Vomero Nathália Dalcin, Colpo Elisângela
Centro Universitário Franciscano, Santa Maria, RS, Brazil.
Arq Bras Cir Dig. 2014 Nov-Dec;27(4):298-302. doi: 10.1590/S0102-67202014000400017.
Peptic ulcer is a lesion of the mucosal lining of the upper gastrointestinal tract characterized by an imbalance between aggressive and protective factors of the mucosa, having H. pylori as the main etiologic factor. Dietotherapy is important in the prevention and treatment of this disease.
To update nutritional therapy in adults' peptic ulcer.
Exploratory review without restrictions with primary sources indexed in Scielo, PubMed, Medline, ISI, and Scopus databases.
Dietotherapy, as well as caloric distribution, should be adjusted to the patient's needs aiming to normalize the nutritional status and promote healing. Recommended nutrients can be different in the acute phase and in the recovery phase, and there is a greater need of protein and some micronutrients, such as vitamin A, zinc, selenium, and vitamin C in the recovery phase. In addition, some studies have shown that vitamin C has a beneficial effect in eradication of H. pylori. Fibers and probiotics also play a important role in the treatment of peptic ulcer, because they reduce the side effects of antibiotics and help reduce treatment time.
A balanced diet is vital in the treatment of peptic ulcer, once food can prevent, treat or even alleviate the symptoms involving this pathology. However, there are few papers that innovate dietotherapy; so additional studies addressing more specifically the dietotherapy for treatment of peptic ulcer are necessary.
消化性溃疡是上消化道黏膜的一种病变，其特征是黏膜侵袭性因素和保护性因素之间失衡，幽门螺杆菌是主要病因。饮食疗法在这种疾病的预防和治疗中很重要。
更新成人消化性溃疡的营养治疗。
对Scielo、PubMed、Medline、ISI和Scopus数据库中索引的主要来源进行无限制的探索性综述。
饮食疗法以及热量分配应根据患者需求进行调整，旨在使营养状况正常化并促进愈合。急性期和恢复期推荐的营养素可能不同，恢复期对蛋白质和一些微量营养素，如维生素A、锌、硒和维生素C的需求更大。此外，一些研究表明维生素C对根除幽门螺杆菌有有益作用。纤维和益生菌在消化性溃疡的治疗中也起着重要作用，因为它们可减少抗生素的副作用并有助于缩短治疗时间。
均衡饮食在消化性溃疡的治疗中至关重要，因为食物可以预防、治疗甚至缓解与这种病症相关的症状。然而，创新饮食疗法的论文很少；因此，有必要进行更多专门针对消化性溃疡治疗饮食疗法的研究。
