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HUN4446 diverticulosis - • Acute inflammation/infection...

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omega 3 FA: increase intake-anti-inflammatory Surgery: protocolectomy w/: ileostomy ileoanal pouch anal anastomies Diverticular Disease: Diverticulosis:  herniation of the mucous membrane through the muscular  layer of the colonic wall risk factors  (contribute to its development): hx constipation low fiber diet  obesity decreased physical activity proposed disease process: increased intracolonic pressure due to abnormalities in motility exacerbated by low fiber diet symptoms: usually symptom free mild cramps, bloating alternating diarrhea constipation nutritional management: high fiber intake increase fiber intake gradually Diverticulitis:  acute inflammation of diverticular pockets; may cause ulceration proposed etiology: fecal matter trapped in dierticula? Changes in colonic mucosal immune response? Abrasion of mucosal lining by hardened/impacted fecal matter?
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Unformatted text preview: • Acute inflammation/infection develops • food do NOT seem to be the problem at all • signs and symptoms: • fever • abdominal pain • acute GI bleeding • increased WBC • complications • obstruction • abscess, perforation, peritonitis • fistula • nutritional management • acute: (mild, no complications); low residue diet or elemental • complicated cases: NPO; parenteral nutrition if NPO status prolonged • resolving: restricted fiber diet • gradual progression to high fiber diet Short Bowel Syndrome: ➢ symptoms, consequences, and nutritional recommendations depend on: • extent • location • presence/absence of ileocecal vale • time elapsed since surgery • condition of remaining GI tract • colonic continuity ➢ potential complications: • fistula formation • bacterial overgrowth • gastric acid hypersecretion...
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