the number of meals, that is, divide the daily diet into five to six servings. The most correct approach is to eat a little, but every 2 hours.

2. If you have undergone surgery to remove gallstones, you need to strictly adhere to the regimen and eat right. Not only what you eat is important, but also when you eat. It is especially important not to eat before bed. Last time Eat at least two hours before you go to bed.

3. Before going to bed, you need to eat only light food that can be quickly digested and will not cause heaviness in the stomach.

4. In order for food to be not only satisfying, but also healthy, you should definitely include dishes in your diet that contain the maximum amount of vitamins and minerals.

5. All those who have undergone laparoscopy should completely stop drinking alcohol and smoking. This could lead to the appearance of a stone in the gallbladder.

The fact is that the removal of the gallbladder leads to an increase in the degree of functioning of the hepatic ducts and liver cells. Toxic substances that enter the body when drinking alcohol and nicotine a have a detrimental effect on the liver, since it is very difficult for this organ to process them. If you do not stop drinking alcoholic beverages and smoking, then health can suffer greatly from this.

6. To help your body when removing the gallbladder, you should drink herbal decoctions daily for several months, which are known for their choleretic properties.

8. You should eat only dishes that have been steamed or boiled. baking in the oven is also allowed. But fried foods should be abandoned in favor of dietary dishes.

9. So that food can be quickly digested and not burden the liver, as well as other organs of the gastrointestinal tract, it must be consumed in the most crushed state and the diet should be dietary.

10. You can include cereals in the diet, but to make it easier for the body to digest them, it is recommended to choose mucus-forming, rather than crumbly ones.

11. After the period of the strict diet, which should be followed after gallbladder surgery, you can gradually add new foods and dishes to the diet. But this should be done gradually and adhering to certain rules. Each new product should be tried in small portions.

Does the diet after gallbladder removal include fruit?

Yes. But they also need to be eaten once and for some time to observe what the reaction of the body will be. At the same time, new products should not be mixed. Thus, it will be possible to calculate that if, after eating some food, unpleasant or painful sensations, a feeling of discomfort began to appear, it became nauseated or the stool was disturbed, then it would immediately be clear that this product should be immediately excluded from your menu.

12. Fresh fruits are allowed, but they must be peeled off, especially when it comes to apples and peaches.

Diet after laparoscopy by day

1. First day. With normal health after an operation to remove the gallbladder, a person can take a sitting position and drink clean water without gas after 10 hours.

2. Second day. The patient can already begin to move independently. From food, it is allowed to eat a little fat-free diet yogurt.

3. Third day. It is allowed to drink a cup of tea, as long as it is not strong. We do not add sugar. Also on the third day, you can afford a glass of low-fat kefir and liquid jelly.

4. Fourth day. You can gradually start eating other foods, but you should carefully monitor your postoperative condition. With normal health, you can diversify the menu with rosehip broth, liquid mashed potatoes on water, drink natural freshly squeezed juice or unsweetened fruit or black tea.

5. Fifth day. At lunchtime, you can eat vegetable soup, preferably pureed, and you can also add a little boiled fish to the menu.

6. Sixth day. You can add applesauce dessert made from baked apples without peel to the diet. You can also puree fresh bananas.

7. Seventh day. The menu can be replenished with chicken meat, which should be boiled and chopped before use. It is also allowed to eat some cottage cheese. For breakfast, you can eat oatmeal with a slice of stale bread.

8. Eighth day. From this day on, the dietary menu can be diversified and add familiar dishes to it - steamed cutlets and meatballs, sandwiches with chicken meat and egg white, a variety of mashed potatoes, sour-milk products, chicken broth soup, pasta and rice.

What foods are prohibited after laparoscopy

Since it becomes more difficult for the liver to process fats in the absence of a gallbladder, it is necessary to abandon certain foods that can harm the state of the body.

What foods should be avoided after gallbladder removal? These are lard, fatty meat and fish. Fatty sour cream and especially cream should be excluded from dairy products. The diet should not contain mushrooms and raw vegetables. It is also necessary to give up fresh soft bread and rich pastries, chocolate and coffee, alcoholic beverages. It is not allowed to eat canned food and smoked products. The same goes for spicy and fried foods.

In addition to those listed, the following products are under absolute prohibition:

1. Fatty meat - lard, pork, lamb, goose, duck;
2. Meat broth;
3. Ice cream and cold drinks, as well as any cold food (from the refrigerator), as spasms can begin due to the ingestion of cold food;
4. Sorrel, spinach, onion, garlic;
5. Pastries and cakes.

What foods can you eat after laparoscopy

What is the diet after gallbladder removal? From meat products, those who have undergone an operation to remove the gallbladder can only eat dietary ones - this is chicken meat (preferably fillet or breast), as well as rabbit meat. In the diet, you can include fish, but low-fat varieties - pike, pike perch. Porridge should be mucus-forming and liquid. We cook soups in water with the addition of vegetables. Milk and dairy products should be low-fat or with a minimum fat content. From berries and fruits, it is better to choose non-acidic varieties. It is useful to eat liquid jelly and drink decoctions of choleretic herbs and compotes. It is allowed to add honey to food.

