Managing Nutrition and Diet After Gastric Signet Ring Cell Carcinoma Surgery

Gastric signet-ring cell carcinoma?

My father is 56 years old.
Last February, during surgery for a gastric ulcer, cancer cells were found on the surface of the ulcer, and he was diagnosed with stage II gastric signet-ring cell carcinoma.
Two-thirds of his stomach was removed, and he recovered relatively well after the surgery.
After six months of chemotherapy and a detailed follow-up examination, he was informed that there was no evidence of cancer cell spread.
However, the doctor advised against consuming chicken, fish, beef, and lamb.
We are concerned about his nutritional intake and worried that cancer cells in his body may continue to grow.
We would like to ask the expert how to control the recurrence of this type of gastric cancer and what dietary and lifestyle considerations should be taken into account.
Thank you very much for your guidance!

Zhang Shu, 50~59 year old female. Ask Date: 2002/01/14

Dr. Xie Huimin reply Nutrition

I consulted with the physicians at our hospital regarding the cancer you described, and they provided some important considerations following surgery for gastric cancer.

1.
Dumping syndrome - It is essential to eat small, frequent meals.
Solid and liquid foods should be consumed separately, and sugary foods should be limited.

2.
Nutritional balance - Ensure a balanced intake of the six major food groups to enhance immunity.

3.
Limit consumption of pickled and processed foods.

4.
Avoid overly salty foods.

5.
Reduce intake of irritating foods, such as pepper, chili, and coffee.

6.
Limit alcohol consumption.

7.
Maintain regular meal times and portion sizes.

These guidelines should be followed in conjunction with the patient's condition management.
I have not heard of any restrictions against eating meat; however, if a vegetarian diet is adopted, it is crucial to ensure nutritional balance, with adequate intake of soy products.
Insufficient physical strength can increase the risk of infections.
Regular check-ups are, of course, necessary.

Thank you, Hui-Min Hsieh.

Reply Date: 2002/01/14

More Info

Managing nutrition and diet after gastric signet ring cell carcinoma surgery is crucial for recovery and maintaining overall health. Given your father's situation, it is understandable to be concerned about his nutritional intake and the potential for cancer recurrence. Here are some key considerations and recommendations based on medical knowledge and dietary guidelines for post-operative cancer patients.

1. Dietary Adjustments Post-Surgery
After a significant surgical procedure like a partial gastrectomy, the body requires time to adapt. While your father has shown good recovery, it is essential to focus on a balanced diet that supports healing and provides adequate nutrition. The recommendation to avoid certain meats (chicken, fish, beef, lamb) may stem from concerns about digestibility or specific dietary restrictions advised by his healthcare team. However, protein is vital for recovery, and there are alternative sources of protein that can be included in his diet:
- Plant-based proteins: Incorporate legumes (lentils, beans), tofu, tempeh, and quinoa. These can provide essential amino acids without the potential digestive issues associated with red meats.

- Dairy products: If tolerated, yogurt and cottage cheese can be excellent sources of protein and calcium.

- Eggs: They are a highly digestible source of protein and can be included unless specifically contraindicated.

2. Nutritional Needs and Monitoring
Given your father's history of gastric cancer, it is crucial to monitor his nutritional intake closely. A registered dietitian can help create a personalized meal plan that meets his caloric and nutritional needs. The focus should be on:
- High-calorie, nutrient-dense foods: Encourage foods that are high in calories but low in volume, such as avocados, nut butters, and smoothies made with fruits, vegetables, and protein powders.

- Frequent small meals: Instead of three large meals, aim for five to six smaller meals throughout the day. This approach can help manage any potential postprandial discomfort and ensure he receives adequate nutrition.

3. Foods to Avoid
While it is essential to include a variety of foods, certain items may need to be limited or avoided:
- High-fiber foods: After gastric surgery, high-fiber foods can cause discomfort. Gradually reintroducing fiber is advisable, focusing on soluble fiber sources like oats and bananas.

- Spicy and acidic foods: These can irritate the stomach lining and should be consumed cautiously.

- Processed foods: Limit foods high in sugar and unhealthy fats, as they can contribute to inflammation and may not provide the necessary nutrients.

4. Hydration and Supplements
Hydration is critical, especially if your father is experiencing any digestive issues. Encourage him to drink fluids between meals rather than during meals to avoid feeling too full. Additionally, consider discussing with his healthcare provider the possibility of vitamin and mineral supplements, particularly vitamin B12, iron, and vitamin D, which may be deficient after gastric surgery.

5. Monitoring for Recurrence
To help prevent recurrence, regular follow-ups with his oncologist are essential. They may recommend imaging studies or blood tests to monitor for any signs of cancer recurrence. Additionally, lifestyle modifications such as maintaining a healthy weight, engaging in regular physical activity, and avoiding tobacco and excessive alcohol can significantly impact cancer recurrence risk.

6. Psychosocial Support
Lastly, emotional and psychological support is vital for cancer survivors. Encourage your father to engage in support groups or counseling, as coping with the fear of recurrence can be challenging.

In conclusion, managing nutrition after gastric signet ring cell carcinoma surgery involves a careful balance of dietary choices, monitoring nutritional intake, and regular medical follow-ups. Collaborating with healthcare professionals, including a dietitian and oncologist, will provide the best support for your father's recovery and long-term health.

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