Diet after gallbladder removal

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

General rules

No matter what technologyCholecystectomySuch as laparoscopy or traditional open cholecystectomy, nutrition in the postoperative period is the most important part of the treatment and recovery period, and the first days after surgery are particularly important.

After the operation, it is strictly forbidden to consume liquids for 4-6 hours. It is only allowed to moisten the patient's lips with water and a little later (after 5-6 hours) rinse the mouth with herbal teas.

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

On the second day, low-fat kefir, unsweetened tea and jelly are introduced into the diet (amount up to 1. 5 l/day). Serve – no more than ½ glass. Frequency of administration – 1 time/3 hours.

On the third/fourth day, the patient is allowed to eat: semi-liquid mashed potatoes, pureed soups in vegetable broth, egg white omelet, 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. From liquids you can drink juices (apple, pumpkin) and tea with sugar.

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

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

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

Alkaline 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 consumed. The calorie content of the diet is 1600-1700 kcal (55-65 g protein, 40-50 g fat, 250 g carbohydrates).

All dishes are served exclusively pureed without adding broth or butter: various types of slimy grain soups, semi-liquid pureed porridges with a little low-fat milk, jelly, pureed compotes, vegetable juices. Next, include thoroughly mashed stewed meat, boiled fish, low-fat cottage cheese, crackers or dried wheat bread in the diet in small quantities.

After removal of the gallbladder, eat at least 5 times, in partial portions, approx. 200 g, without salt, with plenty of liquid (approx. 2. 5 l/day). Next, the patient is prescribed on days 8-10Diet 5Aand thenDiet number 5.

Diet No. 5 refers to a physiologically complete diet and is intended to normalize the process of bile secretion and reduce its levelscholesterolin blood. Small and frequent meals (5-6 times per day) are recommended to promote the flow of bile. To improve bile secretion, vegetables are introduced in the form of vinaigrette and salads, seasoned with unrefined vegetable oils.

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

To stimulate bile secretion, 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 proteins, 90 g fats, 450 g carbohydrates). Salt consumption in the amount of 8-10 g, liquid - 1. 5 liters.

With cholelithiasis, concomitant diseases of neighboring internal organs - duodenum, pancreas, biliary tract - often occur:Duodenitis, cholangitis, pancreatitis, dyskinesia.And often against this background also afterwardsCholecystectomydevelopsPostcholecystectomy syndrome (sphincter Oddi dysfunction), which is accompanied by the constant release of low-concentration bile into the lumen of the duodenum with the further addition of pathogenic microflora and the development of inflammation of its mucous membrane, which leads to pain, indigestion and intestinal disorders. These consequences of bladder removal are also corrected by diet.

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 meat/fish, smoked and spicy foods, onions, radishes, garlic, radishes and strong broths based on meat/fish/mushrooms are completely excluded from the menu. The intake of extractive substances, easily digestible carbohydrates, coarse fiber, table salt and liquid is also reduced to 1. 5 liters per day.

It is prescribed for inflammation of the pancreas after cholecystomyTable 5P. At the same time, the protein content in the diet is increased to 120 grams and fatty and carbohydrate-containing foods are limited. The total calorie content of the food is reduced to 2500 Kcal. Avoid spicy, sweet, spicy, sour and high-fat foods that stimulate the pancreas, as well as foods high in fiber, purine bases and extractives.

sorts

After cholecystectomyhypermotor dyskinesiabile ducts or with accompanying onesPancreatitis, duodenitisa gentle diet is prescribed (No. 5Sh). It is used for 14-21 days until the pain disappearsdyspeptic symptoms. The patient is then transferredDiet number 5.

General features – Reducing calorie content to 2000-2200 Kcal by limiting the consumption of fats (vegetable oil and also high-fat foods).cholesterol). The consumption of easily digestible carbohydrates is also reduced in the diet.

Products containing purines, nitrogen-containing extracts and coarse fiber are completely excluded from the diet. Easily digestible proteins are not limited. The amount of salt is no more than six grams. Food is prepared by steaming or boiling.

Drinking regime: up to 2 liters of liquid per day. Five meals a day, portions no more than 200 g with one fasting day per week. Chemical composition: 90 g proteins, 60 g fats (excluding vegetable fats), 300 g carbohydrates.