An important condition for the speedy recovery of the body after surgery is to do everything so as not to cause irritation of the digestive tract. To do this, you must mainly eat protein food, which tends to dilute bile. In the event that the recovery after the operation is proceeding properly and the patient feels normal, does not experience pain and any unpleasant discomfort, then it is already possible to diversify your diet. However, this does not apply to prohibited products, they must be excluded forever. As for soups, they should be vegetable or lean broth. Onions and carrots for soup do not need to be fried. To make the taste more intense, at the end of cooking, you can add a teaspoon of melted butter or olive oil to the first dish.

You can eat tender lean meat. You should always do without frying, so you will need to get used to eating boiled or steamed food. Carrots, zucchini, pumpkins, cauliflower, beets and squash will help diversify the menu. Greens will help improve the taste of dishes. Since in the evening the food should be as light as possible, then for dinner you can cook boiled or stewed fish - for example, cod or catfish. When cooking, you can add a little oil. As a side dish, you can boil potatoes, it is better if it is young or at least freshly boiled potatoes.

Alternatively, you can cook the dish "Jellied fish". But instead of concentrated broth, you should make a vegetable broth, which will harden thanks to gelatin. As an easily digestible protein, squid, mussels and shrimp are good, which need to be boiled. For dinner, you can also eat fat-free or low-calorie cottage cheese, it is better to make casseroles from it. Thanks to the use of protein foods, bile liquefies, which will contribute to good health during the recovery period after surgery. As a dessert, you should lean on baked apples, and you can also afford to feast on marmalade and apple marshmallow.

Over time, you can add fresh vegetables and fruits to the diet, but you should choose non-acidic options, for example, soft berries - strawberries and raspberries. Watermelons are very useful, but as for the melon, you should not eat it, because it is a difficult product to digest, which at first will be too difficult for the digestive system to process. The diet after removal of the gallbladder after 3 months is based on the same principle.

Simple recipes: diet after removal of gallstones

vegetable soufflé

It is necessary to grate carrots or beets on a fine grater, stew them with a small amount of beaten egg white and bake in the oven for a third of an hour.

Vegetable soup with milk

Milk should be diluted in half with water, after boiling, add carrots, chopped rice, chopped onions, potatoes and some greens. Then cook until cooked until it becomes thick. Add a pinch of salt and a quarter teaspoon of melted butter.

Veal in whey

Soak fresh veal meat in whey and leave overnight. The next day, cut into pieces and cook in the oven or in a dry frying pan, without the use of oil, over low heat, so as not to burn and take on a brown crust.

Breaded cabbage

Cauliflower or white cabbage should be stewed without oil or baked in the microwave. After that, sprinkle with crushed white breadcrumbs and add butter to the plate. Crackers will absorb it, and the taste of the resulting dish will not be distinguished from cabbage cooked by frying with breading.

Soup puree

To prepare mashed soup, you need to take cauliflower and peel it, and then divide it into inflorescences and throw them into boiling water. By the way, before this, the cabbage should be soaked in salted water for about an hour. Cook the cabbage over high heat for about five minutes, and then turn the heat down and cook for another ten minutes.

After cooking, we take the cabbage out of the water and grind it - it can be done in a blender to get a homogeneous consistency, and then put it back into the pot with the broth.

Here we now add a tablespoon of dried, sifted and diluted wheat flour with water. The resulting mixture should be cooked for a few more minutes over low heat. At the end, add butter and a little chopped dill to the soup puree.

Meatballs for a couple

To cook steam meatballs, you need to take a turkey or chicken fillet - about 300 grams, one carrot, onion, zucchini and some greens. All ingredients must be thoroughly chopped with a blender or meat grinder and mixed, salt to taste. Then we make meatballs out of them and steam them in a double boiler or slow cooker for 25 minutes.

Laparoscopy - removal of the gallbladder entails a serious adjustment in the diet. The patient is required to follow a special diet for laparoscopy by months. We tried to describe in detail the diet for each month after the operation.

One of the methods of treatment of acute and chronic cholecystitis is laparoscopy. This is a modern surgical operation, the essence of which is a puncture in the abdominal wall to remove the gallbladder. This procedure is practically painless and less traumatic. After the operation, the patient stays in the hospital for up to 2 days. Minimally invasive intervention is performed in about 95 percent of cases. But if there are complications that have arisen with cholecystitis, then open surgery is necessary.

Anyway The postoperative period is associated with a number of inconveniences for the patient. Including with the observance of a certain diet for a long time.

Why is a diet necessary?

