Pancreatic necrosis is considered one of the most serious diseases affecting the pancreas. Both women and men are equally affected by this disease. Pancreatic necrosis is most often diagnosed in young people under 30 years of age.
In this article, you can read about what you can eat with a disease such as pancreatic necrosis of the pancreas, as well as what dishes are included in the diet. It will also be described which products are strictly prohibited in this disease.
What is pancreatic pancreatic necrosis?
The development of this disease occurs as a result of impaired functioning of the local protective mechanism of the pancreas. A provoking factor can be the use of junk food and alcohol in large quantities. As a result, the production of external secretion increases and the outflow of pancreatic juice is disrupted, which provokes a significant stretching of the pancreatic ducts.
The further process of destruction of the acini of the gland and the formation of edema provoke massive tissue necrosis. The penetration of decay products of tissue and enzymes into the blood causes toxic poisoning of the whole organism. Due to the foci of intoxication, the liver, heart, kidneys and brain can become.
If the usual methods of treatment could not give positive results and the total and subtotal tissue necrosis did not stop, then the patient is prescribed a surgical operation. Surgery is performed after an exacerbation of the disease.
General nutrition before and after surgery
The patient must follow a diet for pancreatic pancreatic necrosis, both after surgery and before it. 24 hours before the start of the intervention, the patient is strictly forbidden to eat food and any liquid. Thus, the pancreas will not produce enzymes involved in the process of digesting its parenchyma.
Despite a strict diet for pancreatic necrosis, the patient must have the strength to undergo surgery before the procedure, so he is given intravenously various substances that support the body.
After the operation, feeding the patient is allowed only on the sixth to seventh day. Prior to this, it is supported by warm healing water (Narzan, Borjomi) or weak tea without sugar. The amount of fluid consumed should not exceed 800 milliliters per day. If the patient’s condition after surgery is considered too severe, the use of any liquid is again prohibited. Nutrition occurs through intravenous injection. Only when a person’s condition returns to normal will they include in their diet foods that promote the regeneration of the digestive system.
The postoperative diet menu for pancreatic necrosis is based on the elimination of negative factors that destroy the pancreas. It is also aimed at reducing the excitability of the gallbladder and the rejection of pathogens of pancreatic secretion.
It was previously believed that the diet after pancreatic necrosis in the form of prolonged fasting without drinking (about three days) contributes to postoperative recovery. However, modern medicine has resolutely abandoned this concept.
Recent scientific studies have proved that if you do not give the patient drink warm medicinal water after surgery, the development of lipolysis and hypodysproteinemia is possible. Thus, the duration of a hungry diet with pancreatic pancreatic necrosis does not exceed one day, and in extremely difficult cases it is abandoned altogether. Then the patient after parenteral nutrition is gradually transferred to the use of dietary food. It was proved that this scheme of postoperative recovery is the most effective. It is worth remembering that the liquid, even in small quantities, will benefit the patient after the operation.
The pancreatic pancreatic necrosis diet menu includes low-calorie foods. In the composition of the products, the daily mass fraction of proteins should not exceed sixty grams. In this case, it is allowed to consume no more than fifty grams of fat per day. The main element of the diet should be a carbohydrate food with a semi-liquid or viscous consistency.
Allowed Products
The composition of the diet for pancreatic pancreatic necrosis should include vegetables (zucchini, carrots, potatoes). Of these, it is advised to cook lean first courses or to use them in boiled and crushed form. In the same way cereals are prepared on the basis of ground cereals (buckwheat, rice).
The first and second courses are allowed to salt, but only if the total proportion of salt per day does not exceed two grams. In a little callous form, you can use baked goods from flour of the first grade.
Of fruit, non-acidic apples are advised in baked form or as part of mousse. In addition, you can eat apricots and peaches, but only in small quantities and peeled. It is recommended to drink medicinal water, a rosehip decoction, jelly or weak tea.
Partially Limited Products
With pancreatic necrosis, the diet may include a minimum amount of dairy products, such as low-fat fermented baked milk, kefir or sour cream. Milk soup is allowed, but only when diluted with water.
Chicken or quail eggs are only recommended to be boiled soft-boiled. In the form of mashed potatoes or steamed cutlets, dietary meat or fish can be consumed.
Prohibited Products
It is strictly forbidden to include smoked foods (meat or sausages), fatty and rich broths from fish or meat, fresh milk and fermented milk products with a high fat content in the diet for pancreatic necrosis. In addition, fresh pastries, fried eggs and hard-boiled chicken or quail eggs should be excluded.
It is strongly recommended not to drink alcohol, any carbonated drinks, coffee, strong tea. Vegetables, which include coarse fiber, will have to be abandoned, as well as hot spices, salt and sugar. Failure to comply with these prohibitions directly leads to a relapse of the disease.
Features of a diet for children
The approximate diet menu for pancreatic pancreatic necrosis for children has some differences with the diet of adults. For example, for children under three years old, it is completely necessary to exclude freshly squeezed juices, pitted berries, all citrus fruits, as well as any vegetables and fruits.
