HUN4446 gallbladder dz

HUN4446 gallbladder dz - • progressive wt loss despite...

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imaging and function tests: imaging: radiographs CT scan ERCP (endoscopic retrograde cholangiopancreatography)-gold standard endoscopic ultrasonography-newer, used to compliment ERCP function tests OGTT (oral glucose tolerance tests) abnormal secretin-CCK (pancreozymin) abnormal bentiromide test OGTT if have pancreatitis effects of chronic pancreatitis maldigestion malabsorption diabetes nutritional management: adequate kcals and nutrients (increased) fat as tolerated; generally not restricted small, frequent meals modify for concurrent problems: blood sugar water miscible, fat soluble vitamin vitamin B12 supplement, antioxidants Mg, Zn, Ca supplement no alcohol  during active attacks: withhold intake/dietary restrictions for acute pancreatitis tube feeding/parenteral nutrition: potential indications for tube feeding: unable to eat due to persistent pain
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Unformatted text preview: • progressive wt loss despite adequate medical (PERT) and nutritional therapy • acute complications (fistula; acute flare up) • potential indications for parenteral nutrition: • small bowel dysfunction • inability to obtain small bowel access ➢ tube feeding formula characteristics: • peptide-based • whey protein: enhance glutathione production • antioxidant potential • MCT (higher percentage of fat as MCT) ➢ medical management: • pain relievers • pancreatic enzyme replacement tx • antacids • H2 receptor blockers • proton pump inhibitors Gallbladder Disease ➢ Structure: • pear-shaped • attached to under surface of liver • hepatic ducts • cystic duct • common bile duct • sphincter of Oddi ➢ Function: • store and concentrate bile • CCK-PZ stimulates bile secretion • CCK-PZ causes:...
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This note was uploaded on 10/25/2009 for the course HUN 4446 taught by Professor Mathews during the Spring '09 term at University of Florida.

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HUN4446 gallbladder dz - • progressive wt loss despite...

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