Removing the gallbladder does not stop the production of bile in the body. The liver continues to function, bile is excreted in the same volume as before. And the risk of its accumulation in the ducts increases, which can harm the intestines. To prevent this situation, it is important to follow a strict diet. Fractional nutrition is of great importance - this will allow bile to exit on time, protecting the intestines from impressive stuffing, and also preventing the formation of stones in the ducts.

It is on the ducts that after some time the function of the absent gallbladder will fall. This becomes possible when dieting for a long time. Before returning to the usual diet from the moment of the operation, it takes an average of about a year.

Recovery period and its features

If your health is dear to you, and you do not want even more serious problems with the digestive tract, you will have to put up with a new lifestyle. First of all, you will need to adjust the proportions of nutrients that enter the body with food.

For a day, the diet is built as follows:

• Squirrels– their share is 25 percent. They are necessary in order to normalize the functioning of the liver and activate the process of renewal of its cells. This means that poultry, dairy products and fish must be present in the diet.
• Fats– the share of these substances is 25 percent. Their consumption must be reduced for the reason that stones in the gallbladder ducts are formed from cholesterol. But it is important to refuse exactly cholesterol-containing products, and leave those that contain unsaturated fats. We are talking about vegetable oils. They help reduce the risk of stone formation and accelerate bile liquefaction.
• Carbohydrates the remaining 50 percent. You need to choose them as carefully as possible. For example, cereals and pastries can provoke acidification of bile. This leads to the formation of stones. And "light" carbohydrates give impetus to the violation of metabolic processes in the body and can contribute to weight gain. With the help of a nutritionist, you can find the optimal balance between one and the other group of carbohydrates.

Besides, patients after such an operation are always prescribed vitamins of groups K and B, ascorbic acid. This is necessary to maintain the normal functioning of the liver.

Consider what eating habits should be introduced at each stage of the recovery period after laparoscopy.

First days after open surgery

The first 12 hours after you left the operating room, it is forbidden to consume not only food, but also water. The patient needs supervision of the hospital staff. You can fight thirst by rubbing your lips with a damp sponge. After 12 hours have elapsed, a small portion of jelly or soup is allowed.

While still in the hospital, you should already begin to develop the habit of eating fractionally - that is, once every 2 hours and symbolic portions. It is very important to drink enough water - at least 1.5 liters.

After 24 hours from the moment of the operation, one of the following is allowed:

• A decoction of pearl barley.
• Fruit jelly.
• Weak meat broth.

From the 3rd to the 5th day, you can slightly expand the diet:

• Mucous soups on vegetable broth.
• Mashed potatoes.
• Steamed omelets.
• Juices (unsweetened and non-acidic).
• Tea (slightly sweetened).

On the 7th day, you can start adding the following little by little:

• Dairy products.
• Boiled fish.
• Diet meat.
• Low fat cottage cheese.
• Dried bread (no more than 100 gr.).
• Natural juices, slightly sweet tea, still water.

A week after the operation, if there are no complications or problems, the patient switches to diet No. 5.

If we are talking about laparoscopy, which is not as traumatic as an open operation, then you can eat already in the first 12 hours. Soup and jelly are allowed. And the transition to diet number 5 is recommended already on the third day.

First week after release

Fractional nutrition is the key to success in getting the body out of a stressful state. And you need to eat every day at the same hours.

• Vegetable and milk soups.
• Chicken meat.
• Fish with vegetables.
• Lean meats (for example, meatballs, meatballs, meatballs).
• Pasta (but only from flour of TV varieties).
• Porridge made from whole grains.
• Steam omelette from proteins.
• Adyghe cheese.
• Pastila and marshmallows.
• Rosehip broth, mineral water, unsweetened tea.

Menu of the first week after discharge from the hospital

This menu will make adhere to the first week after discharge from the hospital.

The consistency of the food and the serving temperature are important. Food should not be cold or hot.

After a month

This rehabilitation period allows you to expand the diet even more. But it is important to follow the rules and recommendations. As part of diet number 5 not allowed use:

• fatty meat. Under the ban duck, beef, pork, lamb with high fat content, lard.
• fried food. Food, passing through such a process, must be processed with highly concentrated bile. But after laparoscopy it is absolutely impossible.
• Rich fatty broths and soups should be completely eliminated.
• spicy sauces and seasonings can provoke the production of bile beyond measure.
• Dishes with margarine and butter are prohibited.
• Alcohol: dry wines and champagne.
• Some vegetables: garlic, onion, sorrel, spinach.
• cold foods it is necessary to exclude - no ice cream, chilled drinks. This can lead to spasms in the bile ducts.
• Completely excluded carbonated drinks, including water.
• acidic foods, including dry wine, are strictly prohibited. This category also includes sour varieties of fruits, marinades, vinegar.

Menu between the first week and the first month

This menu must be followed after the end of the first week after discharge from the hospital and until the expiration of 30 days. The diet becomes more varied, however, the frequency and frequency of meals does not change.

