[{"@context":"https:\/\/schema.org\/","@type":"Article","@id":"https:\/\/share-dev.upmc.com\/2016\/01\/diet-after-nissen-fundoplication-surgery-for-gerd\/#Article","mainEntityOfPage":"https:\/\/share-dev.upmc.com\/2016\/01\/diet-after-nissen-fundoplication-surgery-for-gerd\/","headline":"Diet After Nissen Fundoplication Surgery for GERD","name":"Diet After Nissen Fundoplication Surgery for GERD","description":"Follow this diet and sample menu following Nissen fundoplication surgery to correct GERD or repair a hernia.","datePublished":"2016-01-16","dateModified":"2018-09-17","author":{"@type":"Organization","@id":"https:\/\/www.upmc.com\/services\/digestive-disorders-regions","name":"Digestive Disorders","url":"https:\/\/www.upmc.com\/services\/digestive-disorders-regions","sameAs":"https:\/\/share-dev.upmc.com\/digestive-disorders\/","parentOrganization":"UPMC"},"publisher":{"@type":"Organization","name":"UPMC HealthBeat","logo":{"@type":"ImageObject","@id":"https:\/\/share-dev.upmc.com\/wp-content\/uploads\/2019\/04\/UPMC-HealthBeat-Logo.png","url":"https:\/\/share-dev.upmc.com\/wp-content\/uploads\/2019\/04\/UPMC-HealthBeat-Logo.png","width":600,"height":60}},"image":{"@type":"ImageObject","@id":"https:\/\/share-dev.upmc.com\/wp-content\/uploads\/2016\/01\/jello.jpg","url":"https:\/\/share-dev.upmc.com\/wp-content\/uploads\/2016\/01\/jello.jpg","height":527,"width":791},"url":"https:\/\/share-dev.upmc.com\/2016\/01\/diet-after-nissen-fundoplication-surgery-for-gerd\/","about":["Nutrition"],"wordCount":1416,"keywords":["gastroesophageal reflux disease","GERD","hiatal hernia","intrathoracic stomach","Nissen fundoplication surgery"],"articleBody":"This diet and sample menu is for people who have recently had Nissen fundoplication surgery to correct GERD \u2014 short for gastroesophageal (GAS-trow-ee-soff-uh-GEE-ol) reflux disease \u2014 or to repair various types of hernias, such as hiatal hernia and intrathoracic stomach.This diet may also be useful after other gastrointestinal (GI) surgeries, such as Heller myotomy and achalasia repair.After Nissen fundoplication surgery, your surgeon will slowly advance your diet through the following stages:A clear liquid diet, generally for the first few meals.A full liquid diet for a meal or two.And, eventually a Nissen soft diet.Please note: Because each person’s tolerance to food is unique, your doctor will advance your diet depending on how well you progress after surgery.The diet will help control issues that may occur after GI surgery, such as:DiarrheaExcess gasSwallowing problemsClear Liquid Diet After Nissen Fundoplication SurgeryThe first diet after Nissen fundoplication surgery includes the following clear liquids:Apple juiceCranberry juiceGrape juiceChicken and beef brothFlavored gelatin (Jell-O\u00ae)Decaf tea and coffeeCaffeinated beverages (based on tolerance)PopsiclesItalian iceNote: You’ll need to avoid carbonated drinks (sodas) for the first six to eight weeks after surgery. After this time, you can try them again in small amounts.Full Liquid Diet After Nissen Fundoplication SurgeryThe full liquid diet contains anything on the clear liquid diet, plus:Milk, soy, rice, and almond (no chocolate)Cream of wheat, cream of rice, gritsStrained creamed soups (no tomato or broccoli)Blended, custard style, or whipped yogurt (plain or vanilla only)Vanilla and strawberry-flavored ice creamSherbetVanilla and butterscotch pudding (no chocolate or coconut)Nutritional drinks including Ensure\u00ae, Boost\u00ae, Carnation Instant Breakfast\u00ae (no chocolate-flavored)Note: Dairy products \u2014 such as milk, ice cream, and pudding \u2014 may cause diarrhea in some people just after GI surgery. You may need to avoid milk products. If so, substitute them with lactose-free beverages such as soy, rice, Lactaid\u00ae, or almond milks.Nissen Soft Diet Tips