在腹腔疾病的营养评估和管理
M Ines Pinto-Sanchez1, Jedid-Jah Blom1, Peter R Gibson2
1Department of Medicine, Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
Gastroenterology
|April 9, 2024
概括
严格的无质饮食 (GFD) 对于乳病 (CeD) 是必不可少的,但可能导致营养缺乏和代谢问题. 定期营养评估对于长期GFD的CeD患者的管理至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
- 免疫学 免疫学 免疫学
背景情况:
- 乳病 (CeD) 是一种通过摄入质引发的免疫媒介疾病.
- 目前对CeD的唯一治疗方法是严格的无质饮食 (GFD).
- 一个GFD往往在营养上不足,导致缺陷和潜在的健康并发症.
研究的目的:
- 审查无质饮食中患有乳病的患者的营养考虑因素.
- 讨论与长期遵守GFD相关的挑战.
- 突出营养状况评估在CeD管理中的重要性.
主要方法:
- 这是一个叙事评论.
- 关于乳病的营养方面和无质饮食的文献搜索.
- 综合有关GFD相关营养挑战的当前知识.
主要成果:
- GFD可能导致维生素和矿物质缺乏.
- 增加糖和脂肪的摄入量是无质替代品的常见情况.
- 患有GFD的CeD患者的超重,肥胖和代谢并发症比较高,如脂肪肝和心血管疾病.
结论:
- 营养评估在诊断和长期GFD管理期间对于CeD至关重要.
- 解决营养不足和饮食质量问题对于改善CeD的健康结果至关重要.
- 积极主动地应对GFD挑战可以减轻不良的营养和代谢后果.
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
331
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
331
Chronic Pancreatitis II: Collaborative Care
86
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
86
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
123
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
123
Irritable Bowel Syndrome III: Medical and Nursing Management
198
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
198
Inflammatory Bowel Disease IV: Pharmacological Management
127
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
127
Peptic Ulcer Disease IV: Management
91
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
91


