ASGE Adult and Pediatric Gastroenterology and Endoscopy Board Preparatory and Review Course | 2022-Khan_Bariatrics, Nutrition, short gut syndrome, post bariatric surgery nutritional deficiencies and TPN

Khan_Bariatrics, Nutrition, short gut syndrome, post bariatric surgery nutritional deficiencies and TPN

Pdf Summary

Summary:<br /><br />The document discusses various topics related to gastroenterology and nutritional deficiencies. It includes four challenge questions with response options. <br /><br />The first question describes a patient with symptoms of diarrhea, abdominal pain, and fatigue after gastric bypass surgery. The most appropriate next step is to begin rifaximin therapy for small intestinal bacterial overgrowth (SIBO).<br /><br />The second question revolves around a patient with cholestatic liver disease and high ostomy output. The most appropriate next step is to transition to a fish oil lipid formulation for parenteral nutrition to reduce phytosterol-related cholestasis.<br /><br />The third question involves a patient with deficiencies after Roux-en-Y gastric bypass surgery. The most likely deficiency is copper, given the patient's symptoms.<br /><br />The fourth question addresses nutritional management in acute pancreatitis. The most appropriate recommendation is to initiate enteral feeding via nasojejunal tube, as early enteral nutrition is preferred over total parenteral nutrition in such cases.<br /><br />The fifth question concerns a patient with Crohn's disease and a rash. The most likely treatment to improve the rash is zinc supplementation, as patients with fistulizing Crohn's disease have lower zinc levels.<br /><br />The document concludes by providing helpful resources related to the topics discussed, including guidelines for nutrition support therapy in critically ill patients.

Keywords

gastroenterology

nutritional deficiencies

challenge questions

diarrhea

gastric bypass surgery

rifaximin therapy

cholestatic liver disease

fish oil lipid formulation

copper deficiency

enteral feeding