After 2 months

During this period, it is recommended to focus on protein foods and choose foods that do not irritate the digestive system. Provided that after 2 months from the moment of the operation nothing bothers you, and there are no complications, you can add to the menu:

• Chicken soup without fried.
• Vegetables: pumpkin, carrots, squash, cauliflower, beets, zucchini (stewing is recommended).
• Boiled or stewed fish. A good option is jellied fish.
• Seafood is an excellent solution if you need protein foods (shrimp, mussels, squid).
• Cottage cheese, but only with low fat content.
• Desserts (marmalade, baked apples).

Menu 2 months after surgery

After 3 months, getting used to a new way of life occurs. The list of products is expanding as part of diet number 5. By this time, the state of health improves significantly (subject to compliance with all the rules and recommendations).

A complete transition to the right diet without pressure and mental anguish occurs within about a year. Eating habits during this time are firmly fixed. You must understand that a relapse after a laparoscopy is not at all the same as a relapse with a regular diet. In this case, non-compliance with nutritional recommendations is fraught with serious consequences, up to exacerbation of health problems and ending up in the hospital.

Menu option throughout the year

Please note that the menu options shown are optional. You can, at your discretion, adjust the diet within the framework of the above principles and rules. Be healthy!

The diet after removal of the gallbladder is important for the rehabilitation of the patient, since the surgical operation creates a certain disorder in the functions of the body.

The value of dieting

A sparing list of products becomes the main rule for maintaining the health of a person who has undergone a cholecystectomy, as a result of which the gallbladder is removed. This organ is similar to an elastic bag that accumulates, as in a reservoir, a supply of bile coming from a nearby liver for further processing of food. Participating in the processes of digestion, bile is excreted not only into the bladder, but also into the duodenum.

Stone formation

Bile contains complex substances, including a high percentage of cholesterol. With a long-term retention of bile in the bladder, cholesterol precipitates and accumulates, gradually turning into small pebbles (sand). This is due to a hereditary failure in metabolism, unsystematic nutrition, and small physical exertion.

Stones can grow for several years. Under their weight, the bladder stretches, increasing the risk of injury to the organ and infection.

In addition, stones, not being able to exit the organ, create bedsores of the walls. The body often reacts to a violation of the work of the bile reservoir with pain attacks. Such cases are an indication for cholecystectomy.

Features of the passage of bile after surgery

After cholecystectomy, the structure of bile changes due to a decrease in the amount of enzymes responsible for the processing of fats. The constant unloading of the ducts can only be helped by frequent moderate consumption of food. When the diet after gallbladder surgery is ignored, the ducts become clogged with stone deposits.

The basis of nutrition is to reduce the consumption of fatty foods, which can create a dangerous burden on the body, as well as the regular release of the ducts to prevent the appearance of stones.

First days

During the day

The operated patient must strictly follow the doctor's instructions in the first days: the diet after removal of the gallbladder initially consists only of mineral non-carbonated water or rosehip broth throughout the day.

Before this, no drinking is allowed for the first four hours, at this time it is allowed to wipe the lips with a swab moistened with water, and rinse with herbal decoctions or infusions. The ban on food is associated with the creation of favorable conditions for the adaptation of the body, which needs to restore the formation of bile and metabolism.

After 36 hours

When a day and a half has passed after the operation, it is allowed to drink weak tea without sugar, kefir. Daily drinking is no more than 1.5 liters.

On the third day

You can eat pureed soups with low-fat sour cream, mashed potatoes and other vegetables, fish casserole, scrambled eggs without yolks, fruit mousse, apple-pumpkin juice. For 24 hours you need to eat 8 times in small portions.

On the fifth day

Slightly dried bread, dry biscuits, crackers are added to the diet. In total, flour food is no more than 100 g per day.

On the sixth day

Now nutrition, in addition to the above, includes:

• pureed cereals with a small amount of milk (wheat, buckwheat, oatmeal);
• very finely chopped boiled meat;
• vegetable puree;
• low-fat cottage cheese.

If you follow a healthy diet after removal of the gallbladder, the first days will be used by the body for successful recovery.

From 8 to 45 days

Having withstood the diet therapy of the first days, the patient is confidently on the mend, remembering that the food should be low-fat, and its doses should be fractional, in small portions. For subsequent maintenance of the body, the patient consistently observes the necessary nutrition after the removal of the gallbladder for the first month or one and a half.

The diet expands over time with additional products and in general looks like this:

• herring soaked in milk;
• boiled fish and meat;
• stewed zucchini, carrots;
• soups and mashed potatoes, other vegetables;
• liquid milk porridge;
• steam curd pudding;
• meatballs;
• steamed beaten egg whites;
• fruit jelly, juices.

