Patient Education Cancer of the Pancreas: A Care Guide | Page 24

Nourishment Your diet will be guided by your surgeon and dietitian after surgery. In general you should avoid carbonated drinks, spicy foods, and high-sugar and fatty foods, as they cause your pancreas to work harder while digesting. Take your time and chew your food well before swallowing. Gradually you will be transitioned to a normal diet. If you go home with tube feedings, don’t forget to keep records of all calories you take in by mouth and bring this to your surgeon, as it will help us guide the transition back to your normal diet faster and safer. • Jejunostomy or J tube. This tube goes through the skin of the abdomen and into the small intestine. The tip of the tube rests in the part of the small intestine called the jejunum. • Gastrostomy, PEG, or G tube. This tube goes through the skin of the abdomen and into the stomach. The tip rests in the stomach. • Gastrostomy-jejunal tube. This combination tube works as two tubes in one. It is put in through the skin of the abdomen. One tube tip rests in the stomach to drain fluid from the stomach. The second tube is threaded through the first tube and into the small intestine. The tip of the second tube rests in the middle part of the small intestine called the jejunum. This tube is used for feeding. Feeding Tubes A feeding tube provides a way for you to get liquid food into your stomach or small intestine to give your body the nutrients it needs. Your doctor and dietitian will determine which type and how much feeding to give you to meet your nutrient and calorie needs. You will also need to take in more water each day by drinking or by putting it in through your feeding tube, unless your doctor wants you to limit fluids. Feeding tubes are named by the place at which they enter the body and where the tip of the tube lies. • Nasogastric or NG tube. This tube goes through the nose and esophagus. The tip of the tube rests in the stomach. 23