Nutrition Flashcards
Ileum
B12, fat absorbed
Duodenum
Fe, Ca absorbed
Steatorrhea
Pancreatitis Cystic fibrosis Crohn's Celiac disease Formation of oxalate kidney stones Risk of bone loss
Enhance intestinal adaptation after short bowel syndrome
Glutamine Short chain fatty acids Glu-peptide 2 Better if ileum and colon intact Oral feed sooner the better
Colon resection
Fluid electrolyte losses
Diarrhea
Short bowel syndrome
Low fat High complex carb Small frequent feedings short chain fatty acids - retain h2o Medium chain triglyc Low oxalate Avoid lactose
Restrictive surgery
Vertical band
Sleeve gastrectomy
Gastric binding
Weight loss due to reduced food intake
Gastric bypass surgery (most common)
Malabsorption and restrictive
Weight loss is from decreased intake and malabsorption
Change in GI hormones (GLP, PYY, Leptin) decrease ghrelin
Water, liquid, purée, soft foods
70g protein/day, multivitamins
Malabsorptive (infrequent)
Bileopancreatic diversion
Jejunal-ileal bypass
Weight loss due to malabsorption
Celiac disease
Lifelong Gluten free diet
Fresh fruit and vegetables, meat
Crohn’s disease
Any part of GI tract
High calorie, high protein diet
Low fiber
Liquid supplements
Ulcerative colitis
Only in the colon
Colectomy may be curative
Replace fluid and electrolyte losses
Low fiber
Inflammatory bowel disease treatment
Antidiarrheal
Immunosuppressant
Anti inflammatory
Pancreatitis acute
Nothing by mouth (NPO) until pain subsides Fluids and electrolytes Mild-low fat diet Severe-J tube High protein, high kcal
Pancreatitis chronic
Steatorrhea treat w/ enteric coated pancreatic enzymes
Low fat diet, MCT oil
Cystic fibrosis
High calorie, high fat Frequent meals&snacks with Pancreatic enzyme replacement Multivitamins, fat sol vit Liberal use if salt&salty foods
Extensive bowel resection
Colon present
High carbs - colonic salvage Low oxalate Vit B12 injections Calcium due to fat malabsorption Anti motility agents