When a month and a half has passed

The body has mastered the strict consumption of products, then the doctor prescribes a diet 5 after the removal of the gallbladder, in which 5 meals a day are observed. The menu excludes fried, spicy, sweet, with a very specific smell and non-standard combinations of ingredients. Beans, beans, lentils, peas, nuts, dried fruits are also prohibited.

Food should be served warm. Under the ban are: ice cream, soda, drinks with any alcohol content.

• liquid soups;
• side dishes (mashed boiled cereals; stewed, steamed vegetables);
• cottage cheese, sauerkraut, fruits, berries;
• low-fat meat dishes (meatballs, meatballs, baked minced meat, cabbage rolls, steam cutlets);
• fish stew, boiled;
• dairy products, scrambled eggs;
• white not very soft bread;
• boiled eggs (eat carefully, as they are not suitable for everyone);
• drinks (tea, herbal infusions, compotes, juices, fruit drinks, milk), honey can be added if desired;
• watermelons, melons, pumpkin.

The doctor can adjust the addition or exclusion of certain products, which depends on the characteristics of the patient and his condition, but the general rule, as before, is the same for everyone: fractional nutrition, food should be non-fried, non-greasy, warm, non-rough, with a “calm” taste sensation .

Monday

1st meal. Millet milk porridge, cottage cheese, coffee.

2nd reception. Cut it out, compote.

3rd. Pureed rice cereal soup, cutlet, boiled vermicelli, tea.

4. Pureed fruit salad, cheese, bread.

5. Pumpkin curd pudding, meatballs, mashed potatoes, liquid jelly.

Tuesday

1. Omelet without yolks from two eggs, buckwheat porridge, coffee.

2. Cottage cheese, berry juice.

3. Vegetable soup, meat, mashed rice, rosehip broth.

4. Carrot-beetroot salad, apple compote.

5. Boiled fish, pumpkin puree, tea.

Wednesday

1. Oatmeal, cheese, coffee.

2. Baked apple, cheese, crackers, liquid milk jelly.

3. Rice soup, meatballs, squash puree, dried apricot juice.

4. Dry cookies, compote.

5. Herring soaked in milk; stewed cauliflower, tea.

Thursday

1. Cottage cheese casserole, meatballs, coffee.

2. Baked pear, low-fat cottage cheese, fruit drink.

3. Milk soup, boiled vegetables, apple compote.

4. Crackers, cheese, juice.

5. Cod, boiled carrots, tea with milk.

Friday

1. Millet porridge, unsweetened curd dessert with fruit, coffee.

2. Drinking yogurt, tomato, lingonberry compote.

3. Rice soup, meatballs, stewed broccoli, blueberry jelly.

4. Marmalade, crackers, jelly.

5. Flounder cutlet, apple-pumpkin casserole, tea.

Saturday

1. Corn milk porridge, cheese, coffee.

2. Bran, cucumber, tea.

3. Vegetable soup with egg, boiled meat, beetroot salad, apple compote.

4. Cheesecakes filled with sour cream, fruit drink.

5. Fish, mashed potatoes, jelly.

Sunday

1. Cottage cheese, rice porridge, coffee.

2. Tangerines, yogurt, cheese, compote.

3. Vegetable soup, cutlet, pasta, lingonberry compote.

4. Rice pudding, crackers, fruit drink.

5. Cabbage and zucchini stew, apple, jelly.

The diet for a week after the removal of the gallbladder is quite varied, but it can replace one product with another in consultation with the doctor.

As emphasized above, products that are dangerous to a person after undergoing cholecystectomy should be excluded.

In more detail, first of all they include: lamb and pork; duck and goose; cocoa products; smoked, salted, pickled and canned; alcoholic products; fatty sausages; hot seasonings, spices; cakes.

In addition, nutrition after removal of the gallbladder in a month implies the prohibition of such irritating vegetables as onions, garlic, radishes, radishes. Mushrooms and broths based on them are contraindicated. Sausages and sausages disrupt the movement of bile through the ducts, so they should not be consumed.

It is necessary to bypass mayonnaises, ketchups, semi-finished products, as they contain harmful additives even for a healthy body. Offal (lungs, heart, kidneys, udders, scars, liver) contains a high level of cholesterol, that is, fat, which is why they cannot be present in the diet.

Herbal infusions, drinks

It is very useful when the diet after surgery to remove the gallbladder is accompanied by the use of healing herbal infusions from rose hips, chamomile, milk thistle, birch buds and leaves, corn stigmas and others.

Rose hips are brewed in a thermos and drunk like tea.

Chamomile

Chamomile flowers can be bought in bags and brewed. When used, it is allowed to add honey.

Rostoropsha

Milk thistle seeds are brewed and drunk half a cup 3 times a day. Mint can serve as an organic supplement in equal parts.

birch buds and leaves

It is necessary to insist for an hour and take 100 g before meals several times a day.

Corn silk

This is the name of the hairs from the cobs, which can be brewed like tea, let stand and drink like a potion, a tablespoon 4 times a day.

