What diet is recommended after an Esophageal Function Test (EFT) with Functional Lumen Imaging Probe (FLIP) technology in the stomach using Functional Test for Respiratory Disease (FTRD)?

Diet Recommendations After Endoscopic Full-Thickness Resection (EFTR) in the Stomach Using FTRD

After Endoscopic Full-Thickness Resection (EFTR) in the stomach using FTRD, patients should follow a gradual diet progression starting with clear liquids for 24-48 hours, advancing to full liquids by day 3-7, then to pureed foods by week 1-2, soft foods by week 2, and regular solid foods by 1 month post-procedure.

Initial Diet Progression

• Begin with clear liquids at room temperature for the first 24-48 hours post-procedure, gradually increasing volume to reach approximately 2 liters per day 1
• Consume liquids in small portions (no more than half a cup per serving) to prevent distension of the surgical site 1
• Progress to full liquids including milk, soy drinks, and plain yogurt at 3-7 days post-procedure 1
• Advance to pureed or mashed foods at 1-2 weeks post-procedure 1
• Introduce soft foods (e.g., soft meatballs, scrambled eggs, cooked vegetables, soft fruits) at 2 weeks post-procedure 1
• Progress to solid foods including legumes, fresh vegetables, fresh fruits, and bread at approximately 1 month post-procedure 1
• Return to a regular balanced solid diet by 2 months post-procedure 1

Key Dietary Principles

• Separate liquids from solids by avoiding drinking beverages 15 minutes before or 30 minutes after eating to prevent distension and discomfort 1
• Plan and arrange frequent small meals throughout the day (4-6 meals daily) according to the post-procedural stage 1
• Eat slowly and methodically chew food thoroughly to prevent complications 1
• Avoid carbonated beverages which can cause bloating and discomfort 1

Specific Recommendations to Prevent Complications

To Prevent Dysphagia

• Ensure thorough mastication (chew each bite at least 15 times) and eat slowly (wait a minute between swallows) 1
• Avoid hard and dry foods such as toast or overcooked meat that may be difficult to swallow 1
• If dysphagia occurs, discontinue eating immediately to prevent regurgitation 1

To Prevent Vomiting

• Take small bites, chew thoroughly, and eat slowly with meal duration of at least 15 minutes 1
• Separate liquids from solids as mentioned above 1
• Space meals at intervals of at least 2-4 hours 1

To Manage Potential Diarrhea and Flatulence

• Prefer low-lactose or lactose-free milk products 1
• Reduce fat consumption and customize menus accordingly 1
• Ensure adequate fluid intake of at least 1.5 L/day 1
• Avoid gas-producing foods such as cauliflower and legumes 1
• Avoid chewing gum which can lead to aerophagia 1

Nutritional Considerations

• Ensure adequate protein intake to support healing 1
• Make an effort to eat a balanced diet while limiting consumption of calorie-dense foods and drinks 1
• Avoid foods that can form phytobezoars, such as persimmons and citrus fruit pith 1

Evidence from Similar Procedures

Research on early feeding after endoscopic procedures in the stomach suggests:

• Early initiation of solid foods after endoscopic submucosal dissection (ESD) has been shown to be feasible and associated with higher quality of life compared to traditional liquid diets 2
• Direct oral feeding after minimally invasive esophagectomy did not increase complications or anastomotic leakage rates compared to delayed feeding 3

Caution Signs

• If experiencing persistent vomiting, consider thiamin supplementation and monitor hydration and blood electrolytes 1
• If experiencing dysphagia, discontinue eating immediately to prevent regurgitation 1
• If experiencing significant gastrointestinal symptoms that persist despite dietary modifications, consult with your healthcare provider 1

Following these dietary recommendations after EFTR in the stomach using FTRD will help optimize recovery and minimize post-procedural complications.