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Diet following the insertion of an upper gastro-intestinal (GI) stent

Why is modifying your diet important: To enable food to go down your gastrointestinal tract easily To reduce your risk of blocking the stent To prevent the side effects of a blocked stent which may include; nausea, vomiting, reflux, oesophagitis, abdominal distension, pain or even hospital readmission

Diet Recommendations are: Choose Minced & Moist diet options (see list) Avoid rushing meals and chew all food thoroughly Drink small amounts of fluid before, during and after meals. Sit upright when eating Dont eat within 3 hours of bedtime.

Diet modification for upper GI stents: Your gastroenterologist will inform you of where your stent has been placed in the upper GI tract. Only stents placed in the GI tract which comes into contact with food particles require dietary modifications. Bile duct stents do not require dietary texture modification Upper GI stents include those placed in the oesophagus and/or gastroduodenum intestine). (stomach and small

Other helpful hints: You may need to eat and drink more often to maintain your weight and prevent dehydration. Eat six (6) small meals a day instead of 3 larger ones. Modify the meals that the rest of your household is eating. This will save time and money. Use foods of different colours to make your meals look more appealing. Use herbs and spices to add interest to foods.

This is a consensus document by Queensland Dietitians. Disclaimer: http://www.health.qld.gov.au/masters/copyright.asp

Developed: December 2011 Review: December 2013

Minced & Moist Diet


RECOMMENDED FOODS Moist mince dishes eg. Spaghetti bolognaise Casseroles, stews and fish dishes (May require blending to reduce the particle size). Serve with extra gravy or sauce Slightly mashed legumes eg. Baked beans Tofu in small pieces or crumbled Protein Souffls or quiches with small soft chunks Alternatives Poached, scrambled or soft cooked eggs Serve with sauces to assist swallowing Soft well-cooked vegetables that are easily mashed with a fork Vegetables Vegetables should be chopped or mashed into pieces that are not larger than 0.5 cm (1/4 inch) Homemade or canned soups with soft pieces no Soup bigger than 0.5 cm (1/4 inch). Cooked cereal with small soft lumps eg. Porridge, Breakfast semolina Well moistened corn flakes, rice bubbles, or wheat Cereals flakes or wheat flake biscuits Well cooked pasta or noodles with sauce eg. Other Lasagne, moist macaroni cheese (note some Cereals dishes may require blending or mashing) Very soft rice that holds together Soft stewed or canned fruit that is finely diced or pureed Stewed dried fruit Fruit Seedless watermelon Fresh fruit that is soft enough to mash with a fork eg. banana, pawpaw Meat Chicken Fish Dairy foods Milk, milkshakes, fruit smoothies Yoghurt (plain or with fruit), Fruche Custard, Mousse, Ice cream Very soft cheese with small lumps eg cottage Soft fruit pies with bottom crust only Soft moist sponge with lots of custard/ cream eg. tiramisu, trifle Plain, softened chocolate - easily chewed FOODS TO AVOID Dishes with large chunks. Dry, tough or gristly meat. Casseroles hard or fibrous particles eg. Corn, onion. Nuts Undercooked legumes Large pieces of Tofu Hard boiled or crisp fried eggs Hard or fibrous vegetables including: peas, corn, broccoli, cabbage, Brussels sprouts, asparagus, celery Soups that have large chunks or fibrous particles eg. corn, rice Course or dry cereals Eg. All-bran. Cereals with nuts or dried fruit All Bread, sandwiches, crackers Rice that does not hold together eg. long-grain, basmati Whole pieces of fruit Stewed fruit with skin or seeds, or to too hard to mash with a fork Fibrous fruits eg. Pineapple Yoghurt with nuts, seeds or hard pieces Cheese slices and cubes Sticky cheese eg. camembert Dry coarse cakes Bread pudding Anything with nuts, seeds, dried fruit, coconut or pineapple.

Desserts

Adapted from the Australian standardised definitions and terminology for texture-modified foods and fluids, Nutrition & Dietetics 2007; 64 (Suppl. 2).

If you have had recent weight loss or have trouble maintaining your weight, it is important to speak to a Dietitian about the best possible diet for you. For further information contact your Dietitian:____________________________________

This is a consensus document by Queensland Dietitians. Disclaimer: http://www.health.qld.gov.au/masters/copyright.asp

Developed: December 2011 Review: December 2013

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