NUTR-4240 Lecture Notes - Lecture 10: Upper Gastrointestinal Series, Short Bowel Syndrome, Jerusalem Artichoke
15 Dec 2018
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Inulin and oligofructose (chicory, jerusalem artichoke: synbioitics 0 contain both probiotics and prebiotics. Ibs crohns and ulcerative colitis: overview, etiology, symptoms, diagnosis, upper gi series, endoscopy, blood tests. Ibd serology 7 to diagnose, differentiate between crohns and uc and determine severity (92% accurate) Anca: anemia, wbc, stool sample, complications. Intestinal: strictures or obstructions, fistula, malabsorption bile salts, b-12. If large amount of bowel is removed short bowel syndrome (ileostomy, colostomy, or colectomy: surgery. Ileostomy: colostomy, dietary alterations, extraintestinal, bone loss, arthritis, skin conditions, eye disorders. Increased nutrient needs - specify: evident protein-energy malnutrition, clinical. ** inadequate oral food/beverage intake related to abdominal distention/discomfort after eating caused by gi stricture as evidenced by 1/3 normal intake for past 5 days and c/o of abdominal discomfort ** Goals: optimal healing if patient undergoes surgery, provide adequate energy and protein, prevent development of nutrient deficiencies. Interventions to meet goals: provide adequate energy and protein needs, 1-1. 5 g/kg protein, 25-35 kcal/kg, vitamin/mineral supplementation.
