0 stringlengths 12 494 | embeddings listlengths 384 384 |
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the\tmuscle.\tThe\tprevalence\tof\tdiverticulosis\tis\tdifficult\tto\tdetermine\tgiven\tthat\tmost\tindividuals\nremain\tasymptomatic.\tThis\tcondition\tbecomes\tmore\tcommon\tas\tpeople\tage,\tparticularly\tin\tpeople\nolder\tthan\tage\t60\t(\nFeuerstein\tand\tFalchuk,\t2016\n).\t\nDiverticulitis\n\tis\ta\tcomplicatio... | [
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).\t\nDiverticulitis\n\tis\ta\tcomplication\tof\tdiverticulosis\nthat\tindicates\tinflammation\tof\tone\tor\tmore\tdiverticulum.\tIt\toften\trepresents\ta\tflare-up\tof\ndiverticulosis,\tand\tafter\tit\tsubsides\tinto\ta\tperiod\tof\tremission,\tit\treverts\tto\tthe\tstate\tof\tdiverticulosis.\nEtiology | [
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Etiology\nThe\tcause\tof\tdiverticulosis\thas\tnot\tbeen\telucidated\tclearly.\tEpidemiologic\tstudies\thave\timplicated\nlow-fiber\tdiets\tin\tthe\tdevelopment\tof\tdiverticular\tdisease,\tbut\tthe\tevidence\tis\tambiguous\n\tregarding | [
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high-\tversus\tlow-fiber\tdiets\tand\tdiverticular\tdisease\twith\tregard\tto\tprevention\tand\ttreatment.\tLow-\nfiber\tdiets\treduce\tstool\tvolume,\tpredisposing\tindividuals\tto\tconstipation\tand\tincreased\tintracolonic\npressures,\twhich\tsuggests\tthat\tdiverticulosis\toccurs\tas\ta\tconsequence\tof\tpressure-i... | [
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to\tthe\tcolon.\tHowever,\twhile\tdietary\tfiber\tintake\thas\tbeen\tshown\tas\tinversely\trelated\tto\n\tthe\trisk\tof\ndeveloping\tthe\tdisease,\ta\tlarge\trecent\tstudy\tfailed\tto\tshow\ta\tdirect\tcorrelation\tbetween\tlow-fiber\ndiets\tand\tdiverticulosis.\tIn\tthat\tstudy,\thigher-fiber\tdiets\twere\tassociated\... | [
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diverticulosis.\tThe\tAmerican\tGastroenterology\tAssociation\trecommends\tincreasing\tfiber\tafter\ta\ndiverticulitis\tattack\tbut\teven\tit\tstates\tthat\tthe\trecommendation\tis\tconditional\tbased\ton\tweak\nevidence\t(\nFeuerstein\tand\tFalchuk,\t2016\n).\nMore\trecent\tresearch\thas\tstarted\tto\texplore\ttheorie... | [
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microbiome,\tand\tinflammation\t(\nFeuerstein\tand\tFalchuk,\t2016\n).\tOther\tstudies\thave\tfocused\ton\tthe\nrole\tof\tdecreased\tlevels\tof\tthe\tneurotransmitter\tserotonin\tin\tcausing\tdecreased\trelaxation\tand\nincreased\tspasms\tof\tthe\tcolon\tmuscle.\tStudies\thave\tfound\tlinks\tbetween\n\tdiverticular\tdi... | [
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0.095... |
diverticular\tdisease\tand\ndiets\thigh\tin\tred\tmeat\tand\tfat,\tobesity,\tvitamin\tD\tinsufficiency,\tlack\tof\texercise,\tsmoking,\tand\tcertain\nmedications,\tincluding\tnonsteroidal\tantiinflammatory\tdrugs\tsuch\tas\taspirin\tand\tsteroids\t(\nMaguire\tet\nal,\t2015\n;\t\nFeuerstein\tand\tFalchuk,\t2016\n).\nPat... | [
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al,\t2015\n;\t\nFeuerstein\tand\tFalchuk,\t2016\n).\nPathophysiology\nEvolving\tpathophysiologic\tmechanisms\tin\tdiverticulosis\tand\tdiverticulitis\tsuggest\tchronic\ninflammation,\talterations\n\tin\tcolonic\tmicrobiota,\tdisturbed\tcolonic\tsensorimotor\tfunction,\tand\nabnormal\tcolon\tmotility\thave\tinterrelated... | [
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0.094... |
(\nFeuerstein\tand\tFalchuk,\t2016\n).\tComplications\tof\tdiverticular\tdisease\trange\tfrom\tpainless,\tmild\nbleeding\tand\taltered\tbowel\thabits\tto\tdiverticulitis.\tAcute\tdiverticulitis\tincludes\ta\tspectrum\tof\ninflammation,\tabscess\tformation,\tbleeding,\tobstruction,\n\tfistula,\tand\tsepsis\tfrom\tperfor... | [
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(rupture).\nMedical\tand\tsurgical\ttreatment\nTreatment\ttypically\tincludes\tantibiotics\tand\tadjustment\tof\toral\tintake\tas\ttolerated.\tPatients\twith\nsevere\tcases\tof\tdiverticulitis\twith\tacute\tpain\tand\tcomplications\toften\trequire\ta\thospital\tstay\tand\ntreatment\twith\tintravenous\t(IV)\tantibiotics... | [
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foods).\tSurgery\n\tis\treserved\tfor\tpatients\twith\trecurrent\tepisodes\tof\tdiverticulitis\tand\tcomplications\nwhen\tthere\tis\tlittle\tor\tno\tresponse\tto\tmedication.\tSurgical\ttreatment\tfor\tdiverticulitis\tremoves\tthe\ndiseased\tpart\tof\tthe\tcolon:\tmost\tcommonly,\tthe\tleft\tor\tsigmoid\tcolon.\nMedica... | [
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Medical\tnutrition\ttherapy\nHistorically,\tit\thas\tbeen\tcommon\tin\tclinical\tpractice\tto\trecommend\tavoidance\tof\tnuts,\tseeds,\thulls,\ncorn,\tand\n\tpopcorn\tto\tprevent\tsymptoms\tor\tcomplications\tof\tdiverticular\tdisease.\tHowever,\tnewer\nstudies\thave\tfound\tno\tassociation\tbetween\tnut,\tcorn,\tor\tp... | [
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0.032708... |
bleeding\t(\nFeuerstein\tand\tFalchuk,\t2016\n).\tIn\tfact,\tan\tinverse\trelationship\tbetween\tnut\tand\tpopcorn\nconsumption\tand\tthe\trisk\tof\tdiverticulitis\twas\tdemonstrated,\tsuggesting\ta\tprotective\teffect.\nDuring\tan\tacute\tepisode\tof\n\tdiverticulitis\tor\tdiverticular\tbleeding,\toral\tintake\tis\tus... | [
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0.068852... |
