GI Disease: Lower GI Diseases

1
GI Disease Lower GI Diseases

• M.Burns, PhD, RD
• FCS 4751

2
Small Intestine Diseases

• Celiac disease
• Lactose intol
• Inflammatory Bowel Disease

3
Celiac Disease

• Malabsorption disease of gluten
• MNT Goals
• Prevent weight loss
• Prevent nutrient deficiencies
• Gluten-restricted diet (Table 28.9, page 623)

4
Lactose Intolerance

• Deficiency of lactase
• MNT Goals
• Omission of lactose foods (Table 28.12, pg. 626)
• Prevent nutrient deficiencies
• V-D, Ca, riboflavin, P common

5
IBD Crohns Disease

• Lengthy segments of bowel is inflamed due
  crack-like ulcers
• Occurs in any part of GI tract
• Chronic, progressive disorder
• Occurs between 15-25 years
• Symptoms

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IBD Ulcerative Colitis

• Chronic inflammation beginning in rectum
• Doesnt affect small intestine
• Occurs between 20 40 years
• Symptoms
• Differences (Table 28.13, pg. 631)

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IBD Treatment

• Surgical removal of diseased portion resulting in
  ileostomy
• MNT Goals
• Restore optimal nutritional status
• Prevent deficiencies
• Control fat malabsorption

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Stomys

• Ileostomy
• Colon, rectum, anus removed
• Liquidy stool
• Colostomy
• Rectum and anus removed
• Mushy to well-formed stool

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Large Intestine Diseases

• Diverticular disease
• Irritable Bowel Syndrome
• Short Bowel Syndrome

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Irritable Bowel Syndrome

• Abnormal stooling pattern associated with
  symptoms of intestinal dysfunction for 3 mos
• Symptoms
• MNT Goals
• Maintain a healthy weight
• High-fiber diet

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Diverticular Disease

• Diverticulosis
• formation of diverticula
• Diverticulitis
• inflammation of diverticula
• MNT Goals
• High-fiber diet

12
Short Bowel Syndrome

• Surgical bypass/resection of ileum...decreased
  bile secretion
• MNT Goals
• Maintain a healthy weight
• Prevent nutrient deficiencies
• Monitor malabsorption

13
Next Time

• Related Diets
• Read pages 613-615