Chapter 14

Question 1

Foods ok to consume after intestinal surgery

Answer 1

Bananas
Canned fruit such as applesauce, peaches, pears, and other canned fruit without skin
All canned fruit should be packed in juice or water - NOT heavy syrup

Tender cooked and canned vegetables WITHOUT seeds or skin such as carrots, spinach, winter squash, or peeled potato

Carbohydrates should have less than 3 grams of fiber such as cream of rice, cream of wheat, grits, instant oatmeal, white bread, potato bread, Italian bread, corn tortilla

Question 2

Foods to avoid after intestinal surgery

Answer 2

All raw, fresh fruits EXCEPT banana
All canned fruit with skins, seeds, or membranes
All dried fruit
All raw vegetables
Cooked vegetables with seeds such as tomato, cucumber, zucchini, and corn
Potato skins
Whole grains

Question 3

Duodenum

Answer 3

First section of small bowel
Shortest section of small bowel
Receives pancreatic and bile secretions that facilitate macronutrient absorption

Question 4

Jejunum

Answer 4

Section section
40% of the small bowel
The loss of portion of the jejunum can result in inappropriate secretion of digestive enzyme and accelerate gastric emptying

Question 5

Ileum

Answer 5

Final section of small intestine

60% of small bowel

Question 6

Short bowel syndrome

Answer 6

Defined as having less than 30% of normal intestinal length

Question 7

Benefits of enteral access in patients with malnutrition usually outweighs the risks of access related complications with the exception of

Answer 7

Presence of ascites
Peritoneal carcinomatosis
Inoperable bowel obstruction

Question 8

Preferred method of providing nutrition following surgery for peritonitis or metastasis

Answer 8

PN is preferred because of profound ileus that usually accompanies peritonitis

As peritonitis and ileus resolve the feeding tube may be used to initiate EN until oral diet is tolerated

Question 9

Loss of intrinsic factor is a result of resection of which part of the stomach?

Answer 9

Proximal

Question 10

Sign of Pancreaticocibal Asynchrony

Answer 10

Steatorrhea, frequent light greasy stools

Question 11

Pancreaticocibal Asynchrony may require supplementation of what?

Answer 11

PERT - pancreatic enzymes at meals/snacks
Fat soluble vitamins - A, D, E, and K
Calcium

Question 12

Excess gastric acid in the small bowel can lead to malabsorption by

Answer 12

Deactivating digestive enzymes and deconjugates bile acid