until\tsymptoms\tsubside.\tComplicated\tcases\tmay\tnecessitate\tbowel\trest\tand\trequire\tPN.\tOnce\toral\nintake\tis\tresumed\tit\tis\tprudent\tto\tbegin\ta\tlow-fiber\tdiet\t(10\tto\t15\tg/day)\tas\tthe\tdiet\tis\tbeing\nadvanced,\tfollowed\tby\ta\tgradual\treturn\tto\ta\thigh-fiber\tdiet.\nAlthough\tthere\tis\tcon... | [
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disease,\tin\nsymptomatic\tuncomplicated\tdiverticular\tdisease\t(SUUD),\tincreasing\tfiber\tdid\tdemonstrate\ta\nreduction\tin\tabdominal\tsymptoms\tand\tprevention\tof\tacute\tdiverticulitis\t(\nCarabotti\tet\tal,\t2017\n).\tA\nhigh-fiber\tdiet\tin\tcombination\twith\tadequate\thydration\tpromotes\tsoft,\tbulky\tstoo... | [
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swiftly\tand\trequire\tless\tstraining\twith\tdefecation.\tRecommended\tintakes\tof\tdietary\tfiber,\tpreferably\nfrom\tfoods,\tare\t25\tg/day\tfor\tadult\twomen\tand\t38\tg/day\tfor\tmen.\nFiber\tintake\tshould\tbe\tincreased\tgradually\tbecause\tit\tmay\tcause\tbloating\tor\tgas.\tIf\ta\tpatient\ncannot\tor\twill\tno... | [
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supplements\thave\tbeen\tused\twith\tgood\tresults.\tA\thigh-fiber\tdiet,\tsometimes\twith\tfiber\nsupplementation,\tis\tadvocated\tin\tasymptomatic\tdiverticulosis\n\tto\treduce\tthe\tlikelihood\tof\tdisease\nprogression,\tprevent\tthe\trecurrence\tof\tsymptom\tepisodes,\tand\tprevent\tacute\tdiverticulitis.\tAdequate | [
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fluid\tintake\tshould\taccompany\tthe\thigh\tfiber\tintake.\tA\trecent\tsystematic\treview\tinvolving\t11\t(mostly\nuncontrolled)\tstudies\tof\tprobiotic\tuse\tfor\tthe\ttreatment\tof\tdiverticular\tdisease\tconcluded\tthat\tthe\nevidence\tdid\tnot\tshow\ta\tclear\tbenefit\t(\nLahner\tet\tal,\t2016\n;\t\nFeuerstein\tan... | [
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).\nIntestinal\tpolyps\tand\tcolorectal\tcancer\nIn\tthe\tUnited\tStates,\tcolorectal\tcancer\t(CRC)\tis\tthe\tfourth\tmost\tcommon\tcancer\tin\tadults\tand\tthe\nsecond\tleading\tcause\tof\tcancer\tdeath.\tIt\tis\testimated\tthat\tthere\twere\t140,250\tnew\tcases\tof\tCRC\tin\n2018,\tand\tthe\tincidence\tis\tmore\tcom... | [
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descent\t(\nNational\tCancer\tInstitute,\t2018\n).\nEtiology\nAbout\n\t85%\tof\tCRCs\tare\tconsidered\tto\tbe\tsporadic,\twhereas\tabout\t15%\tare\tfamilial.\tFamilial\nadenomatous\tpolyposis\t(FAP)\taccounts\tfor\tless\tthan\t1%\tof\tCRCs.\tIt\tis\ta\thereditary\tsyndrome\ncharacterized\tby\tthe\tdevelopment\tof\thund... | [
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0.0542826... |
the\tsecond\tdecade\tof\tlife.\tAlmost\tall\tpatients\twith\tFAP\twill\tdevelop\tCRC\tif\tthey\tare\tnot\tidentified\tand\ntreated\tat\tan\tearly\tstage.\nAn\tevaluation\tof\tthe\tassociation\tof\tmajor\tknown\trisk\tfactors\tfor\tCRC\twith\tcolorectal\tpolyp\trisk\tby\nhistology\ttype,\tquantified\tthe\timpact\tof\tli... | [
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0.09860999882221222,
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0.06394016742706299,
0.03... |
Fu\tet\tal,\n2012\n).\tSeveral\tlifestyle\tfactors,\tincluding\tcigarette\tsmoking,\tobesity,\thigh\tintake\tof\tred\tmeat,\tlow | [
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0.0... |
intake\tof\tfiber,\tlow\tintake\tof\tcalcium,\tand\tlow\tvitamin\tD\tlevels\twere\tfound\tto\tbe\tindependently\nassociated\twith\tthe\trisk\tof\tpolyps.\tAdditionally,\tuse\tof\tnonsteroidal\tantiinflammatory\tdrugs\thas\nshown\tto\tbe\tprotective.\tThe\trisk\tof\tpolyps\tincreased\tprogressively\twith\tan\tincreasing... | [
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0.005931... |
these\tadverse\tlifestyle\tfactors\t(\nBostick,\t2015\n;\t\nFu\tet\tal,\t2012\n).\nPathophysiology\nPolyps\n\tare\testablished\tprecursors\tof\tCRCs\tand\tdefined\tas\ta\tmass\tthat\tarises\tfrom\tthe\tsurface\tof\tthe\nintestinal\tepithelium\n\tand\tprojects\tinto\tthe\tintestinal\tlumen.\tFactors\tthat\tincrease\tthe... | [
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0.00845794752240181,
0.024695662781596184,
0.07575857639312744,
0.09516794979572296,
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0.02351... |
include\tfamily\thistory,\tchronic\tIBD,\tFAP,\tadenomatous\tpolyps,\tand\tseveral\tdietary\tcomponents.\nPatterns\tof\tdietary\tpractices\trather\tthan\tspecific\tnutrients\tmay\tbe\tmore\tpredictive\tof\tthe\trisk\tof\ndeveloping\tCRC.\nMedical\tmanagement\nThe\ttreatment\tof\ta\tcolorectal\tpolyp\tis\tremoval,\tusua... | [
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0.09281188994646072,
0.02414066530764103,
0.011946198530495167,
0.02452586032450199,
0.07253435254096985,
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0.07413886487483978,
0.035... |
require\nsurgery\tfor\tcomplete\tremoval,\teven\tif\tthe\tpresence\tof\tcancer\tis\tnot\tconfirmed\tbefore\tresection.\nPatients\tdiagnosed\twith\tCRC\tmay\trequire\tmoderate\tto\tsignificant\tinterventions,\tincluding\nmedications,\tradiation\ttherapy,\tchemotherapy,\tsurgery,\tand\tEN\tand/or\tPN\tsupport.\nMedical\t... | [
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Medical\tnutrition\ttherapy\nRecommendations\tfrom\tnational\tcancer\torganizations\tinclude\tsufficient\texercise;\tweight\nmaintenance\n\tor\treduction;\tmodest\tand\tbalanced\tintake\tof\tlipids;\tadequate\tintake\tof\tfiber\tand\toptimal\nmicronutrients\tfrom\tfruits,\tvegetables,\tlegumes,\tand\twhole\tgrains;\tan... | [
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0.022... |