Herbal combination contains five components, sold in filter bags. It should be consumed half a cup in several doses per day.

Health drinks

Eating on a diet, it is necessary to use teas from chamomile, apples, apricots, barberries, rose hips, dried apricots.

The healing mineral waters of Essentuki No. 4 and 20, Smirnovskaya, Naftusya, Slavyanovskaya, which are drunk warm before meals 3 times a day for 30 days, have preventive and restorative properties, then a break of 3 months.

To normalize the movement of bile through the ducts, the daily volume of fluid consumed remains the same: one and a half to two liters.

memo

Accumulating all the information about what nutrition is needed after gallbladder surgery, the following points should be emphasized:

• you need to diversify the menu as often as possible within the limits of allowed dishes;
• all meals and drinks must be warm;
• products on the menu are steamed, boiled, stewed, baked;
• 5 meals a day are provided in small portions at the same time (for example, every three hours);
• it is necessary to regularly arrange fish days from cod, haddock, navaga, hake, pike, flounder;
• with food you need to eat a small amount of white bread;
• so that sour and sweet fruits and berries do not cause discomfort, it is better to cook them in the form of compotes, jelly or bake;
• when processing food, it is necessary to cut it into small pieces, use salt to a minimum, preferably sea salt;
• you need to eat no more than 2-3 eggs per week, one at a time on selected days. If this food causes pain, then it is better not to risk it;
• with diarrhea (diarrhea) or constipation, you should not eat dairy, drink coffee. Timely consultation with a doctor will help normalize the condition;
• in case of concomitant diseases, the corresponding products are excluded from the permitted list;
• it is required to control weight, but know when to stop. 2 hours before bedtime, you need to drink 200 g of kefir or replace it with a loaf;
• you can not completely abandon fats, as they are involved in the regulation of metabolism in the body. Therefore, vegetable and butter should be present in the diet in small volumes;
• diets for weight loss are prohibited, as they put a serious burden on the liver. With strictly selected food, extra pounds will not linger in the body anyway;
• you need to move more, go to the pool, do yoga, Pilates, master the technique of proper breathing.

It is necessary that the diet is not perceived as a burden, but as a healthy lifestyle, helping the body. Then a well-functioning diet will turn into a habit that will become a defense against any complications.

The gallbladder performs the functions of accumulation, concentration and excretion of bile. The quality of assimilation of the substances necessary for the functioning of the body that come with food, which directly affect the performance and general well-being of a person, depends on this organ.

One of the main and inevitable questions that arise in patients after gallbladder removal is: what can I eat?

The gallbladder is a hollow organ that collects bile produced by the liver. It is secreted into the intestines through the bile ducts - this contributes to the quality digestion of food.

After surgery to remove this organ, a person must follow a diet for the rest of his life. This is due to the fact that there is no cavity for the accumulation of the secret produced by the liver, and it constantly enters the duodenum. Therefore, when eating fatty foods, the amount of bile is not enough for their normal digestion, and a person develops nausea, flatulence and diarrhea.

In addition, as a result of poor absorption of fats, an insufficient amount of fatty acids enters the body and the absorption of certain fat-soluble vitamins is disrupted. After the removal of this organ, there is often a decrease in the absorption of antioxidants contained in almost all vegetables, which leads to more intense oxidative processes. The result of this is early aging of the body.

Diet and its features

Compliance with proper nutrition and maintaining an active lifestyle are paramount factors in the rehabilitation period. Therefore, do not neglect the regimen and diet prescribed by the doctor, since the timely excretion of bile will depend on their implementation, which will avoid postcholecystectomy syndrome. The diet provides for five to six meals a day in small portions, as well as the rejection of foods that can provoke a rapid outflow of bile.

The food taken should be warm - it is strictly forbidden to eat very hot or cold dishes. Food should be thoroughly chewed: this way it will be easier to process with bile, and the digestion process will be easy.

In order not to harm the body and provide it with the necessary vitamins and minerals, you can eat the following foods and dishes:

