Chapter 20: MNT for GI tract

Question 1

which gene mtuations can increase risk of gastric cancer

Answer 1

BRAC1 and BRAC2

Question 2

GI Ca increases risk of what disease

Answer 2

osteoporosis- vitamin D, 1500 mg calcium, wt bearing exercise recommended

Question 3

What are some common nutrition deficiencies in those with gastric cancer

Answer 3

B12 (check serum B12 or serum MMa + hcy) iron (check serum iron) folate (check rbc and folate)

Question 4

What nutrients beneficial for CRC

Answer 4

calcium, vitamin D, folic acid (before dx only unless los f/v intake and suspect deficiency)

Question 5

If terminal ileum is resected what nutrients may be low

Answer 5

B12, ADEK, Ca, Zn, Mg, bile sequesterants

Question 6

If J-pouch present

Answer 6

watch for pouchitis, encourage antidiarrheal meds

Question 7

Kcal and protein for HCC

Answer 7

35-40 kcal/kg cirrhosis
35 kcal/kg for encephalopathy
30-40 for malnourished

1-1.5 g/kg protein except for encephalopathy 0.6-0.8 g/kg
3-15 kg extra body wt depending on ascites