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[肽类饮食对伴有营养不良的功能性慢性腹泻的营养管理:一例报告]

[Nutritional management of functional chronic diarrhea associated to malnutrition with peptide diet: a case report].

作者信息

Aganzo Yeves Miguel, Luiza Luca Bogdana, Herrero Heras Ana, Vázquez Martínez Clotilde

机构信息

Hospital Universitario Fundación Jiménez Díaz Hospital Universitario Rey Juan Carlos.

出版信息

Nutr Hosp. 2018 May 17;35(3):747-749. doi: 10.20960/nh.1872.

Abstract

BACKGROUND

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.

CASE REPORT

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.

DISCUSSION

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.

摘要

背景

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。

病例报告

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。

讨论

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。

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