Supplements\tare\tnormally\tencouraged\tif\tthe\tdiet\tis\tnot\tadequate\tin\tcalories,\tprotein,\tor\nmicronutrients.\tThe\tdiet\tfor\tcancer\tsurvivors\ttypically\tfollows\tthese\tprevention\tguidelines\t(see\nChapter\t35\n).\nNutritional\n\tconsequences\tof\tintestinal\tsurgery\nSmall\tbowel\tresections\tand\tshort-... | [
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0.... |
Short-bowel\tsyndrome\t(SBS)\n\tcan\tbe\tdefined\tas\tinadequate\tabsorptive\tcapacity\tresulting\tfrom\nreduced\tlength\tor\tdecreased\tfunctional\tbowel\tafter\tresection.\tA\tloss\tof\t70%\tto\t75%\tof\tsmall\tbowel\nusually\tresults\tin\tSBS,\tdefined\tas\t100\tto\t120\tcm\tof\tsmall\tbowel\twithout\ta\tcolon,\tor\... | [
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0.061040... |
bowel\twith\tthe\tcolon\tremaining.\n\tA\tmore\tpractical\tdefinition\tof\tSBS\tis\tthe\tinability\tto\tmaintain\nnutrition\tand\thydration\tneeds\twith\tnormal\tfluid\tand\tfood\tintake,\tregardless\tof\tbowel\tlength,\tas\nadaptation\tto\tbowel\tresections\tcan\tvary\twidely\tamong\tthose\twho\thave\thad\tthem. | [
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0.0540... |
Patients\twith\tSBS\toften\thave\tcomplex\tfluid,\telectrolyte,\tand\tnutritional\tmanagement\tissues.\nConsequences\tof\tSBS\tinclude\tmalabsorption\tof\tmicronutrients\tand\tmacronutrients,\n\tfrequent\ndiarrhea,\tsteatorrhea,\tdehydration,\telectrolyte\timbalances,\tweight\tloss,\tand\tgrowth\tfailure\tin\nchildren\... | [
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0.056436... |
children\t(\nLimketkai,\t2017\n).\tOther\tcomplications\tinclude\tgastric\thypersecretion,\toxalate\trenal\tstones,\nand\tcholesterol\tgallstones.\tIndividuals\twho\teventually\tneed\tlong-term\tPN\thave\tincreased\trisk\tof\ncatheter\tinfection,\tsepsis,\tcholestasis,\tand\tliver\tdisease,\tand\treduced\tquality\tof\t... | [
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0.02... |
with\nchronic\tintravenous\tnutrition\tsupport\t(\nDiBaise,\t2014\n).\nEtiology\nThe\tmost\tcommon\treasons\tfor\tmajor\tresections\tof\tthe\tintestine\tin\tadults\tinclude\tCrohn’s\tdisease,\nradiation\tenteritis,\tmesenteric\tinfarct,\tmalignant\tdisease,\tand\tvolvulus.\tIn\tthe\tpediatric\tpopulation | [
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most\tcases\tof\tSBS\tresult\tfrom\tcongenital\tanomalies\tof\tthe\tGI\ttract,\tatresia,\tvolvulus,\tor\tnecrotizing\nenterocolitis\t(\nShatnawei\tet\tal,\t2010\n).\nPathophysiology\nDuodenal\tresection.\nResection\tof\tthe\tduodenum\t(approximately\t10\tto\t15\tinches)\tis\trare,\twhich\tis\tfortunate\tbecause\tit\tis | [
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the\tpreferred\tsite\tfor\tabsorption\tof\tkey\tnutrients\tsuch\tas\tiron,\tzinc,\tcopper,\tand\tfolate.\tThe\nduodenum\tis\ta\tkey\tplayer\tin\tthe\tdigestion\tand\tabsorption\tof\tnutrients,\tbecause\tit\tis\tthe\tportal\tof\nentry\tfor\tpancreatic\tenzymes\tand\tbile\tsalts\t(see\t\nChapter\t1\n).\nJejunal\tresectio... | [
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0.03070... |
Chapter\t1\n).\nJejunal\tresections.\nThe\tjejunum\t(6\tto\t10\tfeet)\tis\talso\tresponsible\tfor\ta\tlarge\tportion\tof\tnutrient\tabsorption.\tNormally\nmost\tdigestion\tand\tabsorption\tof\tfood\tand\tnutrients\toccurs\tin\tthe\tfirst\t100\tcm\tof\tsmall\tintestine,\nwhich\talso\tincludes\tthe\tduodenum.\tJejunal\te... | [
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absorption.\tCholecystokinin\t(CCK)\tstimulates\tpancreatic\tsecretion\tand\tgallbladder\tcontraction,\n\tand\nsecretin\tstimulates\tsecretion\tof\tbicarbonate\tfrom\tthe\tpancreas.\tGastric\tinhibitory\tpeptide\tslows\ngastric\tsecretion\tand\tgastric\tmotility,\twhereas\tvasoactive\tinhibitory\tpeptide\tinhibits\tgas... | [
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0.0715... |
bicarbonate\tsecretion\t(see\t\nChapter\t1\n).\tWhat\tremains\tto\tbe\tdigested\tor\tfermented\tand\tabsorbed\tare\nsmall\tamounts\tof\tsugars,\tresistant\tstarch,\tlipids,\tdietary\tfiber,\tand\tfluids.\tAfter\tjejunal\tresections,\n\tthe\nileum\ttypically\tadapts\tto\tperform\tthe\tfunctions\tof\tthe\tjejunum.\tThe\t... | [
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0.02296742... |
comparatively\tslow,\tand\thormones\tsecreted\tin\tthe\tileum\tand\tcolon\thelp\tto\tslow\tgastric\temptying\tand\nsecretions.\tBecause\tjejunal\tresections\tresult\tin\treduced\tsurface\tarea\tand\tfaster\tintestinal\ttransit,\tthe\nfunctional\treserve\tfor\tabsorption\tof\tmicronutrients,\texcess\tamounts\tof\tsugars... | [
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0.0... |
Significant\tresections\tof\tthe\tileum,\tespecially\tthe\tdistal\tileum,\tproduce\tmajor\tnutritional\tand\tmedical\ncomplications.\tThe\tdistal\tileum\tis\tthe\tonly\tsite\tfor\tabsorption\tof\tbile\tsalts\tand\tthe\tvitamin\tB\n12\n-\nintrinsic\tfactor\tcomplex.\tThe\tileum\talso\tabsorbs\ta\tmajor\tportion\tof\tthe... | [
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secreted\tinto\tthe\tGI\ttract\tdaily\t(see\t\nChapter\t1\n).\tThe\tileocecal\tvalve,\tat\tthe\tjunction\tof\tthe\tileum\tand\ncecum,\tmaximizes\tnutrient\tabsorption\tby\tcontrolling\tthe\trate\tof\tpassage\tof\tileal\tcontents\tinto\tthe\ncolon\tand\tpreventing\treflux\tof\tcolonic\tbacteria,\twhich\tmay\tdecrease\tr... | [
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0.032981... |
