000132308 001__ 132308
000132308 005__ 20240301161208.0
000132308 0247_ $$2doi$$a10.3390/nu16020246
000132308 0248_ $$2sideral$$a137452
000132308 037__ $$aART-2024-137452
000132308 041__ $$aeng
000132308 100__ $$aUtrilla Fornals, Alejandra
000132308 245__ $$aMetabolic and nutritional issues after lower digestive tract surgery: the important role of the dietitian in a multidisciplinary setting
000132308 260__ $$c2024
000132308 5060_ $$aAccess copy available to the general public$$fUnrestricted
000132308 5203_ $$aMany patients undergo small bowel and colon surgery for reasons related to malignancy, inflammatory bowel disease (IBD), mesenteric ischemia, and other benign conditions, including post-operative adhesions, hernias, trauma, volvulus, or diverticula. Some patients arrive in the operating theatre severely malnourished due to an underlying disease, while others develop complications (e.g., anastomotic leaks, abscesses, or strictures) that induce a systemic inflammatory response that can increase their energy and protein requirements. Finally, anatomical and functional changes resulting from surgery can affect either nutritional status due to malabsorption or nutritional support (NS) pathways. The dietitian providing NS to these patients needs to understand the pathophysiology underlying these sequelae and collaborate with other professionals, including surgeons, internists, nurses, and pharmacists. The aim of this review is to provide an overview of the nutritional and metabolic consequences of different types of lower gastrointestinal surgery and the role of the dietitian in providing comprehensive patient care. This article reviews the effects of small bowel resection on macronutrient and micronutrient absorption, the effects of colectomies (e.g., ileocolectomy, low anterior resection, abdominoperineal resection, and proctocolectomy) that require special dietary considerations, nutritional considerations specific to ostomized patients, and clinical practice guidelines for caregivers of patients who have undergone a surgery for local and systemic complications of IBD. Finally, we highlight the valuable contribution of the dietitian in the challenging management of short bowel syndrome and intestinal failure.
000132308 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000132308 655_4 $$ainfo:eu-repo/semantics/review$$vinfo:eu-repo/semantics/publishedVersion
000132308 700__ $$aCostas-Batlle, Cristian
000132308 700__ $$aMedlin, Sophie
000132308 700__ $$aMenjón-Lajusticia, Elisa
000132308 700__ $$aCisneros-González, Julia
000132308 700__ $$aSaura-Carmona, Patricia
000132308 700__ $$0(orcid)0000-0001-7676-9842$$aMontoro-Huguet, Miguel A.$$uUniversidad de Zaragoza
000132308 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000132308 773__ $$g16, 2 (2024), 246 [36 pp.]$$pNutrients$$tNutrients$$x2072-6643
000132308 8564_ $$s5246573$$uhttps://zaguan.unizar.es/record/132308/files/texto_completo.pdf$$yVersión publicada
000132308 8564_ $$s2705493$$uhttps://zaguan.unizar.es/record/132308/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000132308 909CO $$ooai:zaguan.unizar.es:132308$$particulos$$pdriver
000132308 951__ $$a2024-03-01-14:54:32
000132308 980__ $$aARTICLE