THE CONVENIENCE OF CLINICAL PLUS NUTRmONAL INTERVENTIONS IN GASTROENTEROLOGICAL PATIENTS: CASE REPORT

Detalhes bibliográficos
Autor(a) principal: J. PAPINI-BERTO, Sílvia
Data de Publicação: 1992
Outros Autores: Di LELLO, Ada, B. DICHl, Jane, DICHl, Isaías, R. VICTORIA, Carlos, e. BURINl, Roberto
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Nutrição
Texto Completo: https://periodicos.puc-campinas.edu.br/nutricao/article/view/9959
Resumo: The advantages of the multiprofessional approach for diagnosis and treatment of hospitalized patients is becoming evident and mandatory. The result of this multiprofessional interaction is analysed in the present article under the view of nutritional therapy. Two mala adults patients suffering from chronic diarrhea of two distinct etiologias: traumatic retite and lymphoproliferative disease were both severely malnourished at the admittance. The nutritional assessment (dietary intake, anthropometry and blood biochemistry) was done weekly throughout the hospitalization. Dietary intervention consisted of either oral (obstipant), enteral and/or parenteral supports. Both patients reacted well to diets decreasing the defecation rate and doubling their serum leveis of free tryptophan. However the nutritional improvement was sustained only in the case where the basic disease (lymphoproliferative disease) was conveniently treated. ln the other case the anal-sphincter reconslruclion was not undertaken, and probably because of that lhe improvemenl of nutritional indicalors was transienl and ceased soon after the dielary support. So it was evidenl the inability of diel therapy in keeping atone the nutritional state of the patienl without lhe adequale clinical-surgical procedure.  
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spelling THE CONVENIENCE OF CLINICAL PLUS NUTRmONAL INTERVENTIONS IN GASTROENTEROLOGICAL PATIENTS: CASE REPORTIMPORTÂNCIA DA INTERVENÇÃO CÚNICA E NUTRICIONAL EM PACIENTES GASTROENTEROLÓGICOS: : RELATO DE CASOSnulritional statusprotein-calorie mal­ nutritiondiarrheadiet therapytryptophanestado nutricionaldesnu­ trição protéico-calóricadiarréiadietoterapiatriptofanoThe advantages of the multiprofessional approach for diagnosis and treatment of hospitalized patients is becoming evident and mandatory. The result of this multiprofessional interaction is analysed in the present article under the view of nutritional therapy. Two mala adults patients suffering from chronic diarrhea of two distinct etiologias: traumatic retite and lymphoproliferative disease were both severely malnourished at the admittance. The nutritional assessment (dietary intake, anthropometry and blood biochemistry) was done weekly throughout the hospitalization. Dietary intervention consisted of either oral (obstipant), enteral and/or parenteral supports. Both patients reacted well to diets decreasing the defecation rate and doubling their serum leveis of free tryptophan. However the nutritional improvement was sustained only in the case where the basic disease (lymphoproliferative disease) was conveniently treated. ln the other case the anal-sphincter reconslruclion was not undertaken, and probably because of that lhe improvemenl of nutritional indicalors was transienl and ceased soon after the dielary support. So it was evidenl the inability of diel therapy in keeping atone the nutritional state of the patienl without lhe adequale clinical-surgical procedure.  A necessidade da abordagem multiprofissional da terapêutica dos pacientes internados é cada dia mais evidente e imperiosa. O resultado dessa integração é analisado, no presente trabalho, sob a óptica da terapêutica nutricional. Dois pacientes adultos, portadores de diarréia crônica de etiologias  diferentes  (retite  traumática  e  doença linfoproliferativa) ambos com desnutrição protéico-calórica, avaliada mediante ingestão alimentar, antropometria e exame bioquímico, foram submetidos à dietoterapia oral (obstipante), enteral e/ou parenteral. A resposta nutricional satisfatória de ambos os pacientes à dietoterapia pode ser detectada pela elevação (de 2 a 3 vezes) dos níveis séricos de triptofano livre e redução de 10 a 12 vezes na freqüência das evacuações. Entretanto, a melhora nutricional foi mantida apenas no caso em que a doença de base (doença linfoproliferativa) sofreu tratamento clínico adequado. Essa melhora foi apenas transitória no outro caso, em que a conduta cirúrgica (reconstrução do esfíncter anal) não foi efetivada. Ficou evidenciada a impotência da dietoterapia em manter a resposta nutricional satisfatória sem o tratamento clínico-cirúrgico da doença de base do paciente.Núcleo de Editoração – PUC-Campinas1992-06-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/9959Brazilian Journal of Nutrition; Vol. 5 No. 1 (1992): Revista de NutriçãoRevista de Nutrição; Vol. 5 Núm. 1 (1992): Revista de NutriçãoRevista de Nutrição; v. 5 n. 1 (1992): Revista de Nutrição1678-9865reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMPporhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/9959/7288Copyright (c) 2023 Sílvia J. PAPINI-BERTO, Ada Di LELLO, Jane B. DICHl, Isaías DICHl, Carlos R. VICTORIA, Roberto e. BURINlhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess J. PAPINI-BERTO, SílviaDi LELLO, Ada B. DICHl, Jane DICHl, Isaías R. VICTORIA, Carlos e. BURINl, Roberto 2024-04-04T16:43:45Zoai:ojs.periodicos.puc-campinas.edu.br:article/9959Revistahttp://www.scielo.br/rnPRIhttps://periodicos.puc-campinas.edu.br/nutricao/oai||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2024-04-04T16:43:45Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)false
