Complications of gallstones • Inflammation of the gallbladder: cholecystitis. A gallstone that becomes lodged in the neck of the gallbladder can cause inflammation of the gallbladder. Can cause severe pain and fever. • Blockage of the common bile duct: cholangitis. Gallstones can block the ducts through which bile flows from your gallbladder or liver to your small intestine. Jaundice and bile duct infection can result.
Complications of gallstones • Blockage of the pancreatic duct: Pancreatitis. A gallstone can cause a blockage in the pancreatic duct, which can lead to inflammation of the pancreas. Pancreatitis causes intense, constant abdominal pain and usually requires hospitalization. • Gallbladder cancer. People with a history of gallstones have an increased risk of gallbladder cancer. But gallbladder cancer is very rare.
Nutritional Implications of Cholelithiasis • Indigestion, decreased ability to digest and absorb fat, increased abdominal gas • Diarrhea post surgery
Nutrition Therapy for Cholelithiasis • Nutrition Intervention – Low fat, modest protein – Small frequent meals – During acute attacks- NPO for 12 hours; bowel rest as long as symptoms persist, parenteral nutrition therapy as needed – Post surgery – high fiber
Anatomy and Physiology of the Pancreas • Has both endocrine and exocrine functions – Endocrine- regulation of glucose homeostastis – Exocrine -secretion of enzymes and other substances directly into the intestinal lumen, for aid in digestion of protein, fats, CHO
Acute Pancreatitis • Causes: • 30-60% of cases are due to gallstones • 15-30% of cases are due to excessive alcohol • Symptoms – Upper abdominal pain radiating to the back worsening with ingestion of food, nausea, vomiting • Complications – Autodigestion of pancreatic cells due to premature activation of trypsin • Diagnosis based on clinical symptoms and elavated lipase and/or serum amylase •
Nutrition Therapy for Acute Pancreatitis • Main goal: prevent pancreatic stimulation thus, NPO and
- Winter '10
- Nutrition, Pancreatic Cancer, common bile duct, bile salts, chronic pancreatitis