NUTR-4240 Lecture Notes - Lecture 11: Intestinal Villus, Coeliac Disease, Lactose Intolerance
15 Dec 2018
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Document Summary
1: diagnosis, biopsy via endoscopy gold standard, serological testing antibodies to gluten done while on a gluten-containing diet. Iga endomysial antibodies (ema) highly specific. Increased nutrient needs: evident protein-energy malnutrition, clinical. Impaired nutrient utilization: altered gi function, altered nutrient-related laboratory values, underweight. Involuntary weight loss: behavioral environmental, limited adherence to nutrition-related recommendations. Nih: the following are 6 key elements in management of individuals with celiac disease: L lifelong adherence to a gluten-free diet. I identification and treatment of nutritional deficiencies. C continuous long-term follow-up by a multidisciplinary team: goals, plan healthful, gluten free meals. Identify nutritional risks of gluten-free diet diet may be low in fe, folate, niacin, vitamin b-12, calcium, phosphorus, zinc, and fiber. Sources of gluten: bread, bagels, cakes, cereal, cookies, pasta/noodles, pastries/pies, rolls. Sources of gluten: candy, communion wafers, cured pork products, drink mixes, gravy, sauce, self-basting turkeys, soy sauce.
