Nutrition and Dietetic Service Dietary advice for Oesophageal and Gastric or Duodenal Stent
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References
Nedin J (2008) Professional Concensus statement of dietetic advice post
oesophageal stent placement, Oncology group of the British Dietetic
Association
Royal Devon and Exeter NHS Foundation Trust (2010) Eating well with an
oesophageal stent
Gateshead Health NHS Foundation Trust
Nutrition and Dietetic Service
Queen Elizabeth Hospital
Nutrition and Dietetic Service
Sheriff Hill, Gateshead, NE9 6SX
Tel: 0191 445 2074
Your Dietitian is: ………………………………………………………………………………………….. Dietary advice for
Data Protection Oesophageal and
Any personal information is kept confidential. There may be occasions
where your information needs to be shared with other care professionals to Gastric or Duodenal Stent
ensure you receive the best care possible.
In order to assist us improve the services available your information may be
used for clinical audit, research, teaching and anonymised for National NHS
Reviews. Further information is available in the leaflet Disclosure of
Confidential Information IL137, via Gateshead Health NHS Foundation Trust
This leaflet can be made available in other languages
and formats upon request
NoIL690 Version: 1 First Published: 01/2019 Review Date: 01/2021
Author: Nutrition & Dietetic Department
12
Introduction Notes
A small tube known as a stent has been inserted into your oesophagus
(gullet) and/or your stomach/duodenum (the first part of the bowel).
This has been inserted at the site where you may have a blockage or
narrowing and will allow food to pass through your digestive system
more easily.
This diet sheet will advise how to build on your diet following stent
insertion and advise which foods can be included. It is important that
you follow the advice given in this booklet to reduce your risk of
blocking the stent.
Everyone manages differently after stent placement. It is important to
introduce foods gradually to build your confidence and ensure that you
are able to manage the correct food texture. A little and often
approach to eating is often better tolerated.
You may find it helpful to:
Eat slowly and try to relax as much as possible
Take your time with meals and chew your foods well
Food should always be eaten sitting upright and you should remain
sitting for one hour after eating
If you wear dentures, make sure they fit properly
If you have problems with reflux, your doctor can prescribe
anti-reflux or antacids to help with this problem
Drink small amounts of warm or fizzy fluid before, during and after
meals to assist in flushing food through the stent (hard swallows)
Avoid drinking large amounts at mealtimes as this will fill you up
Use herbs and spices to add more flavour to foods
Try to include favourite or fancied foods appropriate for your stent
to promote food enjoyment
2 11Notes Stage 1– Liquid diet
Immediately after you have had your stent inserted, it is recommended
that you follow a liquid diet. A liquid diet has a smooth pouring
consistency and is free from lumps.
Helpful hints:
Start with sips of water for the first couple of hours, progressing to
cups of tea, coffee, fruit juice (smooth) or milk
Take your time when taking fluids
Try to include full cream milk fortified with milk powder (to make;
add four tablespoons of dried milk powder to one pint of full fat milk
and mix well).
You should follow this stage for 24 hours
Ideas for nutritious drinks:
Drinks made with full cream milk – coffee, hot chocolate, Ovaltine
or Horlicks
Fortified full cream milk (see recipe above)
Milkshakes with ice cream flavourings
Complan or Build Up
Yoghurt drinks
Ice cream can be added to fizzy drinks
Oral supplement drinks if you are prescribed these
10 3Stage 2 – Pureed Diet Signs and Symptoms of a blocked stent
After 24 hours, if liquids are tolerated, foods can be reintroduced Eating and drinking may become difficult or uncomfortable
starting with a pureed diet. A pureed diet should be lump free and have You may not be able to get your food or liquids down at all
a smooth consistency. A blender or food processor can be used for Regurgitation of food or liquids if these will not go down
blending foods.
Try including: What if my stent blocks?
Ice cream or sorbets 1. Drink plenty of fluids during and after meals to keep your stent
Smooth yoghurts, custards and mousses clean and prevent blockages. Fizzy drinks may be useful but can
Pureed fruit served with cream, ice cream or custard also cause reflux.
Mashed or sieved vegetables
Blended or strained soups 2. If you have an oesophageal stent, and feel that your tube
Blended meat, fish and eggs has blocked, do not panic. Stand up and take a few sips of warm
Gravy or sauce to food when blending. Avoid adding additional water until the blockage clears. If the blockage does not clear
water as this will reduce the flavour and nutritional content contact your upper GI nurse specialist or seek medical help.