If biliary obstruction occurs after laparoscopic cholecystectomy due tohypomotor dyskinesiaThe patient is prescribed to improve the motor function of the intestines and stimulate bile secretionDiet with lipotropic fats (No. 5 L/F). The total calorie content of the food is about 2600 kcal.

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

Butter dough, whole milk, fireproof animal fats and spices are completely excluded. The consumption of extractive substances (meat/fish broths) and foods containing cholesterol is severely restricted. The food is baked or boiled, oils are added only to prepared dishes, chopping is not necessary.

Hints

• Diet No. 5B- with severe inflammation afterwardsCholecystectomy;
• Diet No. 5A- on the 8th -10thtreatment day;
• Diet number 5- in the recovery phase, afterwardsDiet 5A;
• Diet No. 5SH- after cholecystectomyhypermotor dyskinesiabile ducts or with accompanying onesPancreatitis, duodenitis;
• Diet No. 5L/F— after cholecystectomy against the backgroundhypomotor dyskinesiato improve intestinal motor function and to stimulate bile secretion;
• Diet No. 5P- after cholecystectomyacute pancreatitis.

Authorized Products

Products and dishes allowed after surgery include: grain/vegetable soups, day-old wheat bread, wheat bread crackers, dry biscuits, cutlets, fish, lean meat (rabbit, beef, lean young lamb), stewed, boiled chickenin pieces, fermented baked milk, kefir, low-fat whole milk, yogurt, low-fat cottage cheese and dishes based on it (lazy dumplings, casseroles), mild low-fat cheese, chicken eggs or white steamed omelet (one per day), boiled pasta and cereals (oatmeal and buckwheat), pumpkin caviar, vegetable salads with vegetable oil, vegetables, vinaigrette, low-fat ham, doctor's 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 ready meals.

Table of approved products

	proteins, g	fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
aubergine	1. 2	0, 1	4. 5	24
Pumpkin caviar	1. 2	7. 0	4/7	97
Cabbage	8/1	0, 1	4/7	27
broccoli	3, 0	0, 4	5. 2	28
Onion bulbs	1. 4	0, 0	10. 4	41
carrot	1. 3	0, 1	6. 9	32
Cucumbers	0. 8	0, 1	8/2	15
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	8/1	14
tomatoes	0, 6	0, 2	4. 2	20
dill	2. 5	0. 5	6. 3	38
fruit
Bananas	1. 5	0, 2	8/21	95
Apples	0, 4	0, 4	9/8	47
Nuts and dried fruits
nuts	15. 0	40, 0	20. 0	500
raisin	9/2	0, 6	66, 0	264
dried apricots	5. 2	0, 3	51, 0	215
almond	June 18th	57, 7	16. 2	645
hazelnut	1/16	66, 9	9/9	704
Plums	2. 3	0. 7	57, 5	231
Muesli and porridge
buckwheat	4. 5	2. 3	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	1. 1	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	2. 3	57. 1	295
Dairy products
Kefir 1. 5%	3. 3	1. 5	3. 6	41
Ryashenka	8/2	4. 0	4. 2	67
Cheese and cottage cheese
Cottage cheese 1%	3/16	1, 0	1. 3	79
meat products
beef	9/18	4/19	0, 0	187
Rabbits	21. 0	8, 0	0, 0	156
Sausages
boiled diet sausage	1/12	5/13	0, 0	170
cooked milk sausage	7/11	8/22	0, 0	252
Milk sausages	12. 3	3/25	0, 0	277
Bird
cooked chicken breast	8/29	8/1	0. 5	137
cooked chicken leg	27. 0	5. 6	0, 0	158
cooked turkey fillet	25. 0	1, 0	-	130
Eggs
hard-boiled chicken eggs	9/12	11. 6	0. 8	160
fish and seafood
flounder	5/16	8/1	0, 0	83
coalfish	9/15	0. 9	0, 0	72
cod	7/17	0. 7	-	78
hake	6/16	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
Soft drinks
Water	0, 0	0, 0	0, 0	-
green tea	0, 0	0, 0	0, 0	-
* Information refers to 100 g of product

Fully or partially limited products

When removing the gallbladder, 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, canned food, dough (butter), puff pastry), fried or hard-boiled chicken eggs, salted and fatty fish, fried pies, canned fish, whole milk 6% fat, cream, full-fat cottage cheese, sour cream, salted cheese, various spices and sauces.