1. Vegetable and milk fats. They ensure the normal flow of bile from the intestines and other organs of the digestive tract. For breakfast and dinner, it is best to eat fermented milk products (ryazhenka, yogurt, kefir), cottage cheese dishes (cheesecakes, casseroles). If desired, dishes can be seasoned with sour cream, the fat content of which is 10%. You can diversify breakfast and dinner with soft-boiled eggs or omelettes.
2. Broths. This dish is best eaten for lunch. Broths should be easy for the digestive system to digest, so they are boiled over vegetables or lean meats. They are allowed to add a small amount of cereals and greens.
3. Meat. It is permissible to add meat products to the side dish of second courses. Lean meats, such as turkey, rabbit or chicken, are well suited for a dietary diet.
4. Fish. You can eat lean fish no more than twice a week. It is better if it is sea fish, as it contains trace elements that promote the absorption of fats.
5. Creamy or linseed oil recommended to add to food. It will help maintain the balance of metabolic processes in the body, in case of failure of which a person feels worse.
6. Bran rich in vitamins and microelements, they are easily absorbed by the digestive system, and also contribute to the normal course of metabolic processes.
7. White or gray bread dried in the oven or microwave.
8. Seasonings. When cooking, it is recommended to use bay leaves and various herbs, as well as turmeric. All of these spices have medicinal properties.
9. Kashi. If a person's gallbladder is removed, then all kinds of cereals should be added to the diet - buckwheat, pearl barley, rice or oatmeal.
10. Vegetables, berries and fruits. Of the vegetables, carrots and pumpkins are especially useful for eating. It is worth giving preference to berries and fruits of sweet varieties. Watermelons are especially useful - this berry has a diuretic effect and helps to remove toxic substances from the body.
11. Sweet foods(carefully). For dessert, honey, marshmallows, jam, jam, marmalade are allowed, but in limited quantities. Confectionery sweets should be replaced with dried fruits - dried apricots and prunes.

Remember! Consumed products - meat, fish and vegetables - must be subjected to heat treatment, i.e. boiled or steamed.

Prohibited Products

In order to avoid discomfort in the form of nausea, flatulence and diarrhea, which may occur against the background of an imbalance in the digestive system, it is worth abandoning the following products:

1. Spicy spices, garlic and onions, as well as radishes irritate the mucous membranes of the gastrointestinal tract, so their use is strictly prohibited.
2. Broths. Broths cooked with mushrooms or fish are contraindicated.
3. Pickled, salty and sour foods will also harm normal digestion.
4. Confectionery (sweets, pastries and cakes). They adversely affect the gastrointestinal tract, and if a person's gallbladder is removed, then his condition is exacerbated at times.
5. Sparkling water. Gas saturation leads to intestinal irritation.
6. Foods with a high level of coarse fiber. These include bread (from wholemeal flour), peas, beans, etc.
7. Sauerkraut. Absolutely all dishes in which it is present are prohibited, since this product causes a fermentation process leading to the formation of gases.
8. Salo and fatty meats. They should be completely abandoned, as they contain substances that cause problems with the circulation of bile. When the gallbladder is removed, the amount of enzymes in the bile that help digest fats is reduced.

   Fatty meat and lard are banned

9. Cold foods: jelly, ice cream, etc. With their use, the likelihood of spasmodic reactions of the biliary tract is high.
10. Alcohol. It is strictly forbidden to use it, as it is an irritant for the mucous organs of the digestive system and intestines.

Diet in the postoperative period

Even if the patient feels well after the operation, it is necessary to strictly adhere to the recommendations regarding food intake, which will be given by the attending physician.

First days after surgery

In order for the rehabilitation period to be successful, it is necessary for the patient to eat properly:

• No food should be taken on the day after the operation. It is permissible to moisten the lips, and at the end of the day to drink a few sips of water;
• on the second day, you can drink low-fat yogurt or kefir in small quantities, no more than 100 ml per dose. Between doses there should be a break of at least two hours;
• on the third day, meat or vegetable soufflé, vegetable broth, and low-fat dairy products are introduced into the diet. In addition, it is recommended to drink plenty of fluids, mineral non-carbonated water is best.

You need to take food slowly, chewing thoroughly - these actions will help the body adapt to an unfamiliar situation for it.

Recipe for the first days - vegetable soufflé

Ingredients:

• carrots (can be replaced with beets);
• water;
• milk;
• egg white.

Vegetables are rubbed on a fine grater. Then they are laid out in a pan, a little water is poured there and stewed without oil. After the vegetables become soft, add one tablespoon of milk and beaten egg white to them. The whole mass is mixed and placed in the oven, heated to 180 degrees, for twenty minutes. Ready!

First week after surgery

As a rule, on the sixth or seventh day after the operation, the person is discharged from the hospital. At home, the patient must independently adhere to dietary nutrition, following the recommendations on permitted and prohibited foods.

Food should be taken six or seven times a day in small portions - this distribution will continue the adaptation of the body. A still weakened digestive system will be easier to cope with a small amount of light food. To adjust the work of the liver, it is recommended to eat at the same time - then bile will be released only during meals.

You need to drink one and a half to two liters of fluid per day. Rosehip broth, juices with pulp, mineral water - this is allowed, but you should still consult with your doctor first, since there are individual characteristics of the course of the rehabilitation period.

During this period, it is useful to eat soup with milk, chicken roll cooked in the oven, cottage cheese casserole, steamed meat soufflé, fermented milk products (yogurts, kefirs, cheese), cereals, steamed egg white scrambled eggs. For dessert, you can drink a rosehip broth or herbal tea with marshmallows or marshmallows.

