Small bowel resection is a surgical procedure to remove all or part of your small bowel. A small bowel resection may be recommended with Crohn's disease, ulcers, cancer, diverticulitis, precancerous polyps or a blockage. It can be performed as laparoscopic surgery or open surgery. A stoma may need to be created, which is a surgically created artificial opening into the abdomen.
Anatomy
The small intestine is composed of the duodenum, jejunum and ileum. The tissue of the small intestine is folded, and its musocal surface contains villi and microvilli. The folds and villi increase the surface area of the intestine to allow for digestion and absorption of food. The small intestine can adjust its function after portions are removed. Most nutrients are absorbed in the duodenum and jejunum. The ileum is able to absorb nutrients if the food remains there long enough.
Post-surgery Diet
By the second day after surgery you will most likely begin a clear liquid diet. The clear liquid diet requires minimal digestion and stimulation of the gastrointestinal tract. Food allowed on a clear liquid diet include juices, gelatin, and broth. As your bowel regains function, you will progress to a full liquid diet as tolerated. This serves as a transition between the clear liquids and solid foods. This diet includes clear liquids, cream soups, milk, ice cream and yogurt. Once you are tolerating the full liquid diet, you can start a low-fiber diet.
Low-fiber Diet
A low-fiber diet can include dairy products such as milk, yogurt and cottage cheese. Beef, poultry, fish, eggs and smooth nut butters are recommended. Refined white flour products, grits, white bread and white pasta are recommended as opposed to whole grain breads and cereals. Opt for canned and well-cooked fruits and vegetables, and avoid raw vegetables, cooked greens, spinach, dried fruit, fruit pulp and fruit skins.
Tips
Eat smaller, more frequent meals. Be sure to get adequate protein. As your diet is progressing, add foods one at a time. Avoid foods that cause gas, bloating, diarrhea or constipation. If you become sick, consume only clear liquids and call your doctor. Also call your doctor if you are experiencing constipation and she may recommend a stool softener or laxative.
References
- Medline Plus: Small Bowel Resection.
- "Nutrition Therapy and Pathophysiology;" Marcia Nelms, Kathryn Sucher, Sara Long; 2007.
- Medline Plus: Small Bowel Resection - discharge.
Member Comments