Esopha-Who?
A precancerous condition that affects 1.6-6.8% of the population and demonstrates as erosion or scarring of the esophagus
What is Barrett's Esophagus
2 risk factors for GERD
Obesity
Gastroparesis or Constipation
Spicy or acidic food, caffeine, or alcohol intake
Lying down after eating large meals
Fiber balls that commonly form in those with gastroparesis.
What is a bezoar?
This condition is "idiopathic", meaning there is no structural or functional damage, but pain occurs anyway.
What is IBS (irritable bowel syndrome)?
This condition occurs when there is inflammation in the bile duct without gallstones present
What is Acalculous Cholecystitis?
This condition occurs when trypsinogen is prematurely activated, leading to the pancreas digesting itself.
What is pancreatitis?
A condition that makes swallowing difficult due to muscular atrophy, aging, or esophageal damage
What is Dysphagia?
GERD is caused by the ___________ _____________ ____________ relaxing and letting acid into the stomach.
What is the Lower Esophageal Sphincter?
This procedure measures the presence of H. Pylori bacteria.
What is the Hydrogen Breath Test?
This diet is recommended for those with IBS.
What is the Low FODMAP Diet?
Recent, rapid weight loss or history of weight cycling increases the risk of this condition.
What are gallstones or cholecystitis?
This is the most effective form of nutrition counseling in patients with acute pancreatitis
What is the health belief model?
The condition in which part of the upper stomach protrudes around the esophagus.
What is a Hiatal Hernia?
Proton Pump Inhibitors.
DAILY DOUBLE!! How does this mechanism of action differ from H2RA (histamine receptor antagonist)
H. Pylori is attributed to these two gastric conditions.
What are gastritis and peptic ulcer disorder?
This medical scan shows the flow of bile to determine where a blockage is occurring.
What is the HIDA scan?
This kind of diet is recommended for patients with acute pancreatitis.
What is a low-fat, soft, bland diet?
A condition with GERD-like symptoms that is actually caused by allergen exposure. What is one nutrition intervention?
What is Eosinophilic Esophagitis? Elimination diet.
Prolonged usage of proton pump inhibitors increases the risk of deficiency of these two micronutrients. Why?
DAILY DOUBLE!!
What are Vitamin B12 and iron? There is reduced stomach acid secretion, reducing protein breakdown in the stomach, limiting the amount of B12 and Fe2+ ready for absorption in small intestine.
A symptom of peptic ulcers is that the presence of pain occurs this amount of time after eating food. How can this pain be managed?
What is 30 minutes to 2 hours? Eat small, frequent meals, or take medication to coat the ulcer (sucralfate or colloidal bismuth).
We would give a person with this condition soluble fiber, but not insoluble fiber. Why does insoluble fiber not help? What are some examples of soluble fiber?
What is diarrhea?
Insoluble fiber pulls water into intestines, contributing to diarrhea.
Oatmeal, Apples, Legumes, Barley, Bananas, Psyllium Husk, Oranges, Broccoli.
Two NFPE observations that can be made in someone with gallbladder dysfunction
What are jaundice and obesity?
Chronic, dull, intermittent unrelenting pain symbolizes this condition while severe epigastric pain symbolizes its predecessor.
What is chronic pancreatitis and acute pancreatitis?
4 risk factors for Esophagitis
What are alcohol, NSAIDs, radiation, and GERD?
Five nutrition interventions for GERD.
What are ...?
Reduce kcal/day intake to promote weight loss
Reduce intake of spicy food, caffeine, alcohol, and NSAIDs
Walk after meals
Don't lie down for 1-3 hours post meal
eat 4-6 small meals/day
Peppermint, ginger, or chamomile
Don't wear tight clothes
This condition can occur as a result of prolonged T2DM or GLP-1 usage, increasing the occurance of nausea, vomiting, and GERD.
What is Gastroparesis?
What is Crohn's Disease? Ulcerative Colitis only impacts the colon (Large Intestine) and is continuous, so the problem spot can be removed via colectomy. Crohn's Disease is patchy and can occur anywhere in the GI tract, including small intestine, reducing the surface area for absorption.
This type of stool occurs when fat is malabsorbed, resulting in excess bile excretion in feces.
What is Steatorrhea?
What are 4 lab values we want to assess when seeing patients with possible or diagnosed pancreatits?
DAILY DOUBLE!! Why are triglycerides elevated in pancreatitis?
Fat Soluble Vitamins, serum amylase and lipase, triglycerides, bilirubin, manganese, thiamine
Poor pancreatic function results in poor insulin production, resulting in limited storage and usage of TG in blood.
This procedure pulls part of the stomach up to replace part of the esophagus. This other procedure pulls the fundus of the stomach up and wraps it around the esophagus to tighten the esophageal sphincter.
What is Esophagectomy with gastric pull up? What is Fundoplication?
Vagal Nerve
What are diverticulosis and diverticulitis. Increase fiber intake in diverticulosis to prevent diverticulitis, and reduce fiber intake in diverticulitis until the flare up has gone away and then slowly increase 5g/week.
False. The common bile duct will adapt and breakdown fat like normal after a few months.
28g of fiber/day; 15% total kcal from fat with 75% of those calories being from unsaturated fats.
The main treatment of chronic pancreatitis is PERT. What 3 enzymes are being replaced here? What do they do?