Although\tmalabsorption\tof\tbile\tsalts\tmay\tappear\tto\tbe\tbenign,\tit\tcreates\ta\tcascade\tof\nconsequences.\tIf\tthe\tileum\tcannot\t“recycle”\tbile\tsalts\tsecreted\tinto\tthe\n\tGI\ttract,\thepatic\tproduction\ncannot\tmaintain\ta\tsufficient\tbile\tsalt\tpool\tor\tthe\tsecretions\tto\temulsify\tlipids.\tThe\t... | [
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0.03605436... |
pancreatic\tlipases\tare\tcapable\tof\tdigesting\tsome\ttriglycerides\tto\tfatty\tacids\tand\tmonoglycerides,\tbut,\nwithout\tadequate\tmicelle\tformation\tfacilitated\tby\tbile\tsalts,\tlipids\tare\tpoorly\tabsorbed.\tThis\tcan\tlead\nto\tmalabsorption\tof\tfats\tand\tfat-soluble\tvitamins\tA,\tD,\tE,\tand\tK.\n\tIn\t... | [
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0.036460... |
In\taddition,\tmalabsorption\tof\tfatty\nacids\tresults\tin\ttheir\tcombination\twith\tcalcium,\tzinc,\tand\tmagnesium\tto\tform\tfatty\tacid–mineral\nsoaps,\tthus\tleading\tto\ttheir\tmalabsorption\tas\twell.\tTo\tcompound\tmatters,\tcolonic\tabsorption\tof\noxalate\tis\tincreased,\tleading\tto\thyperoxaluria\tand\tin... | [
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0.0268549... |
Relative\tdehydration\tand\tconcentrated\turine,\twhich\tare\tcommon\twith\tileal\tresections,\n\tfurther\nincrease\tthe\trisk\tof\tstone\tformation\t(see\t\nChapter\t34\n).\nColon\tresections\nThe\tcolon\t(approximately\t5\tft\tlong)\tis\tresponsible\tfor\treabsorbing\t1\tto\t1.5\tL\tof\telectrolyte-rich | [
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0.02548... |
(particularly\tsodium\tand\tchloride)\tfluid\teach\tday\tbut\tis\tcapable\tof\tadapting\tto\tincrease\tthis\tcapacity\nto\t5\tto\t6\tL\tdaily.\tPreservation\tof\tcolon\tis\tkey\tto\tmaintaining\thydration\tstatus.\tHowever,\tif\tthe\tpatient\nhas\n\tany\tcolon\tleft,\tmalabsorption\tof\tbile\tsalts\tcan\tact\tas\ta\tmu... | [
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0.04977436363697052,
0.04192... |
motility\twith\tfluid\tand\telectrolyte\tlosses.\tConsumption\tof\thigh-fat\tdiets\twith\tileal\tresections\tand\nretained\tcolon\talso\tmay\tresult\tin\tthe\tformation\tof\thydroxy\tfatty\tacids,\twhich\talso\tincrease\tfluid\tloss.\nCholesterol\tgallstones\toccur\tbecause\tthe\tratio\tof\tbile\tacid,\tphospholipid,\t... | [
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0.09562301635742188,
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0.005664238706231117,
0.00... |
secretions\tis\taltered.\tDependence\ton\tPN\tincreases\tthe\trisk\tof\tbiliary\t“sludge,”\tsecondary\tto\ndecreased\tstimulus\tfor\tevacuation\tof\tthe\tbiliary\ttract\t(see\t\nChapters\t12\n\tand\t\n28\n).\nMedical\tand\tsurgical\tmanagement\tof\tresections\nThe\tfirst\tstep\tin\tmanagement\tis\tassessment\tof\tthe\t... | [
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0... |
health\trecords\tor\tinterview.\tAssessment\tshould\tquantify\tdietary\tintake,\tas\n\twell\tas\tstool\tand\turine\noutput,\tover\t24\thours.\tMedications\tand\thydration\tstatus\tshould\tbe\tassessed.\tMedications\tmay\tbe\nprescribed\tto\tslow\tGI\tmotility,\tdecrease\tsecretions,\tincrease\tabsorption\twith\tthe\tre... | [
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0.056761983782052994,
0.01... |
treat\tbacterial\tovergrowth.\tThe\tprimary\t“gut\tslowing”\tmedications\tinclude\tloperamide\tand\noccasionally\tnarcotic\tmedications,\tsuch\tas\ttincture\tof\topium\tand\tliquid\tcodeine.\tSomatostatin\n\tand\nsomatostatin\tanalogs;\tgrowth\thormone;\tand\tother\thormones\twith\tantisecretory,\tantimotility,\tor | [
0.0009482565801590681,
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0.052490439265966415,
0.0672178566455841,
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0.07004792243242264,
0.11257033795118332,
0.00835482683032751,
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0.099463... |
trophic\tactions\thave\tbeen\tstudied\tfor\tuse\tto\tslow\tmotility\tand\tsecretions.\tFurther,\tglucagon-like\npeptide\tanalog,\tTeduglutide,\tcarries\tthe\tunique\tability\tto\tenhance\tabsorptive\tcapacity\tin\tan\tattempt\nto\treduce\tor\teliminate\tthe\tneed\tfor\tPN\t(\nKim\tand\tKeam,\t2017\n).\tSurgical\tproced... | [
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0.... |
Kim\tand\tKeam,\t2017\n).\tSurgical\tprocedures\tsuch\tas\tcreation\nof\n\treservoirs\t(“pouches”)\tto\tserve\tas\ta\tform\tof\tcolon,\tintestinal\tlengthening,\tand\tintestinal\ttransplant\nhave\tbeen\tperformed\tto\thelp\tpatients\twith\tmajor\tGI\tresections.\tIntestinal\ttransplant\tis\tvery\tcomplex | [
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0.03647131845355034,
-0.006... |
and\tis\treserved\tfor\tgut\tfailure,\tor\twhen\tpatients\tdevelop\tsignificant\tcomplications\tfrom\tPN.\nMedical\tnutrition\ttherapy\nMost\tpatients\twho\thave\tsignificant\tbowel\tresections\trequire\tPN\tinitially\n\tto\trestore\tand\tmaintain\nnutrition\tstatus.\tThe\tduration\tof\tPN\tand\tsubsequent\tnutrition\t... | [
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0.038712... |
the\tbowel\tresection,\tthe\thealth\tof\tthe\tpatient,\tand\tthe\tcondition\tof\tthe\tremaining\tGI\ttract.\tIn\ngeneral,\tolder\tpatients\twith\tmajor\tileal\tresections,\tpatients\twho\thave\tlost\tthe\tileocecal\tvalve,\tand\npatients\twith\tresidual\tdisease\tin\tthe\tremaining\tGI\ttract\tdo\tnot\tdo\tas\twell.\n\... | [
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0.032621536403894424,
0.0349... |
Enteral\tfeeding\tprovides\ta\ntrophic\tstimulus\tto\tthe\tGI\ttract;\tPN\tis\tused\tto\trestore\tand\tmaintain\tnutrient\tstatus.\nThe\tmore\textreme\tand\tsevere\tthe\tproblem,\tthe\tslower\tthe\tprogression\tto\ta\tnormal\tdiet.\tSmall,\nfrequent\tmini\tmeals\t(six\tto\tten\tper\tday)\tare\tlikely\tto\tbe\tbetter\tt... | [
