Practical issues in nutrition and supplementation in gastrointestinal disease

Published on 09/04/2015 by admin

Filed under Gastroenterology and Hepatology

Last modified 09/04/2015

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Chapter 26 PRACTICAL ISSUES IN NUTRITION AND SUPPLEMENTATION IN GASTROINTESTINAL DISEASE

NUTRITIONAL PROBLEMS

Management options for various nutritional problems are summarised in Figure 26.1.

Intestinal obstruction

In the days prior to total parenteral nutrition (TPN), intestinal obstruction was a fatal condition unless early surgery could correct the cause. In the 1970s and ’80s, TPN was exclusively used to stabilise the patients before surgery could be performed. In the short term, this was usually successful, but when continued >2 weeks, complications began to outweigh benefits.

Lower gastrointestinal obstruction

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