A gallbladder removal (= cholecystectomy) refers to the removal of the entire gallbladder, usually containing gallstones that have caused pain

(if the gall bladder is inflamed ( cholecystitis) .

The gall bladder is the storage organ for bile (approx. 700 ml daily) which is produced by the liver. Bile acids (in the bile) promote the digestion of fats and the absorption of fat-soluble vitamins.

​

​

Why is nutritional therapy important?

After the operation, nutritional therapy supports you in integrating a diet that you can easily tolerate into your everyday life. A bile diet as it was often practiced in the past no longer exists. Digestive problems can arise shortly after a gallbladder removal.

The aim is to supply all of the fatty acids, micronutrients (vitamins and minerals) that are important to you, energy and protein in the measure that your body is optimally supplied with. For this purpose, foods that promote inflammation are specifically avoided and plenty of anti-inflammatory foods are consumed. In the case of overweight / obesity, weight reduction is recommended, which reduces the risk of gallstones and also the risk of inflammation. An anti-inflammatory diet can improve your health.

​

Aim: A wholesome food that is easily tolerable for you

​

Possible consequences:

1. Inflammation of the pancreas (acute pancreatitis)

2. Injury to the gallbladder wall with leakage of bile into the abdomen and resulting peritonitis

3. increased risk of gallbladder and bile duct cancer

4. Postcholecystectomy syndrome (English: postcholecystectomy syndrome

​

Postcholecystectomy Syndrome:

Normally, there should be no long-term symptoms after a gallbladder removal.

Persistent complaints could have the following causes:

• Gallstones in the biliary tract, e.g. in the common bile duct

• Biliary strictures

• Stenosis of the major duodenal papilla

• Other diseases e.g.

  • Gastroduodenal ulcer disease

  • Pancreatitis

  • Irritable bowel syndrome

After the cholecystectomy, some patients develop new symptoms despite the absence of initial symptoms. Meals rich in fat are no longer so well tolerated, and malabsorption of fats may occur (lack of intermittent bile secretion from the gall bladder). These complaints can then also be treated with nutritional therapy.

Overall, of course, other possible causes should be excluded diagnostically, ie before / also during the cholecytectomy, a sonographic assessment should be carried out with, if necessary, revision of the biliary tract.

​

Classification of your weight - definition and classification of weight in relation to height.

Special percentile curves apply to children and adolescents; the BMI cannot simply be used here.

BMI and interpretation: BMI: body mass index. Formula: Body weight in kg : (body height in m) 2

Underweight: <18.5

Normal weight: 18.5 - 24.9

Overweight = pre-obesity: 25-29.9

Obesity grade I: 30 - 34.9

Obesity grade II: 35-39.9

Obesity grade III:> 40 = per magna

​

​

Nutritional therapy

​

• Anti-inflammatory nutrition as a basis, individually tailored to you

• Holistic therapy - do you have any comorbidities that need to be taken into account during the consultation?

• Overall fat selection, how should it be designed

• How many animal foods (e.g. meat products, milk and dairy products, cheese, fish products, eggs) are recommended?

• What do I have to look out for when choosing animal foods?

• How can I counteract inflammatory processes through diet?

• Body weight: Weight reduction is recommended if you are overweight / obese.

• In the case of insulin resistance and lipid metabolism disorders, also treat them with nutritional therapy

• Avoid micronutrient deficiencies and mineral deficiencies & possibly counteract them with nutrient preparations

• Prevent protein deficiency

• Which nutrients do I need in which ratio?

• Get enough fiber (> 30 g / day) through natural foods, possibly fiber substitution

• Sufficient fluid: total fluid per day: 30 - 35 ml per kg body weight and day. Attention, this is not just a drinking liquid. The liquid from food (approx. 500 - 800 ml) must still be subtracted from this, so that an amount of approx. 1.3 - 2 l of drinking liquid is created.

• add valuable anti-carcinogenic (anti-cancer) secondary plant substances

• A selection of foods tailored to your needs with cooking and technical information (for breakfast, snacks, lunch, dinner)

• Do you like to eat your warm meal in the evening? I am happy to cater to your individual situation and we will create a plan on how you can implement your wholesome diet into your everyday life.

• which oils are good for me? What should I watch out for in relation to the anti-inflammatory diet?

• How much fat spread (butter / margarine / vegetable fat) can I use and which products are recommended?

• Get enough Omgea-3 fatty acids and essential fatty acids

• How can I boost and support my metabolism with natural foods?

• Coordinate sensible meal frequency for your individual case - meal allocation

• Define the desired weight stabilization / normalization & the estimated period for this

• what should be considered with beverages and alcoholic beverages?

• How does exercise affect your body and thus also your diet?

• Avoid blood sugar fluctuations

• Sweetening foods - sweeteners, glucose, fructose, sugar and sugar substitutes, what can I use and in what quantities? How high is the respective sweetness of the different products?

• what should be considered when baking and cooking?

• what are cheap snacks / main meals

• Eating out - what should you watch out for?

• Vacation, boat trip or hospital stay, what should be considered?

• Flatulence, bloating, diarrhea, constipation, vomiting, heartburn, loss of appetite, pain related to eating, what can I do about it?

• Daily plans as an example for practical implementation in everyday life

• Enjoyment training

• Optimizing your eating situation

• long-term maintenance of a jointly defined weight

• Strengthen the stomach and intestines with natural foods

• Additional therapy options

• Dietetic products in support of nutritional therapy

• Food supplements - under certain circumstances, a supplement can be useful

• and other topics

​

Any questions? I look forward to your call or email. To contact form

​

Assistance:

• KISS self-help groups

• Self-help network