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0.1167101040482521,
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0.03365957736968994,
0.00760315... |
feeding\tmay\tbe\tuseful\tto\tmaximize\tintake\twhen\ta\tpatient\twould\tnot\ttypically\teat,\tsuch\tas\n\tduring\tthe\nnight\t(see\t\nChapter\t12\n).\tBecause\tof\tmalnutrition\tand\tdisuse\tof\tthe\tGI\ttract,\tthe\tdigestive\tand\nabsorptive\tfunctions\tof\tthe\tremaining\tGI\ttract\tmay\tbe\tcompromised,\tand\tmaln... | [
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0.03411592... |
postsurgical\tadaptation.\tThe\ttransition\tto\tmore\tnormal\tfoods\tmay\ttake\tweeks\tto\tmonths,\tand\tsome\npatients\tmay\tnever\ttolerate\tnormal\tconcentrations\tor\tvolumes\tof\tfoods\tand\talways\trequire\nsupplemental\n\tPN\tto\tmaintain\tadequate\tfluid\tand\tnutritional\tstatus.\nMaximum\tadaptation\tof\tthe\... | [
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-0.011... |
function,\tbut\tit\tdoes\tnot\trestore\tthe\tintestine\tto\tnormal\tlength\tor\tcapacity.\tComplex,\tintact\tnutrients\n(vs.\telemental/\tpre-digested\tformulas)\tare\tthe\tmost\timportant\tstimuli\tof\tthe\tGI\ttract.\tOther\nnutritional\tmeasures\talso\thave\tbeen\tstudied\tas\ta\tmeans\n\tof\thastening\tthe\tadaptiv... | [
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0.04584642... |
of\thastening\tthe\tadaptive\tprocess\tand\ndecreasing\tmalabsorption,\tbut\ttheir\tevidence\tfor\tuse\tis\tlimited.\tFor\texample,\tthe\tamino\tacid\nglutamine\n\tis\tthe\tpreferred\tfuel\tfor\tsmall\tintestinal\tenterocytes\tand\tthus\tmay\tbe\tvaluable\tin\nenhancing\tadaptation.\tNucleotides\t(in\tthe\tform\tof\tpu... | [
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0.... |
enhance\tmucosal\tadaptation,\tbut\tunfortunately\tthey\tare\toften\tlacking\tin\tparenteral\n\tand\tenteral\nnutritional\tproducts.\tSCFAs\t(e.g.,\tbutyrate,\tpropionate,\tacetate),\tcarbohydrate\tfermentation\nbyproducts\tof\tcommensal\tgut\tmicrobiota,\tare\tmajor\tfuels\tfor\tthe\tcolonic\tepithelium. | [
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0.0201260... |
Patients\twith\tjejunal\tresections\tand\tan\tintact\tileum\tand\tcolon\twill\thave\ta\tgood\tchance\tof\tadapting\nquickly\tto\ta\tnormal\tdiet\twith\ta\tbalance\tof\tprotein,\tfat,\tand\tcarbohydrate\tthat\tis\tsatisfactory.\tSix\tsmall\nfeedings\n\twith\tavoidance\tof\tlactose,\tlarge\tamounts\tof\tconcentrated\tswe... | [
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0.011471431702375412,
0.019360681995749474,
0.04751... |
reduce\tthe\trisk\tof\tbloating,\tabdominal\tpain,\tand\tdiarrhea.\tBecause\tthe\ttypical\tAmerican\tdiet\tmay\tbe\nnutritionally\tlacking,\tand\tthe\tintake\tof\tsome\tmicronutrients\tmay\tbe\tmarginal,\tpatients\tshould\tbe | [
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0.09640661627054214,
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0.03588281199336052,
0.0271338671... |
advised\tthat\tthe\tquality\tof\tthe\tdiet\tis\tof\tutmost\timportance.\tA\tmultivitamin\tand\tmineral\tsupplement\nmay\tbe\n\trequired\tto\tmeet\tnutritional\tneeds.\nPatients\twith\tileal\tresections\trequire\tincreased\ttime\tand\tpatience\tin\tthe\tadvancement\tfrom\tPN\tto\nEN.\tBecause\tof\tlosses,\tfat-soluble\t... | [
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0.0095... |
supplemented.\tDietary\tfat\tmay\thave\tto\tbe\tlimited,\tespecially\tin\tthose\twith\tlittle\tremaining\tcolon.\nSmall\tamounts\tat\teach\tfeeding\tare\tmore\tlikely\tto\tbe\ttolerated\tand\tabsorbed.\nMCT\tproducts\tadd\tto\tthe\tcaloric\tintake\tand\tserve\tas\ta\tvehicle\tfor\tlipid-soluble\tnutrients.\tBecause | [
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0.11175549030303955,
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-0.03506... |
boluses\tof\tMCT\toil\t(e.g.,\ttaken\tas\ta\tmedication\tin\ttablespoon\tamounts)\tmay\tadd\tto\tthe\tpatient’s\ndiarrhea,\tit\tis\tbest\tto\tdivide\tthe\tdoses\tequally\tin\tfeedings\tthroughout\tthe\tday.\tFluid\tand\telectrolytes,\nespecially\tsodium,\tshould\tbe\tprovided\tin\tsmall\tamounts\tand\tfrequently.\nIn\t... | [
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0.07447110861539841,
0.0... |
In\tpatients\twith\tSBS\tan\n\toral\tdiet\tor\tEN\tplus\tthe\tuse\tof\tgut-slowing\tmedications\tshould\tbe\nmaximized\tto\tprevent\tdependence\ton\tPN.\tFrequent\tmeals,\tremoval\tof\tosmotic\tmedications\tand\nfoods,\tuse\tof\toral\thydration\ttherapies,\tand\tother\tinterventions\tshould\tbe\tpursued.\tIn\tsome\tcas... | [
0.016991397365927696,
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0.0529705211520195,
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0.10501157492399216,
0.0057794018648564816,
0.04901353269815445,
0.035... |
overfeeding\tin\tan\tattempt\tto\tcompensate\tfor\tmalabsorption\tresults\tin\tfurther\tmalabsorption,\tnot\nonly\tof\tingested\tfoods\tand\tliquids\tbut\talso\tof\tthe\n\tsignificant\tamounts\tof\tGI\tfluids\tsecreted\tin\nresponse\tto\tfood\tingestion.\tPatients\twith\tan\textremely\tshort\tbowel\tmay\tdepend\ton\tpa... | [
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0.019689474254846573,
0.1481107473373413,
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0.030786968767642975,
0.0085... |