dc.title.none.fl_str_mv THE CONVENIENCE OF CLINICAL PLUS NUTRmONAL INTERVENTIONS IN GASTROENTEROLOGICAL PATIENTS: CASE REPORT
IMPORTÂNCIA DA INTERVENÇÃO CÚNICA E NUTRICIONAL EM PACIENTES GASTROENTEROLÓGICOS: : RELATO DE CASOS
title THE CONVENIENCE OF CLINICAL PLUS NUTRmONAL INTERVENTIONS IN GASTROENTEROLOGICAL PATIENTS: CASE REPORT
spellingShingle THE CONVENIENCE OF CLINICAL PLUS NUTRmONAL INTERVENTIONS IN GASTROENTEROLOGICAL PATIENTS: CASE REPORT
J. PAPINI-BERTO, Sílvia
nulritional status
protein-calorie mal­ nutrition
diarrhea
diet therapy
tryptophan
estado nutricional
desnu­ trição protéico-calórica
diarréia
dietoterapia
triptofano
title_short THE CONVENIENCE OF CLINICAL PLUS NUTRmONAL INTERVENTIONS IN GASTROENTEROLOGICAL PATIENTS: CASE REPORT
title_full THE CONVENIENCE OF CLINICAL PLUS NUTRmONAL INTERVENTIONS IN GASTROENTEROLOGICAL PATIENTS: CASE REPORT
title_fullStr THE CONVENIENCE OF CLINICAL PLUS NUTRmONAL INTERVENTIONS IN GASTROENTEROLOGICAL PATIENTS: CASE REPORT
title_full_unstemmed THE CONVENIENCE OF CLINICAL PLUS NUTRmONAL INTERVENTIONS IN GASTROENTEROLOGICAL PATIENTS: CASE REPORT
title_sort THE CONVENIENCE OF CLINICAL PLUS NUTRmONAL INTERVENTIONS IN GASTROENTEROLOGICAL PATIENTS: CASE REPORT
author J. PAPINI-BERTO, Sílvia
author_facet J. PAPINI-BERTO, Sílvia
Di LELLO, Ada
B. DICHl, Jane
DICHl, Isaías
R. VICTORIA, Carlos
e. BURINl, Roberto
author_role author
author2 Di LELLO, Ada
B. DICHl, Jane
DICHl, Isaías
R. VICTORIA, Carlos
e. BURINl, Roberto
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv J. PAPINI-BERTO, Sílvia
Di LELLO, Ada
B. DICHl, Jane
DICHl, Isaías
R. VICTORIA, Carlos
e. BURINl, Roberto
dc.subject.por.fl_str_mv nulritional status
protein-calorie mal­ nutrition
diarrhea
diet therapy
tryptophan
estado nutricional
desnu­ trição protéico-calórica
diarréia
dietoterapia
triptofano
topic nulritional status
protein-calorie mal­ nutrition
diarrhea
diet therapy
tryptophan
estado nutricional
desnu­ trição protéico-calórica
diarréia
dietoterapia
triptofano
description The advantages of the multiprofessional approach for diagnosis and treatment of hospitalized patients is becoming evident and mandatory. The result of this multiprofessional interaction is analysed in the present article under the view of nutritional therapy. Two mala adults patients suffering from chronic diarrhea of two distinct etiologias: traumatic retite and lymphoproliferative disease were both severely malnourished at the admittance. The nutritional assessment (dietary intake, anthropometry and blood biochemistry) was done weekly throughout the hospitalization. Dietary intervention consisted of either oral (obstipant), enteral and/or parenteral supports. Both patients reacted well to diets decreasing the defecation rate and doubling their serum leveis of free tryptophan. However the nutritional improvement was sustained only in the case where the basic disease (lymphoproliferative disease) was conveniently treated. ln the other case the anal-sphincter reconslruclion was not undertaken, and probably because of that lhe improvemenl of nutritional indicalors was transienl and ceased soon after the dielary support. So it was evidenl the inability of diel therapy in keeping atone the nutritional state of the patienl without lhe adequale clinical-surgical procedure.  
publishDate 1992
dc.date.none.fl_str_mv 1992-06-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.puc-campinas.edu.br/nutricao/article/view/9959
url https://periodicos.puc-campinas.edu.br/nutricao/article/view/9959
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.puc-campinas.edu.br/nutricao/article/view/9959/7288
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Núcleo de Editoração – PUC-Campinas
publisher.none.fl_str_mv Núcleo de Editoração – PUC-Campinas
dc.source.none.fl_str_mv Brazilian Journal of Nutrition; Vol. 5 No. 1 (1992): Revista de Nutrição
Revista de Nutrição; Vol. 5 Núm. 1 (1992): Revista de Nutrição
Revista de Nutrição; v. 5 n. 1 (1992): Revista de Nutrição
1678-9865
reponame:Revista de Nutrição
instname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)
instacron:PUC_CAMP
instname_str Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)
instacron_str PUC_CAMP
institution PUC_CAMP
reponame_str Revista de Nutrição
collection Revista de Nutrição
repository.name.fl_str_mv Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)
repository.mail.fl_str_mv ||sbi.submissionrn@puc-campinas.edu.br
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