Small and Large Intestine (II): Inflammatory Bowel Disease, Short Bowel Syndrome, and Malignant Tumors of the Digestive Tract

被引:16
作者
Ber, Yolanda [1 ]
Garcia-Lopez, Santiago [2 ]
Gargallo-Puyuelo, Carla J. [3 ]
Gomollon, Fernando [3 ,4 ,5 ]
机构
[1] Hosp San Jorge, Inst Aragon & Ciencias Salud IACS, Gastroenterol & Hepatol Dept, Huesca 22004, Spain
[2] Hosp Univ Miguel Servet, Inst Invest Sanitaria Aragon IIS Aragon, Gastroenterol Dept, Zaragoza 50009, Spain
[3] Hosp Clin Univ Lozano Blesa, Gastroenterol Dept, Zaragoza 50009, Spain
[4] Univ Zaragoza, Sch Med, Zaragoza 50009, Spain
[5] Ctr Invest Biomed Red Enfermedades Hepat & Digest, Madrid 28029, Spain
关键词
inflammatory bowel disease; short bowel syndrome; gastrointestinal tumors; undernutrition; surgery; macronutrients; micronutrients; enteral nutrition; parenteral nutrition; nutritional status; GUIDELINE CLINICAL NUTRITION; METASTATIC COLORECTAL-CANCER; HOME PARENTERAL-NUTRITION; BONE-MINERAL DENSITY; CROHNS-DISEASE; IRON-DEFICIENCY; VITAMIN-D; PLASMA CITRULLINE; ENTERAL NUTRITION; ESPEN GUIDELINES;
D O I
10.3390/nu13072325
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
The small intestine is key in the digestion and absorption of macro and micronutrients. The large intestine is essential for the absorption of water, to allow adequate defecation, and to harbor intestinal microbiota, for which their nutritional role is as important as it is unknown. This article will describe the causes and consequences of malnutrition in patients with inflammatory bowel diseases, the importance of screening and replacement of micronutrient deficits, and the main indications for enteral and parenteral nutrition in these patients. We will also discuss the causes of short bowel syndrome, a complex entity due to anatomical or functional loss of part of the small bowel, which can cause insufficient absorption of liquid, electrolytes, and nutrients and lead to complex management. Finally, we will review the causes, consequences, and management of malnutrition in patients with malignant and benign digestive tumors, including neuroendocrine tumors (present not only in the intestine but also in the pancreas).
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页数:24
相关论文
共 125 条
[1]   Vitamin D Deficiency and Corticosteroid Use Are Risk Factors for Low Bone Mineral Density in Inflammatory Bowel Disease Patients [J].
Abraham, Bincy P. ;
Prasad, Preethi ;
Malaty, Hoda M. .
DIGESTIVE DISEASES AND SCIENCES, 2014, 59 (08) :1878-1884
[2]   Energy metabolism and substrate oxidation in patients with Crohn's disease [J].
Al-Jaouni, R ;
Hébuterne, X ;
Pouget, I ;
Rampal, P .
NUTRITION, 2000, 16 (03) :173-178
[3]   Timing of surgery in Crohn's disease:: A key issue in the management [J].
Alos, Rafael ;
Hinojosa, Joaquin .
WORLD JOURNAL OF GASTROENTEROLOGY, 2008, 14 (36) :5532-5539
[4]   Determinants of home parenteral nutrition dependence and survival of 268 patients with non-malignant short bowel syndrome [J].
Amiot, Aurelien ;
Messing, Bernard ;
Corcos, Olivier ;
Panis, Yves ;
Joly, Francisca .
CLINICAL NUTRITION, 2013, 32 (03) :368-374
[5]  
[Anonymous], 2016, ENFERM INFLAMATORIA, DOI DOI 10.1016/j.eii.2016.06.003
[6]   Nutritional Status Affects Treatment Tolerability and Survival in Metastatic Colorectal Cancer Patients: Results of an AGEO Prospective Multicenter Study [J].
Barret, Maximilien ;
Malka, David ;
Aparicio, Thomas ;
Dalban, Cecile ;
Locher, Christophe ;
Sabate, Jean-Marc ;
Louafi, Samy ;
Mansourbakht, Touraj ;
Bonnetain, Franck ;
Attar, Alain ;
Taieb, Julien .
ONCOLOGY, 2011, 81 (5-6) :395-402
[7]  
Barsouk Adam, 2019, Med Sci (Basel), V7, DOI 10.3390/medsci7030046
[8]  
BEEKEN WL, 1973, PEDIATRICS, V52, P69
[9]   Vitamin D insufficiency/deficiency in gastrointestinal disorders [J].
Bikle, Daniel D. .
JOURNAL OF BONE AND MINERAL RESEARCH, 2007, 22 :V50-V54
[10]   ESPEN practical guideline: Clinical Nutrition in inflammatory bowel disease [J].
Bischoff, Stephan C. ;
Escher, Johanna ;
Hebuterne, Xavier ;
Klek, Stanislaw ;
Krznaric, Zeljko ;
Schneider, Stephane ;
Shamir, Raanan ;
Stardelova, Kalina ;
Wierdsma, Nicolette ;
Wiskin, Anthony E. ;
Forbes, Alastair .
CLINICAL NUTRITION, 2020, 39 (03) :632-653