solutions\tfor\tat\tleast\tpart\tof\ttheir\tnutrient\tand\tfluid\tsupply.\tSmall,\tfrequent\tsnacks\tprovide\tsome\toral\ngratification\tfor\tthese\tpatients,\tbut\ttypically\tthey\tcan\tsupply\tonly\ta\tportion\tof\ttheir\tfluid\tand\tnutrient\nneeds\t(see\t\nChapter\t12\n\tfor\tdiscussion\tof\thome\tPN).\nSmall\tinte... | [
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0.04378284513950348,
0.13799254596233368,
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0.026304693892598152,
0.10016... |
Small\tintestinal\tbacterial\tovergrowth\t(SIBO)\n\tis\ta\tsyndrome\tcharacterized\tby\toverproliferation\tof\nbacteria\tnormally\tfound\tin\tthe\tlarge\tintestine\twithin\tthe\tsmall\tintestine.\tIn\ta\tnormally\tfunctioning\nbowel,\ta\tnumber\tof\tphysiologic\tprocesses\tlimit\tthe\tnumber\tof\tbacteria\tin\tthe\tsma... | [
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0.09201948344707489,
0.14778880774974823,
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0.0821... |
these,\tgastric\tacid,\tbile,\tand\tpancreatic\tenzymes\thave\tbacteriostatic\n\tand\tbactericidal\taction\twithin\nthe\tsmall\tbowel.\tNormal\tintestinal\tperistalsis\tleads\tto\tbowel\tmotility\tthat\teffectively\t“sweeps”\nbacteria\tinto\tthe\tdistal\tbowel.\tThe\tileocecal\tvalve\tprevents\tretrograde\tmigration\to... | [
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0.037013694643974304,
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0.13779710233211517,
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0.0004117579373996705,
0.061... |
numbers\tof\tcolonic\tbacteria\tinto\tthe\tsmall\tintestine.\tSIBO\talso\thas\tbeen\treferred\tto\tas\t“blind\tloop\nsyndrome”\tbecause\tone\tcause\tof\tbacterial\tovergrowth\tcan\tresult\tfrom\n\tstasis\tof\tthe\tintestinal\ttract\tas\na\tresult\tof\tobstructive\tdisease,\tstrictures,\tadhesions\t(scar\ttissue),\tradi... | [
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0.09006980061531067,
0.09933341294527054,
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0.016010571271181107,
0.04... |
procedures\tthat\tleave\ta\tportion\tof\tbowel\twithout\tnormal\tflow\t(a\tblind\tloop\tor\tRoux\tlimb).\nEtiology\nFrequently,\tmore\tthan\tone\tof\tthe\tnormal\thomeostatic\tdefenses\tlisted\tpreviously\tmust\tbe\timpaired\nbefore\tsmall\tintestine\tbacteria\toverproliferate\tto\tthe\tpoint\n\tthat\tsymptoms\tdevelop... | [
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0.08696725219488144,
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0.04102131724357605,
0.02... |
that\tsymptoms\tdevelop.\tChronic\tuse\tof\nantibiotics\tor\tmedications\tthat\tsuppress\tgastric\tacid\tallow\tmore\tingested\tbacteria\tto\tsurvive\tand\npass\tinto\tthe\tsmall\tbowel.\tLiver\tdiseases\tor\tchronic\tpancreatitis\tcan\tdecrease\tthe\tproduction\tor\tflow\ninto\tthe\tbowel\tof\tbile\tand\tpancreatic\te... | [
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0.079412080347538,
0.14520667493343353,
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0.029085243120789528,
0.092800... |
medications,\tor\tbowel\tdysmotility\tdisorders\tdecrease\tperistalsis\n\tand\tcan\timpair\tthe\tability\tto\tpropel\nbacteria\tto\tthe\tdistal\tbowel.\tSurgical\tresection\tof\tthe\tdistal\tileum\tand\tileocecal\tvalve\tcan\tresult\tin\nretrograde\tproliferation\tof\tcolonic\tbacteria.\tResearch\talso\tdemonstrates\tt... | [
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0.06382500380277634,
0.06464005261659622,
0.02362658642232418,
0.010659455321729183,
0.092... |
problem\tfor\tpatients\twith\tIBS-D\t(diarrhea\tpredominant)\t(\nPalmer\tet\tal,\t2017\n).\nPathophysiology\nAlthough\tsymptoms\tvary\tdepending\ton\tthe\tamount\tand\ttype\tof\tbacteria\n\tpresent\tin\tthe\tsmall\nintestine,\tthe\tmost\tcommon\tsymptoms\tof\tSIBO\tinclude\tgas,\tbloating,\tnausea,\tconstipation,\tdiar... | [
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0.019896125420928,
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0.012958653271198273,
0.09074335545301437,
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0.04470814764499664,
0.1004... |
abdominal\tpain\tand\tdiscomfort\t(especially\tafter\teating),\tand\tweight\tloss.\tBacteria\twithin\tthe\tsmall\nbowel\talso\tdeconjugate\tbile\tsalts,\tresulting\tin\timpaired\tformation\tof\tmicelles\tand\tthus\timpaired\tfat\ndigestion\tand\tsteatorrhea.\tCarbohydrate\tmalabsorption\toccurs\tbecause\tof\tinjury\n\t... | [
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0.05424356833100319,
0.10200554132461548,
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-0.049174629151821136,
0.043... |
to\tthe\tbrush\tborder\nsecondary\tto\tthe\ttoxic\teffects\tof\tbacterial\tproducts\tand\tconsequent\tenzyme\tloss\t(\nPalmer\tet\tal,\t2017\n).\nThe\texpanding\tnumbers\tof\tbacteria\tuse\tthe\tavailable\tvitamin\tB\n12\n\tand\tother\tnutrients\tfor\ttheir\town\ngrowth,\tand\tthe\thost\tbecomes\tdeficient.\tBacteria\t... | [
-0.027865132316946983,
-0.01245193649083376,
-0.002239614725112915,
-0.05096249282360077,
-0.09705378860235214,
0.00756476167589426,
0.040680449455976486,
0.001171281561255455,
-0.04521804675459862,
0.03205783665180206,
0.1267976611852646,
-0.04063768312335014,
0.008031630888581276,
0.0344... |
byproduct\tof\ttheir\tmetabolism,\tand\tvitamin\tB\n12\n\tdeficiency\twith\tnormal\tor\televated\tserum\n\tfolate\tis\ncommon.\tBloating\tand\tdistention\talso\tare\treported\tfrequently\tin\tSIBO,\tresulting\tfrom\tthe\taction\tof\nbacteria\ton\tcarbohydrates\twith\tproduction\tof\thydrogen\tand\tmethane\twithin\tthe\... | [
-0.0019355433760210872,
-0.042323365807533264,