Hard-to-digest plant foods are limited: all types of legumes, radishes, mushrooms, sorrel, radishes, garlic, green onions, spinach, canned and pickled vegetables. Spicy and fatty snacks, ice cream, confectionery, chocolate, cocoa, alcoholic drinks, sour berries and black coffee are excluded.

Table of prohibited products

	proteins, g	fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
canned vegetables	1. 5	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	5/21	123
spinach	9/2	0, 3	2, 0	22
sorrel	1. 5	0, 3	9/2	19
Berry
grape	0, 6	0, 2	8/16	65
Mushrooms
Mushrooms	3. 5	2, 0	2. 5	thirty
Snacks
Potato Chips	5. 5	30. 0	53, 0	520
flour and pasta
Vareniki	7/6	2. 3	7/18	155
dumplings	9/11	4/12	29. 0	275
Bakery products
sliced bread	7. 5	9/2	9/50	264
pastries	7. 9	4/9	55, 5	339
confectionery
cookie	7. 5	8/11	74, 9	417
Ice cream
Ice cream	3/7	6. 9	1/22	189
Chocolate
Chocolate	5. 4	35. 3	56, 5	544
raw materials and spices
mayonnaise	2. 4	67, 0	9/3	627
Dairy products
Milk 4. 5%	3. 1	4. 5	4/7	72
Cream 35% (fat)	2. 5	35, 0	3, 0	337
Cheese and cottage cheese
Gouda cheese	25. 0	27. 0	2, 0	356
Parmesan cheese	33, 0	28. 0	0, 0	392
meat products
fatty pork	4/11	49. 3	0, 0	489
salo	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	5/16	61. 2	0, 0	346
goose	1/16	33. 3	0, 0	364
fish and seafood
Salmon	8/19	6. 3	0, 0	142
Salmon	June 21st	6, 0	-	140
Trout	2/19	2. 1	-	97
Alcoholic drinks
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
Soft drinks
Mineral water	0, 0	0, 0	0, 0	-
cola	0, 0	0, 0	10. 4	42
* Information refers to 100 g of product

Diet menu after gallbladder removal (diet)

Below are some menu optionsTable No. 5. It can be modified by taking into account food processing methods and food preparation technology within the list of products permitted for consumption. Meals take place 6 times a day, the diet should alternate between protein dishes (beef, turkey, chicken, fish, cottage cheese) and carbohydrate dishes based on various grains.

version 1

Breakfast	oatmeal with milk; cottage cheese casserole; sweet tea with lemon
Lunch	low-fat cottage cheese; Cracker; 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
Towards the night	Ryashenka

Option 2

Breakfast	buckwheat porridge with butter; carrot cheesecake with honey; Juice
Lunch	Apples baked 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
Towards the night	kefir

Option 3

Breakfast	white omelet made from two eggs; 2-3 pcs. cookies; Butter; tea with milk
Lunch	lazy dumplings
Dinner	Noodle soup; Cabbage rolls with rice and meat; jelly
Afternoon snack	Carrot juice
Dinner	hake in sour cream; cooked rice; sauerkraut sauerkraut; Apricot juice
Towards the night	Acidophilus milk

Recipes for dishes

Diet food should be as varied and tasty as possible and include all permitted foods. Recipes for a removed gallbladder can be changed depending on tastes and preferences. The main thing is to follow the cooking technology and use only approved products. Below you will find some healthy recipes.

First meal

Vegetarian oatmeal soup with vegetables

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

Make broth from finely chopped vegetables. Add oatmeal and cook for another 5-10 minutes. Add salt, herbs and butter.

Chicken puree soup with vegetables

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

Cook chicken with vegetables. Shred the meat. Add sour cream to the resulting broth, puree with a blender, 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 bread in milk. Shred the fish until shredded, add squeezed bread, egg whites and salt. Mix the minced meat well. Form cutlets and bake in the oven or cook in a steam bath. As a side dish, you can use mashed potatoes or stewed vegetables.

Steam omelet with meat

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

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

Dessert

Casserole (cottage cheese with berry sauce)

Cottage cheese, eggs, sugar, semolina, butter.

Beat cottage cheese in a blender, add semolina, sugar, eggs and dried fruits. Mix everything together. Pre-grease the form with butter, lay out the prepared mass and bake in the oven for 30-40 minutes. To make the sauce, beat all the berries in a blender and add sugar. Serve with sauce or jam.

