Re: Current diet for post cholecystectomy

[Guest guest]

Hi Pat,

Quick reply:

It's true that a regular diet should work fine. But we've observed (me and

other LEAP dietitians) that many post-chole patients end up with IBS-like

symptoms due to the chronic drainage of bile acids into the intestine, causing

irritation, pain, etc.

Taking a bile acid sequestrent and/or 3 meals with 3 high soluble fiber

snacks seems to help considerably to help " absorb " the bile that just drips,

drips, drips into the intestine, not normally put out " when needed " like when we

still have a gall bladder responding to fat loads.

Jan Patenaude

> In a message dated 12/11/2006 7:19:23 A.M. US Mountain Standard Time,

> _pgmarshall@..._ (mailto:pgmarshall@...) writes:

>

> I had gallbladder surgery on Friday and was discharged on a regular diet.

> What is the current thinking on post-cholecystectom What is the curren

> retired for almost 10 years. The last I heard, the diet was low-fat.

>

> Pat Marshall

> _pgmarshall@..._ (mailto:pgmarshall@...)

Jan Patenaude, RD

Director of Medical Nutrition

Signet Diagnostic Corporation

_www.nowleap.com_ (http://www.nowleap.com/)

(Mountain Time)

(toll free)

Fax:

DineRight4@...

Mediator Release Testing and LEAP Diet Protocol for Irritable Bowel

Syndrome, Migraine, Fibromyalgia and more, caused by food sensitivity

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[Guest guest]

I instruct our parents and the kids to do a low fat diet for at least two weeks

(for the liver to create the proper collaterals so the bile produced can be

released into the GI tract). We had a kid go home before I could talk to the

parents (his favorite meals were PB sandwiches and chips) and came back less

than a week later with extremely elevated liver enzymes and belly

pains/diarrhea. Once he was on a low fat diet, he was okay.

By four weeks, you're back to regular food no problem (usually).

Holly Lee Brewer, MS RD CDE

Pediatric Dietitian, Las Vegas, NV

Marshall wrote:

I had gallbladder surgery on Friday and was discharged on a regular

diet.

What is the current thinking on post-cholecystectomy diet? I have been

retired for almost 10 years. The last I heard, the diet was low-fat.

Pat Marshall

pgmarshall@...

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