0.038980692625045776,
-0.04107470437884331,
-0.026079420000314713,
0.020271992310881615,
0.09121758490800858,
-0.002693801186978817,
-0.006435979623347521,
0.09164636582136154,
0.11888164281845093,
-0.028840351849794388,
0.03631085529923439,
0... |
D-lactic\tacidosis\tor\tD-lactate\tencephalopathy\tis\ta\trare\tcomplication\tof\tSIBO\tin\tSBS\tpatients\twith\nthe\tcolon\tin\tcontinuity\tand\tileocecal\tvalve\tremoved.\tIn\tthese\tindividuals,\tmalabsorption\tof\ta\tlarge\ncarbohydrate\tload\tcan\tlead\tto\texcess\tcarbohydrates\tbeing\tdelivered\tto\tthe\tbacteri... | [
0.001364963361993432,
-0.09458477050065994,
0.05251730605959892,
-0.0017931777983903885,
-0.11244048923254013,
-0.023407060652971268,
0.05397690460085869,
0.09499633312225342,
-0.02974792569875717,
0.04160574451088905,
0.08332940936088562,
-0.014338362030684948,
-0.02177211456000805,
0.092... |
lower\tcolonic\tpH,\tinduced\tby\ta\tlarge\tproduction\tof\tlactate\tand\tSCFAs,\tpromotes\tgrowth\tof\tacid-\nresistant\tbacteria\tthat\tgo\ton\tto\tproduce\tD-lactate.\tBecause\tof\tthe\tlack\tof\tD-lactate\tdehydrogenase,\nhumans\tcannot\tmetabolize\tD-lactate\tand\tsymptoms\tof\tD-lactic\tacidosis\tdevelop.\tThese\... | [
0.027401937171816826,
-0.11260198801755905,
0.03445256128907204,
-0.0391097217798233,
-0.06731551885604858,
0.020323287695646286,
-0.01351345144212246,
0.10500103235244751,
-0.039191048592329025,
0.05839389190077782,
0.08328381925821304,
-0.05496073514223099,
-0.00785061065107584,
0.063921... |
from\tlethargy\n\tto\taltered\tmental\tstatus,\tataxia,\tand\tslurred\tspeech\tto\taggression\tand\tcoma\t(\nHtyte\tet\nal,\t2011\n;\t\nWhite,\t2015\n).\nMedical\ttreatment\nThe\tmost\tcommon\tpathway\tfor\tmedical\tdiagnosis\tof\tSIBO\tis\ta\tlactulose\tbreath\ttest\twhich\tmeasures\nlevels\tof\tbreath\thydrogen\tand\... | [
-0.018625177443027496,
-0.011053656227886677,
0.02169564552605152,
-0.024971654638648033,
-0.06046676263213158,
-0.019302114844322205,
0.07396477460861206,
0.0462978221476078,
-0.0016179225640371442,
0.05802158638834953,
0.1170162558555603,
-0.03743180260062218,
0.03493857756257057,
0.0233... |
small\tintestine\t(\nRezaie\tet\tal,\t2017\n;\t\nPalmer\tet\tal,\t2017\n).\tA\tmore\tinvasive,\n\tsmall\tbowel\taspirate\tand\nculture\tis\tthe\ttraditional\tgold\tstandard.\tTesting\tfor\tSIBO\tin\tpatients\twith\tSBS\tmay\tpresent\tmore\nchallenges.\tSome\tclinicians\ttreat\tbased\ton\tsymptomatology\treports\tin\tco... | [
0.023549702018499374,
0.006329301279038191,
0.08206620812416077,
-0.02620307356119156,
-0.09731435030698776,
-0.020963871851563454,
0.059932079166173935,
-0.00016351829981431365,
-0.0010515819303691387,
0.0675632432103157,
0.12995359301567078,
-0.03750348091125488,
0.006366611924022436,
0.... |
risk\tfactors.\tTreatment\tis\tdirected\ttoward\tcontrol\tof\tthe\tbacterial\tgrowth\tby\tadministration\tof\nantibiotics\tor\therbs\tor\tthe\tuse\tof\tan\telemental\tdiet.\tHistorically,\tthe\tmost\tfavored\n\tantibiotics\thave\nincluded\trifaximin,\tmetronidazole,\tciprofloxacin,\tamoxicillin/clavulanate,\tor\tdoxycy... | [
-0.031303565949201584,
-0.02933129109442234,
-0.05659322813153267,
-0.021572444587945938,
-0.009687970392405987,
0.02562766522169113,
0.02761540375649929,
0.12943914532661438,
0.016113242134451866,
0.05132092908024788,
0.09443522989749908,
0.014122751541435719,
0.044793371111154556,
0.1045... |
may\tinvolve\tcycling\tof\tseveral\tantibiotics\tuntil\timprovement\tof\tsymptoms\tis\tobserved\t(\nRezaie\tet\tal, | [
-0.009128477424383163,
-0.07144726067781448,
0.04268507659435272,
-0.0238355565816164,
0.020398341119289398,
0.027824673801660538,
0.05684521049261093,
0.03951721638441086,
0.028857914730906487,
0.06961964815855026,
0.12073442339897156,
-0.024942174553871155,
0.03845002129673958,
0.1055988... |
2016\n).\tUnfortunately,\trecurrences\tcan\toccur,\twarranting\tfurther\ttreatment\t(\nPalmer\tet\tal,\t2017\n).\nTypically,\ta\t7-\tto\t10-day\tcourse\tof\tantibiotics\tis\tsuccessful,\tbut\tsome\tpatients\tmay\n\trequire\t1\tto\t2\nmonths\tof\ttreatment\t(\nBohm\tet\tal,\t2013\n).\tThe\tantibiotic\tshould\tbe\trotate... | [
-0.04671891778707504,
0.008594757877290249,
0.024540292099118233,
-0.04156976565718651,
-0.07283826917409897,
0.03402359411120415,
0.01049093808978796,
0.06068183109164238,
-0.022846098989248276,
-0.005048688501119614,
0.10742601007223129,
-0.041500382125377655,
-0.012953133322298527,
0.07... |
).\tThe\tantibiotic\tshould\tbe\trotated\tto\tprevent\tbacterial\nresistance.\tThere\tis\tsome\tevidence\tthat\tspecific\therbal\tpreparations\tmay\tbe\tas\tbeneficial\tas\nantibiotic\ttherapies\tin\tthe\ttreatment\tof\tSIBO\t(\nMullin,\t2014\n).\tResearch\tis\tongoing\twith\tregard\tto\npairing\tprobiotics\tand\tantib... | [
-0.0062901596538722515,
-0.06679727137088776,
0.030174866318702698,
-0.025086693465709686,
-0.055442310869693756,
0.020738953724503517,
0.032699305564165115,
0.024831032380461693,
-0.022021755576133728,
0.048051416873931885,
0.14415191113948822,
-0.04174433648586273,
0.021785005927085876,
... |
Medical\tnutrition\ttherapy\nDietary\tmodification\tshould\n\ttarget\talleviation\tof\tsymptoms\tand\tcorrection\tof\tnutrient\tdeficiencies.\nWith\tbacterial\tovergrowth\tin\tthe\tsmall\tintestine,\tcarbohydrates\treaching\tthe\tsite\twhere\tmicrobes\nare\tharbored\tserve\tas\tfuel\tfor\ttheir\tproliferation,\twith\ts... | [
-0.006757623516023159,
-0.044608935713768005,
0.010419878177344799,
-0.006853967439383268,
-0.07502880692481995,
-0.00014543975703418255,
0.04794276878237724,
0.07566364109516144,