Extra butter, cream or cheese to food to add more energy
Fibre foods pureed such as Weetabix, pureed fruit and vegetables,
beans and lentils to prevent constipation
Plenty of fluids across the day - six to eight cups daily, trying to
include full cream milk where possible
Extra flavouring such as herbs and spices, smooth mustard and
bottled sauces
Presenting pureed food on a plate using an ice cream scoop or
piping it through different nozzles or in different shapes using
moulds, e.g. jelly moulds.
If you tolerate pureed food you can progress to Stage 3; a soft diet.
4 9Fortifying your food Stage 3 – Soft diet
If you have a small appetite and cannot manage large portions it is At this stage food no longer needs to be pureed. A soft diet requires
important to make the food you are eating higher in calories without little chewing and can be mashed or broken into pieces with a fork. All
increasing the size of the portion. Try some of the following: food should be very soft and without lumps before they are swallowed.
Add four heaped tablespoons of powdered milk to one pint of full Helpful hints:
cream milk and use throughout the day in breakfast cereals, sauces,
puddings, soups, jellies and other desserts. Moisten food with additional gravy, sauces, cream or cream cheese
Spread butter or margarine on toast, bread or scones thickly, and to adjust the consistency and make swallowing easier
add it to vegetables, potatoes and pasta. Chop foods finely or mash before adding a gravy or sauce
Use grated hard or soft cheeses on foods, in mashed/baked potato, Try having fibre foods such as Weetabix, stewed fruit and
soups, baked beans, spaghetti or omelettes. vegetables, beans and lentils to prevent constipation
Add cream to puddings and soups or serve meals with creamy sauces Include plenty of fluids across the day; six to eight cups daily, trying
to include full cream milk where possible
Add mayonnaise to sandwiches and salads e.g. coleslaw, potato
salad and salad dressings Check all foods for bones and skin and remove these
Use plenty of sugar/honey/syrup on cereals, in hot drinks and
puddings.
Add a scoop of ice cream to cold drinks
Add pesto/hummus to pasta
Use peanut butter with toast or bread
Use milk instead of water to make packet or condensed soups, jellies
and desserts
Choose full fat products such as thick and creamy yoghurts
8 5Soft meal ideas Foods to avoid Alternatives
Soft fresh bread Day old, slightly stale bread
Breakfast
Hot buttered toast Dry toast without butter or butter
Porridge, rice krispies or cornflakes
when cold
Scrambled or poached eggs
Omelette with cheese Coarse cereals such as Shredded Plain porridge, weetabix, cornflakes
Toast with honey, banana, seedless jam or toast buttered when cold Wheat, Bran and Muesli or rice krispies
Tough meat or gristle Tender meat, no gristle. Try meat
Light meals which has been minced or try stewed
Soup without lumps (i.e. cream of chicken, tomato or blended soups) meat which is tender
Mashed potato with tuna, salmon or white sauce
Fish skins and bones, fish in batter or Flaked fish in sauce
Finely mashed egg with lots of butter or margarine breadcrumbs
Pancakes or crepes with a moist filling
Ravioli Chunks of cheese Grated cheese or in a sauce
Cauliflower cheese (well cooked in lots of sauce) Sticky cheese such as Camembert Soft cheese or cheese spread
Main Meals Hard boiled or fried eggs Soft poached, scrambled eggs or
eggs mashed well with salad cream
Corned beef hash or mayonnaise
Fish in sauce
Macaroni cheese Hard raw or fibrous vegetables e.g. Well cooked, soft vegetables
peas, corn, cabbage and broccoli.
Cheese soufflé
Mince in gravy with mash Baked beans Blended or pureed beans
Tuna in white or cheese sauce Skins and seeds of tomatoes Remove skin or choose tinned
Shepherd’s pie tomatoes
Pasta with bolognaise sauce
Hard chips or roast potatoes, potato Mashed or soft boiled potatoes
Chilli con carne and rice skins
Curry and rice
Dried fruit Peel fresh fruit and chew well
Desserts Pith of oranges or grapefruit Choose canned fruit which may be
Rice pudding Skins of fresh fruit. Fibrous fruit e.g. softer. Remove seeds from fresh
Stewed fruit with custard or ice cream pineapple, strawberries fruit e.g. watermelon
Sponge and custard Coarse marmalade, seeds or fruit Rind less marmalade, fruit spreads,
Pot desserts such as yoghurt, crème caramels, trifle or mousse pieces in jam seedless jam
Ice cream
Jelly Nuts or cereal bars made with nuts Try smooth peanut butter
Tinned fruit 6 7You can also read