Apples baked with dried fruits

Sour apples, dried fruits, honey, butter.

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

advantages and disadvantages

professionals	Minus points
It is not expensive financially, the products are available all year round. Physiologically balanced. Normalizes the process of bile formation and bile secretion.	Long compliance periods. Availability of skills and culinary knowledge in the preparation of dietary dishes. Requires free time for individual preparation.

advice

After gallbladder removal, you need to engage in adequate physical activity: morning exercises, walking. Heavy strain on the abdominal muscles is not permitted in the first six months. In the first month after laparoscopyCholecystectomyYou are not allowed to lift more than two kilograms. After 6 months, there are no special restrictions on natural physical activity.

Sanatorium treatment is recommended no earlier than three months after cholecystectomy.

Many people often complain about thisconstipationafter the operation. If you are constipated, we recommend including 6-8 plums in your diet every day, soaking them in a glass of warm water and leaving them covered with a saucer at room temperature overnight. In the morning, drink all the water and eat prunes (you can do this in two doses).

Comments from nutritionists

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

After cholecystectomy, the possibility of bile deposition disappears when there is no food in the small intestine. At the same time, due to the lack of ability to concentrate, the properties of bile change, which affects the functioning of the gastrointestinal tract. These characteristics are taken into account in the nutritional program. Therefore, the question of how long to follow this therapeutic diet can be answered: the minimum duration is three months.

The consequences of not following a diet after cholecystectomy can be very serious. Most often the patient developsPostcholecystectomy syndromewith all the resulting consequences.

In general, you should not neglect your diet after gallbladder removal. The diet and diet must be changed forever. Of course, over time many requirements are simplified, but the basic principles must be respected. This allows you to optimally maintain liver function and bile secretion, normalize the functioning of the entire gastrointestinal tract and prevent the occurrence of gastrointestinal tract problemsconstipation,Flatulence, bitterness in the mouth, common after cholecystectomy.

Many women who want to lose weight are interested in the question of whether it is possible to fast when the gallbladder is removed. No, therapeutic fasting is strictly contraindicated for people who have had a cholecystectomy. They urgently need partial meals. Without a gallbladder, there is no natural accumulation of bile - it constantly enters the intestinal lumen, and when fasting and in the absence of a food substrate in the intestine, bile damages the intestinal mucosa. Fasting is for healthy people.

Reviews and results

Reviews of the overwhelming number of patients after cholecystectomy confirm the need and positive effect of therapeutic nutrition on the condition of the gastrointestinal tract. A therapeutic diet allows the patient to recover faster and normalize his lifestyle:

• ". . . I suffered from cholelithiasis for a long time. During an exacerbation I went to the hospital, but then the stones increased and the colic became unbearable. They performed surgery and removed the bladder using stones. They said that when removing the gallbladder using laparoscopy, nutrition is the most important part of the treatment. And now almost 3 months have passed. Everything has returned to normal more or less, but with a sudden violation of the diet (overeating, eating fatty foods, drinking little) various complications begin. Although I understand that diet without a gallbladder needs constant monitoring";
• ". . . After my gallbladder was removed, my diet was very strict. A month later I tried to expand it more or less but I felt bad. The doctor said that it was too early to switch to a shared table. And only after a year I was able to eat normally again";
• ". . . For more than a year I followed the diet required after the operation - I did not eat lard, salads with green peas, tomatoes, dishes with tomato juice, borscht and radishes. It's been 3 years since the operation, I eat almost everything. There is no discomfort or pain - life without a gallbladder is completely normal";
• ". . . This diet was prescribed in the hospital. For people who have had their gallbladder removed, this is the solution. So I've been sticking with it for the second month now. I think I will gradually expand it later.";
• ". . . The food is healthy and digestible, sitting is not difficult, 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 a lot of useful recipes and tips. The food has now become more varied and I have also taught my children to eat this way. It is great";
• ". . . The doctor warned that therapeutic nutrition after cholecystectomy should last 5-6 months, and then you can easily expand your diet. But I couldn't stand it for six months and after four months I switched to a normal diet, but without fried foods"

Diet price

Dietary foods include the most accessible and inexpensive products. They are not very expensive to purchase.