and Foods to ChooseTips for keeping your stomach from stretching and avoiding gas after GI surgeryEat small, frequent meals (six to eight per day). This will help you consume the majority of the nutrients you need without causing your stomach to feel full or distended.Eat very slowly. Take small bites and chew your food well to help aid in swallowing and digestion.Sit upright while eating and stay upright for 30 minutes after each meal. Gravity can help food move through your digestive tract. Do not lie down after eating. Sit upright for 2 hours after your last meal or snack of the day.Avoid sticky, gummy foods such as bananas. These types of foods can be hard to swallow.Eat desserts and sweets at the end of your meal to avoid “dumping syndrome.” This describes the rapid emptying of foods from the stomach to the small intestine. Sweets move more rapidly and dump quickly into the intestines. This can cause symptoms of nausea, weakness, cold sweats, cramps, diarrhea, and dizzy spells.Drinking large amounts of fluids with meals can stretch your stomach. You may drink fluids between meals as often as you like, but limit fluids to 1\/2 cup (4 fluid ounces) with meals and one cup (8 fluid ounces) with snacks.Avoid drinking through a straw and chewing gum or tobacco. These actions cause you to swallow air, which produces excess gas in your stomach. Chew with your mouth closed.Avoid any foods that cause stomach gas and distention. These include many raw vegetables, dried beans and peas, and any food from the cabbage family.Nissen diet \u2014 drinks and foods to choose and avoidFood CategoryChooseAvoidBeveragesMilk, such as whole, 2%, 1%, non-fat, or skim, soy, rice, almond.Caffeinated and decaf tea and coffee.Powdered drink mixes (in moderation).Non-citrus juices (apple, grape, cranberry, or blends of these).Fruit nectars.Nutritional drinks including Boost\u00ae, Ensure\u00ae, Carnation Instant Breakfast\u00ae.Chocolate milk, cocoa, or other chocolate-flavored drinks.Carbonated drinks.Alcohol.Citrus juices like orange, grapefruit, lemon, and lime.BreadsToasted bread.Pancakes, French toast, and waffles.Crackers (saltine, butter, soda, graham, Goldfish\u00ae and Cheese Nips\u00ae).Untoasted bread, bagels, Kaiser and hard rolls, English muffins.Crusty breads.Fresh, doughy breads such as sweet rolls, coffee cake, and doughnuts.Crackers with nuts, seeds, fresh or dried fruit, coconut, or highly seasoned (garlic or onion-flavored).CerealsWell-cooked cereals such as oatmeal (plain or flavored).Cold cereal (Cornflakes\u00ae, Rice Krispies\u00ae, Cheerios\u00ae, Special K\u00ae plain, Rice Chex\u00ae and puffed rice).Very coarse cereal such as bran or shredded wheat.Any cereal with fresh or dried fruit, coconut, seeds, or nuts.Potatoes and StarchesPeeled, mashed, or boiled white or sweet potatoes.Oven-baked potatoes without skin.Well-cooked white rice, enriched noodles, barley, spaghetti, macaroni, and other pastas.Fried potatoes, potato skins, and potato chips.Hard and soft taco shells.Fried, brown, or wild rice.EggsPoached, hard-boiled, or scrambled.Fried and highly seasoned eggs (deviled eggs).VegetablesWell-cooked soft vegetables without seeds or skins (asparagus tips, beets, carrots, green and wax beans, chopped spinach, tender canned baby peas, squash, pumpkin).Raw vegetables.Gas producing vegetables (broccoli, Brussel sprouts, cabbage, cauliflower, onions, corn, cucumber, green peppers, rutabagas, turnips, radishes, sauerkraut).Tomatoes, tomato juice, tomato sauce, andV-8\u00ae juice.Dried beans, peas, and lentils.FruitsFruit juice.Any canned or cooked fruit except those to avoid.All fresh fruits such as citrus, bananas, and pineapple.Canned pineapple.Dried fruits such as raisins and berries.Fruits with seeds such as berries, kiwi, and figs.Meat, Fish, Poultry, and Dairy Products: Eat ground, minced, or