Otherwise, the diet for an adult and a child is absolutely identical. It is worth paying attention to the fact that in kindergartens and schools, food is unified, and that a specific child needs a separate dietary meal, it is necessary to notify the staff in advance.
Menu example
Experts advise to include certain dishes in the diet for pancreatic necrosis. Recipes will be presented later.
Sample menu for the day:
- For breakfast, an omelet made of proteins, viscous porridge from chopped buckwheat and tea are suitable.
- For an afternoon snack you can make souffle from dried apricots.
- Lunch can consist of rice broth along with soufflé from non-greasy boiled pollock and jelly from permitted fruits.
- In the interval between lunch and dinner, it is advised to have a snack with low-fat cottage cheese and unsweetened rosehip compote.
- For dinner, steamed cutlets from dietary meat or fish, as well as soufflé from freshly squeezed carrot juice, are perfect.
A general recommendation is to replace bread with wheat crackers.
Diet recipes
It is important to remember that eating tasty and healthy in the case of this disease is quite possible. However, it is worth remembering some rules when preparing dishes, namely:
- Salt and sugar should be added in minimal amounts.
- All cooking products must be thoroughly washed.
- You should carefully study the composition of the products before buying. Only natural ingredients should be preferred.
Below are some interesting recipes for pancreatic necrosis diet.
Buckwheat milk soup
To prepare this first dish, you need to carefully sort out three tablespoons of cereal, grind it, rinse with running water and cook, adding a little salt, until half cooked. After which, you need to add one glass of low fat milk, a teaspoon of sugar and bring to readiness.
Steamed Chicken Meat Cutlets
To begin with, twenty grams of stale bread is soaked in two tablespoons of low fat milk, and then mixed with one hundred and fifty grams of minced chicken. If desired, a pinch of salt can be added to the resulting mixture. Medium-sized cutlets are formed from minced meat, placed in a double boiler and steamed in olive oil for about half an hour.
Pumpkin and Apple Casserole
This dish can be a substitute for the usual desserts. In order to cook a pumpkin and apple casserole, you must finely chop one hundred and fifty grams of pumpkin pulp and half an average apple. After that, the mixture must be placed in a saucepan, put out with the addition of water and using a blender to get the consistency of mashed potatoes.
Next, pour a tablespoon of hot milk into the resulting puree, half a teaspoon of melted butter, add a teaspoon of sugar and two tablespoons of semolina. After which, you need to give the mixture time to cool. In the meantime, whisk the egg whisk until beaten and add in mashed potatoes. The resulting mass must be put on a baking sheet and baked in the oven at 170 degrees for about half an hour.
Semolina souffle
This and all other souffle recipes are considered the most useful if steamed. Three tablespoons of semolina are boiled as for making porridge, only instead of milk they use three glasses of dried fruit compote. The resulting mixture is whipped with a mixer and proteins from three chicken eggs are gradually added. If desired, add a little sugar, lay out the forms and cook for a couple.
Diet vinaigrette
Some salads are also not prohibited for pancreatic necrosis. So quite useful can be a vinaigrette. To prepare it, you must leave two hundred and fifty grams of sauerkraut and one pickle in water for half an hour in advance. Then cook two medium-sized potatoes and one beetroot in a peel until cooked.
Then it remains only to cut all the components into equal cubes, mix and season with a small amount of vegetable oil. The second salad allowed by nutritionists is beetroot salad. Two or three beets are boiled in a peel until fully cooked, after which they are rubbed or finely chopped, salted and seasoned with vegetable or olive oil.
Broccoli Cream Soup
The most popular and useful recipes from the diet after pancreatic necrosis are just the first dishes. A special place among them is cream broccoli soup. To prepare the cream soup correctly, first you need to bring half a liter of water to a boil, throw two or three peeled potatoes and about five broccoli inflorescences into it.
Cook vegetables for about twenty minutes over medium heat. Then pour the broth into a separate container, and grind the potatoes and broccoli in a blender until the consistency of mashed potatoes. Next, dilute the resulting puree with the previously poured broth, return to the stove and cook until thickened.
Curd Pudding
This recipe for cottage cheese pudding will not leave anyone indifferent. To prepare the pudding, four hundred grams of fat-free cottage cheese and three hundred grams of peeled non-acidic apples are crushed in turn in a blender to a puree consistency. Then they are mixed with each other, adding the proteins of six chicken eggs. If desired, you can add a little sugar, put in molds and bake in the oven.
Diet Complications
If you ignore the dietary rules of patients, a number of complications can and will be expected. In addition, the fact that not following a diet will provoke a relapse of the disease, this can also be a direct cause of the appearance of symptoms of diabetes in a patient.
According to the results of a survey among patients, proper dietary compliance with pancreatic necrosis can significantly reduce clinical symptoms. However, patients will have to get used to medical nutrition, since the diet will have to be followed almost for life.
Conclusion
Patients with pancreatic pancreatic necrosis must unconditionally listen to the instructions of their attending physician and follow the medical diet in all details. The use of prohibited products, even in minimal quantities, can lead to irreversible consequences. In this case, neither expensive medication, nor radical surgical intervention will give positive results.