Advancing Your Diet: The Post Fundoplication Levels

Level 1: Pureed Food (First 2 Weeks after Esophageal Surgery)

Foods in this group are pureed or blended. A safe rule is “anything you can pour” but you can try foods that are a smooth, mashed potato-like consistency.  If necessary, the pureed foods can keep their shape with the addition of a thickening agent.  Meat should be pureed to a smooth pasty consistency.  Hot broth or hot gravy may be added to the pureed meat, approximately 1 oz. of liquid per 3 oz. serving of meat. Most people just skip meats during this time.

Caution: If any foods do not puree into a smooth consistency, it may make eating or swallowing more difficult.  Avoid lumpy foods such as oatmeal and foods with seeds or tough skins (peas, corn, zucchini seeds) as they sometimes do not blend well.

 

Sample Menu: Level 1 - Pureed Foods

BREAKFAST

LUNCH

DINNER

Orange juice ½ cup

 

Cream of Wheat or cottage cheese ½ cup

Pineapple juice ½ cup

 

Pureed chicken noodle soup ¾ cup

Pureed turkey barley soup ¾ cup

Pureed Scrambled eggs with cheese ½ cup

Tea or coffee

Fruit and yogurt smoothie

 

Mashed potatoes ½ cup

Pureed and cooled broccoli ½ cup

Apple sauce ½ cup

Milkshake

Mashed potatoes ½ cup

Pureed spinach ½ cup

Frozen yogurt ½ cup

Coffee or tea

 

Level 2: Soft Foods

After your first 2 weeks, you can advance to a soft diet. In general this diet is Level 1 plus “anything you can squish through your fingers” but you can also start trying slippery noodles, white fish, minced chicken and soft, cooked vegetables that are chewed well. Take it slowly. Eat small bites, chew well! Don’t be fooled- avoid rice. Stay on this diet until everything goes down easily.

Please advance to level 2 for at least 2 days prior to your office visit.

 

Sample Menus: Level 2 - Soft Foods

BREAKFAST

LUNCH

DINNER

Favorite smoothie 1 cup

Oatmeal ½ cup

Scrambled eggs ½ cup

Tea or coffee

 

Pineapple juice ½ cup

Flat buttery noodles 1 cup

Mashed potatoes ½ cup

Minced broccoli ½ cup

Applesauce ½ cup

Soup ¾ cup

Minced chicken 3 oz.

Cooked spinach ½ cup

Frozen yogurt ½ cup

 

Level 3

After all of the foods in level 2 (soft foods) are passing through well advance up to the next level.  This level includes French toast, pancakes, all pasta, ground red meat and steamed vegetables. It is still important to cut these foods into small pieces and eat slowly.

 

Sample Menu: Level 3

HOT FOODS

COLD FOODS

Poultry

 

Ground or flaked meat

Milk

Eggs

Milkshakes

French toast or pancakes

Juices

Noodles or pasta

Canned fruit

Cooked vegetables, no frozen corn, peas, or mixed vegetables

Pudding, mousse, or custard

Soup

Green salad

 

Level 4: Regular Foods

Foods in this group are soft, moist, regularly textured foods. This level includes red meat and breads, which tend to be the hardest things to swallow. Eat very slowly, chew well, and continue to avoid carbonated drinks.

 

Sample Menu: Level 4 - Regular Foods

HOT FOODS

COLD FOODS

Fish

Cheeses

Poultry

Fruits

Red Meat

Vegetables

Eggs

Dairy products

Bread and pasta

 

 

This information has been approved by Emily Speer, MD (January 2017).