chopped meats to ease swallowing and digestion.Tender, well-cooked, moist cuts of beef, chicken, turkey, and pork.Veal and lamb.Flaky, cooked fish.Canned tuna.Cottage and ricotta cheeses.Mild cheeses such as American, brick, mozzarella and baby Swiss.Creamy peanut butter.Plain custard or blended fruit yogurt.Moist casseroles such as macaroni and cheese, tuna noodle.Grilled or toasted cheese sandwich.Tough meats with a lot of gristle.Fried, highly seasoned, smoked and fatty meat, fish, or poultry (frankfurters, luncheon meats, sausage, bacon, spare ribs, beef brisket, sardines, anchovies, duck, and goose).Chili and other entrees made with pepper or chili pepper.Shellfish.Strongly flavored cheeses such as sharp and extra sharp cheddar and cheese containing peppers or other seasonings.Crunchy peanut butter.Yogurt with nuts, seeds, coconut, strawberries, or raspberries.SoupsMildly flavored meat stocks.Cream soups made from allowed foods.Highly seasoned and tomato-based soups.Cream soups made with gas producing vegetables such as broccoli, cauliflower, onion, etc.Fats: Eat in moderation.Butter and margarine.Mayonnaise and vegetable oils.Mildly seasoned cream sauces and gravies.Plain cream cheese.Sour cream.Highly seasoned salad dressings, cream sauces, and gravies.Bacon, bacon fat.Ham fat, lard, salt pork.Fried foods.Nuts.Desserts: Eat in moderation. Do not eat desserts or sweets by themselves.Plain cakes, cookies, and cream-filled pies.Vanilla and butterscotch pudding or custard.Ice cream, ice milk, frozen yogurt, and sherbet.Gelatin made from allowed foods.Fruit ices and popsicles.Desserts containing chocolate, coconut, nuts, seeds, fresh or dried fruit, peppermint, or spearmint.Sweets and Snacks: Use in moderation. Do not eat large amounts of sweets by themselves.Syrup, honey, jelly, and seedless jam.Molasses.Plain hard candies and other candy made from allowed ingredients.Marshmallows.Thin pretzels.Jam, marmalade, and preserves.Chocolate in any form.Any candy containing nuts, coconut, seeds, peppermint, spearmint, or dried or fresh fruit.Popcorn, potato chips, tortilla chips.Soft or hard thick pretzels such as sourdough.MiscellaneousSalt and spices in moderation.Mustard and vinegar in moderation.Fried or highly seasoned foods.Coconut and seeds.Pickles and olives.Chili sauces, ketchup, barbecue sauce, horseradish, black pepper, chili powder, and onion and garlic seasonings.Any other food or strongly flavored seasoning, condiment, spice, or herb that you can’t tolerate.Sample Menu for the Nissen DietPlease note: You will need extra fluids throughout the day to meet your fluid needs.Breakfast\u00bd cup canned fruit (non-citrus)\u00bd to \u00be cup cereal1 small pancake1 teaspoon margarine1 teaspoon jelly\u00bd cup 2% milk1 teaspoon sugarMid-Morning Snack2 graham crackers1 tablespoon creamy peanut butter1 teaspoon jelly1 cup teaLunch\u00bd cup tuna salad (no raw vegetables)3 to 4 saltine crackers\u00bd cup canned peaches\u00bd cup fruit juice (non-citrus)1 teaspoon mayonnaiseMid-Afternoon Snack4 saltine crackers1 tablespoon cream cheese1 cup 2% milkDinner3 oz. roasted chicken (finely ground) with sauce\u00bd cup cooked white rice\u00bc cup cooked carrots\u00bd cup canned pears1 teaspoon margarine\u00bd cup tea1 teaspoon sugarEvening Snack\u00bc cup cottage cheese\u00bd cup applesauce\u00bd cup 2% milk"},{"@context":"https:\/\/schema.org\/","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"name":"2016","item":"https:\/\/share-dev.upmc.com\/2016\/#breadcrumbitem"},{"@type":"ListItem","position":2,"name":"01","item":"https:\/\/share-dev.upmc.com\/2016\/\/01\/#breadcrumbitem"},{"@type":"ListItem","position":3,"name":"Diet After Nissen Fundoplication Surgery for GERD","item":"https:\/\/share-dev.upmc.com\/2016\/01\/diet-after-nissen-fundoplication-surgery-for-gerd\/#breadcrumbitem"}]}]