Nutrition For Patients With Upper Gastrointestinal Disorders

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is used in treating many digestive system disorders

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Nutrition therapy

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break down food into smaller particles - assoc with lipase and amylase

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lipase = fat (saliva)
amylase = starch

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make food go down to stomach assoc w/ sphincter - move food into stomach

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esophagus

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pepsin break ? into polypeptides where

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break down protein (stomach)

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secretes gastic lipase and digestion what ?

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fat (stomach)

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secretes intrinsic factor which is neccessary for

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absorption of Vita B12 (stomach)

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some water, electrolytes, certain drugs and alcohol

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stomach

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is common symptom of many physical conditions and a side effect of certain drugs

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anorexia
(lack of appetite)

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a psychological condition characterized by denial of appetite

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anorexia nervosa

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limited ? intake with anorexia b/c doesnt alllow for stomach to empty

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fat

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vomiting that is difficul to manage or cure

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intractable vomiting

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small, frequent meals of low-fat, readily digested carbs are best tolerated

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naisea intervention

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impaired ability o swallow

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dysphagia

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solid food chewed, tongue propel liquids and food to start swallowing process

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oral phase

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difficulty chewing solid food, pocketing food in the cheek, loss of food from the lips, delayed swallowing

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possible impairments of the oral phase

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bolus passes thru esophagus into the stomach thru peristaitic

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esophageal phase

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difficulty w/ solid food (can handle preed food), heartburn, vomiting, burping

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esophageal phase impairments

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food and liquid bolus passes thru the pharynx into the esophagus

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pharyngeal phase

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food sticking in the throat;choking, drooling, coughing before, during and after swallowing, asp, repeated pna, hoarseness after swallowing, weight loss

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possible impairments of pharyngeal phase

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is a thickener dissolved in a liqid that is added to dry or pureed foods

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slurried

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food are totally smooth homogenous,

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level 1 pureed

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soft textured, moist foods that are formed into bolus

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level 2 mechaically altered

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near normal textured foods

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level 3 advanced

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goal fo nutrition therapy for people with dysphagia

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modify the texture food for nutrition and hydration while decreasing the risk of aspiration

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the conditon of being resistant to flow;having a heavy gluey quality

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viscosity

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what are the 4 liquid consistencies of dysphagia diet

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thin, nectarlike (straw), honeylike (spoon=do not hold shape), spoon-thick

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is caused by an abnormal reflux of gastric contents into the esophagus related to an abnormal relaxation of the lower esophageal sphincter (LES)

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GERD

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lifestyle modification, including nutrition therapy, drug therapy and surgical intervention

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three prolonged approach to treat GERD

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erosion of the gastrointestinal mucosal layer caused by excess secretion or decreased mucosal resistance to hydrochloric acid and pepsin

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peptic ulcer

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h pylori infection is implicated in est 70% of

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gastric ulcers

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h pylori infection is implicated in an est 92% of

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duodenal ulcers

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duodenal ulcers are normally relieve by

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food

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normally with gastric ulcers do not eat because it causes

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pain

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the cure for ulcer are combination of

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antibiotics and acid suppressing

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PUD should avoid

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coffee, alcohol and chocolate, 2 hour before bed

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may reduce the risk duodenal ulcer

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high fiber diet (soluble fiber)

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PUD always treated with

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antiacid med

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a group of symptoms caused by rapid emptying of stomach contents into the intestine

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dumping syndrome

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10 to 20 mins after eating and characterize as

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early duming syndrome

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20 to 30 mins after eating as undigested food - gas, pain, cramping consider to be

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intermediate dumping syndrome

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1 to 3 hourse after eating and common after eating simple sugars - - symptoms of hypoglycemia develop

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late dumping syndrome

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intervention goal and treatment for dumping syndrome

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small, frequent meals (one being protein), liquids 30 min to 1 hours after solids not with meals , avoid simple surgar and sugar alcohols

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iron deficiency anemia, steatorrhea, pernicious anemia, osteomalacia complications of

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dumping syndrome

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pernicious anemia need

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injection of vitamin B12

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most common complicatioan sof gastrectomy and gastric bypass is

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dumping syndrome

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eating small, frequent meals (eating protein) at each meal and avoid sugars and sugar alcohols, liquids should be eaten 1 hour before or after eating instead of with meals

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nutrition therapy for dumping syndrome