Aganzo Yeves Miguel, Luiza Luca Bogdana, Herrero Heras Ana, Vázquez Martínez Clotilde
Hospital Universitario Fundación Jiménez Díaz Hospital Universitario Rey Juan Carlos.
Nutr Hosp. 2018 May 17;35(3):747-749. doi: 10.20960/nh.1872.
functional bowel disorders are characterized by an absence of structural or biochemical damage, but can lead to chronic diarrhea and intestinal malabsorption. If not properly treated, they predispose to a state of malnutrition that, depending on the underlying pathologies, could affect the evolution of other concomitant diseases.
the relevance of this case stems from the fact that our 43-year-old patient, with multiple comorbidities, with progressive weight and muscle mass loss, after five years of inefficiency in the treatment of chronic diarrhea, achieves, on a peptide enteral formula basis, a good nutritional status and quality of life, which finally leads to the control of the chronic diarrhea and malnutrition.
in the unintentional weight loss caused by long-term functional diarrhea, the choice of a peptide diet may have a fundamental role for a satisfactory patient's progress.
功能性肠病的特点是不存在结构或生化损伤,但可导致慢性腹泻和肠道吸收不良。如果治疗不当,它们易引发营养不良状态,这取决于潜在病理情况,可能会影响其他伴随疾病的进展。
本病例的相关性源于这样一个事实,即我们这位43岁的患者患有多种合并症,体重和肌肉量逐渐下降,在慢性腹泻治疗五年无效后,基于肽类肠内营养配方,实现了良好的营养状况和生活质量,最终实现了慢性腹泻和营养不良的控制。
在长期功能性腹泻导致的非故意体重减轻中,选择肽类饮食可能对患者的满意进展起到关键作用。