Patients with a high jejunostomy do not need a special diet

doi:10.1016/0016-5085(86)90434-8

Gastroenterology

Volume 91, Issue 1, July 1986, Pages 25-33

https://doi.org/10.1016/0016-5085(86)90434-8 Get rights and content

Abstract

Absorption from a chemically defined liquid feed consisting of small peptides, oligosaccharides, and little fat (half medium-chain triglycerides) was compared with that from a feed of whole protein, polysaccharides, and long-chain triglycerides in 7 patients with < 150 cm of jejunum ending in a stoma. Comparisons of absorption from three solid food diets varying in their fiber and fat content but containing equal amounts of nitrogen and minerals were also made in 4 of the patients. There were no consistent differences between the two liquid or three solid-food diets in percentage of calorie, nitrogen, or fat absorption. The absolute loss of fat depended on the fat intake, but larger losses did not appear detrimental. A liquid diet consisting of peptides, oligosaccharides, and medium-chain triglycerides is not more beneficial than a polymeric diet in patients with a high Jejunostomy. A liberal attitude is appropriate toward the fat and fiber content of the diet. Electrolyte supplements, especially sodium and magnesium, are often needed.

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Citation Excerpt :
This would correspond to an increase in energy absorption of more than 3 MJ/d. No changes in transit time, ostomy dry weights, or fluid outputs could be detected. Using bomb calorimetry, McIntyre and colleagues58 compared the absorption of a chemically defined liquid diet consisting mainly of small peptides, oligosaccharides, and little fat (half of which was MCTs) with absorption of a polymeric diet in patients with short residual intestine (<150 cm) ending in a stoma. Furthermore, 3 solid diets with various amounts of fiber and fat were compared.
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Short Bowel Syndrome is an entity that remains a challenge to clinicians. It also includes patients with intestinal failure whether or not they actually have a reduced length of bowel. Despite advances in the field of nutrition over the years, this condition remains one of the most difficult to treat. This chapter addresses some of the major controversies with the management of patients with this condition.
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¹: P.B. McIntyre was the recipient of a grant from the N. E. Thames Regional Health Authority.

²: M. Fitchew was the recipient of a grant from the Sir Halley Stewart Trust.

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Patients with a high jejunostomy do not need a special diet

Abstract

Clin Gastroenterol

Gastroenterology

J Biol Chem

Gastroenterology

Clin Biochem

Gastroenterology

Gastroenterology

Clin Gastroenterol

Rational use of elemental and non-elemental diets in hospitalized patients

Ann Surg

Comparison of an elemental and polymeric enterar diet in patients with normal gastrointestinal function

Gut

Comparison of proprietary elemental and whole-protein diets in unconscious patients with head injury

Br Med J

The management of the patient with the short bowel syndrome

Am J Gastroenterol

The management of the short gut syndrome

Surgical treatment of the short bowel syndrome

Br J Surg