Recipe for the first weeks after surgery – Latvian milk soup with vegetables

Ingredients:

• milk;
• water;
• carrot;
• crushed rice;
• potatoes;
• greens;
• salt;
• melted butter.

Pour milk into a saucepan and dilute it halfway with water. After it boils, you need to add crushed rice, carrots, herbs, potatoes and onions. Boil until cooked - this is determined by the light density of the dish. After that, be sure to add salt (on the tip of a knife) and a quarter teaspoon of ghee.

Two months after surgery

If the recovery process proceeds normally - there is no pain and discomfort - the patient is allowed to gradually introduce other foods into the diet.

For example, allowed vegetable soups or lean chicken broth. But when preparing these dishes, you can not add fried vegetables to them.

As a side dish for main courses, steamed vegetables are well suited: for example, carrots, beets, eggplants, zucchini and cabbage (it is better to take cauliflower). You can add greens.

For dinner, boiled potatoes with stewed or boiled fish are suitable. You can add greens and a little oil to the dish. Sea fish is also allowed, but you need to be careful with the concentration of the broth. If it turned out to be too thick, then it should be diluted with vegetable broth.

Casserole from low-fat cottage cheese good option for an afternoon snack.

Remember! Protein dishes are very useful, because thanks to them the bile becomes less thick.

Recipe - veal in whey

Ingredients:

• veal;
• serum.

Fresh veal is put into the pan, which is poured with whey and aged for 10-12 hours. Then the meat is cut into large chunks, placed in a pan and cooked in the oven or stewed on fire under a closed lid without adding oil. The oven should be heated to only 150-160 degrees, as the meat should not form a fried crust.

Nutrition for a year after surgery

The diet should not include foods high in cholesterol, as it increases the viscosity of bile and contributes to its stagnation in the biliary tract.

The above prohibited products in most cases contain components that give a high load on the pancreas, which, after removal of the gallbladder, receives a double load. If you do not adhere to a sparing diet, then this body may fail.

Recipe - cabbage in breadcrumbs

Ingredients:

• cauliflower or white cabbage;
• white crackers;
• butter.

Chopped cabbage is stewed in a frying pan. You can also cook it in the microwave. The finished dish is sprinkled with finely crushed white bread crackers, on top of which melted butter is poured. It should be completely absorbed into the breadcrumbs. The taste will be the same as if the cabbage was fried in breadcrumbs.

Table 1. sample menu per day for the first year of the rehabilitation period

Video - Features of the recovery period after cholecystectomy

Consequences of not following the diet

After the operation, the functioning of the digestive tract changes significantly, which is why dieting is necessary. Otherwise, the patient may develop postcholecystectomy syndrome, accompanied by the following manifestations:

• nausea, which practically does not leave the patient;
• pain, the intensity of which is constantly changing;

Diagnosis of postcholicistectomy syndrome

Postcholecystectomy syndrome is dangerous because it causes a chaotic release of bile into the intestine. Enteritis, colitis is also the result of an imbalance in the body, which can occur due to digestive failures if diet therapy is not followed.

Proper nutrition significantly reduces the risk of other diseases against the background of pathological processes in the gastrointestinal tract. Therefore, the term of the diet depends on the speed of the adaptation process of the whole organism to the created conditions and the restoration of the normal functioning of the digestive tract. It usually takes at least a year.

Gymnastics for the abdomen

Many of those who have undergone gallbladder surgery have been helped by special exercises to recover. They are aimed at improving the functioning of the gastrointestinal tract and strengthening the abdominal muscles.

If a abdominal operation was performed, then gymnastics should be started no earlier than one and a half to two months after discharge from the hospital. With endoscopic intervention, restorative gymnastics can be started in a month.

table 2. Exercises to restore and strengthen the body after removal of the gallbladder

An exercise	Number of times
Starting position - standing. Feet should be placed shoulder-width apart, hands on the belt. Slow turns of the body are made, first to the right and then to the left. While doing the exercise, you may feel a slight pain in the abdomen, but this is normal. Performing this exercise, you need to try to find the optimal amplitude of rotation. If severe pain occurs, it is better to stop the exercise.	5-10 times in one approach - for a start this is quite enough, especially when a person is in a weakened state. Over time, when it gets better, the number of times can be increased.
Starting position - lying on the floor. Legs should be bent at the knees. Then take a deep breath and tilt your legs in turn - first to the left, and then to the right. For greater benefit from the exercise, you need to put a small bag of sand or salt weighing 200-300 grams on top of the abdomen. On exhalation, it must be raised with the help of muscles, on inhalation - lowered. With the help of this exercise, muscle groups damaged during surgery are strengthened.	5-10 times, when the condition improves, the amount must be increased.

Conclusion

Removal of the gallbladder will significantly change a person's life, as more attention will have to be paid to the diet and diet, excluding from it many, perhaps, favorite foods and dishes. Proper organization of the daily routine and diet will protect against deterioration and help you return to your usual lifestyle.