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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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- Spring '09
- Ulcerative colitis, Short Bowel Syndrome, low fiber diet