Inflammatory Bowel Disease case study #4

Information about case study 4 is in the ppt 6. (luna)Based on all the resections Ms. Johnson has undergone, which nutrients would be of concern? Why?

7. (luna)What type of adaptation can the small intestine make after surgical resection? Do you think Ms. Johnson will be reliant on home parenteral nutrition (HPN) indefinitely?

8. (luna)Do you expect the enterohepatic circulation of bile salts to be disrupted after this surgery? How might this impact the digestion and absorption of dietary fat?

9. (luna)In which area of the gastrointestinal tract are fluids primarily absorbed? Do you expect Ms. Johnson to experience dehydration in the postoperative phase? What nutrition therapies can the RDN implement to improve her hydration status?

10. (luna)What are the nutrition therapy recommendations for someone with an ileostomy? How does this differ from a patient with a colostomy?

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