-0.0667450949549675,
0.0553264245390892,
0.1169402077794075,
-0.027106769382953644,
-0.007419056724756956,
0.0... |
organic\tacids.\tA\tlow\tFODMAP\tdiet\t(previously\tdiscussed\tin\tIBS\tsection)\thas\tthe\tmost\tevidence\tfor\nreducing\tGI\tsymptoms\tin\tSIBO.\n\tIf\tthe\tpatient\texhibits\tmore\tsevere\tcarbohydrate\tsensitivity,\ta\tmore\nrestrictive\tspecific\tcarbohydrate\tdiet\t(SCD)\tor\ta\tcombination\tof\tboth\tcould\tbe\t... | [
0.014424402266740799,
-0.07549411058425903,
0.02418076992034912,
-0.04237267002463341,
-0.08265221863985062,
-0.01615040935575962,
0.07092645764350891,
0.034971367567777634,
0.039546266198158264,
0.06477727741003036,
0.1115710437297821,
-0.04557805135846138,
0.04218411445617676,
0.04253896... |
cases,\tmedically\tsupervised\telemental\tdiets\tmay\tbe\trecommended\talong\twith\tthe\tantibiotics\tuntil\nremission\tis\tachieved.\tClose\tsupport\tand\tmonitoring\tof\ta\ttrained\tnutrition\tprofessional\tis\talways\nrecommended\tas\tan\tadjunct\tto\tmedical\n\ttreatments\tas\tnoted\tabove.\tMore\tinformation\tcan\... | [
0.025070488452911377,
-0.06039628013968468,
0.08806147426366806,
-0.026308981701731682,
-0.10747230798006058,
-0.024208957329392433,
0.041404902935028076,
0.019031835719943047,
-0.014158474281430244,
0.044718459248542786,
0.10479430854320526,
0.005690035410225391,
0.0071494486182928085,
0.... |
Monash\tUniversity\tat\t\nhttps://www.monash.edu\n,\t\nhttps://www.katescarlata.com\n,\tand\tSIBO\tCenter\tfor\nDigestive\tHealth\tat\t\nhttps://sibocenter.com/category/sibo-diets/\n.\nAn\tassessment\tof\tthe\tmedical\tproblem\tand\tthe\tpatient’s\tdietary\tintake\tis\tnecessary,\tas\tvitamin\tB\n12\nmay\tbe\tlost\tin\... | [
0.024818485602736473,
-0.09740929305553436,
0.025606824085116386,
0.017161477357149124,
-0.10454021394252777,
0.014174798503518105,
0.05474390462040901,
0.061894651502370834,
-0.0320364348590374,
-0.03957550972700119,
0.07908660918474197,
-0.01795249991118908,
-0.040074706077575684,
-0.101... |
absence\tor\tremoval\tof\ngreater\tthan\t60\tcm\tof\tthe\tterminal\tileum\thas\toccurred,\tputting\tthe\tpatient\tat\trisk\tfor\tdeficiencies.\tA\nroutine\tintramuscular\tvitamin\tB\n12\n\tmay\tbe\trequired.\tIf\tbile\tsalts\tare\tbeing\tdegraded,\tas\tin\tthe\tcase\tof\nblind\tloop\tsyndrome,\tMCTs\tmay\tbe\thelpful\t... | [
0.0031149955466389656,
-0.03462132811546326,
0.04286600276827812,
-0.02635149285197258,
-0.10467738658189774,
0.00420985696837306,
0.06835544854402542,
0.04565105959773064,
-0.07107151299715042,
0.007335384376347065,
0.0886438637971878,
-0.018169160932302475,
0.03782321512699127,
0.0443545... |
of\tfat-soluble\tvitamins\tA,\tD,\tand\tE\tare\tof\tconcern\tif\tfat\tmalabsorption\n\tis\tpresent,\tand\ta\twater\nmiscible\tversion\tof\tthese\tcritical\tfat-soluble\tnutrients\tshould\tbe\tconsidered.\nFistula\nA\t\nfistula\n\tis\tan\tabnormal\tpassage\tof\tan\torgan\tto\tanother\torgan,\tskin,\tor\twound.\tAn\nente... | [
-0.006051248870790005,
-0.08056019246578217,
0.03816867247223854,
0.01723601669073105,
-0.006269982550293207,
0.03222501650452614,
0.07566718012094498,
0.06325024366378784,
-0.0021166217047721148,
-0.01610952988266945,
0.09899282455444336,
-0.032297756522893906,
0.007113290019333363,
0.070... |
enterocutaneous\tfistula\t(ECF)\n\tis\tan\tabnormal\tpassage\tfrom\ta\tportion\tof\tthe\tintestinal\ttract\tto\tthe\nskin\tor\tto\ta\twound\t(e.g.,\tcolocutaneous\tfistula\tbetween\tthe\tlarge\tintestine\tand\tthe\tskin).\nEtiology\nFistulas\tmay\toccur\tin\tany\tpart\tof\tthe\tGI\ttract\tbut\tare\tmost\tcommon\tin\tth... | [
0.031807951629161835,
-0.04061248525977135,
0.056694138795137405,
-0.03777140751481056,
-0.10362471640110016,
0.009725451469421387,
0.07383468002080917,
0.020874502137303352,
0.027114756405353546,
0.06099952012300491,
0.10044365376234055,
-0.03820519521832466,
0.014448006637394428,
0.06573... |
ECF\tcan\tbe\tclassified\tseveral\tways:\tby\tvolume\tof\toutput\tper\tday,\tcause\t(surgical\tvs.\tspontaneous),\nsite\tof\torigin,\tand\tnumber\tof\tfistula\ttracts.\tSurgery\taccounts\tfor\tthe\tmajority\tof\tECF\tdevelopment\nand\tusually\tmanifests\t7\tto\t10\tdays\tpostoperatively.\tFistulas\tof\tthe\tintestinal\... | [
0.02432745322585106,
-0.0565570704638958,
0.048845916986465454,
-0.05773061886429787,
-0.06979963183403015,
0.015608469024300575,
0.0708860456943512,
0.005812234245240688,
0.006595559883862734,
0.06349650025367737,
0.12841323018074036,
-0.02779712900519371,
0.04250699281692505,
0.065034709... |
threats\tto\tnutrition\tstatus\tbecause\tlarge\tamounts\tof\tfluids\tand\telectrolytes\tare\tlost,\tand\nmalabsorption\tand\tsepsis\tcan\toccur.\t\nBox\t27.11\n\tlists\tconditions\tassociated\twith\tfistula\tdevelopment.\nBOX\t27.11\nConditions\tAssociated\tWith\tFistula\tDevelopment\nBowel\tresection\tfor\tcancer\nBow... | [
0.013455403968691826,
0.012729376554489136,
0.024295805022120476,
-0.02850675955414772,
-0.047337159514427185,
0.027573956176638603,
0.10938335955142975,
0.05614643543958664,
-0.016230538487434387,
0.04517707601189613,
0.126823291182518,
-0.003384844632819295,
0.041069146245718,
0.05980963... |
Surgery\tfor\tpancreatitis\nSurgery\ton\tradiated\tbowel\nEmergent\n\tsurgery\nSurgical\twound\tdehiscence\nInflammatory\tbowel\tdisease\t(Crohn’s\tdisease\tor\tulcerative\tcolitis)\nRadiation\tenteritis\nBowel\tischemia\nDiverticular\tdisease\nData\tfrom\tFrantz\tD\tet\tal:\tGastrointestinal\tdisease.\tIn\tMueller\tCM... | [
0.030666548758745193,
-0.09374372661113739,
0.032535623759031296,
-0.03824879229068756,
-0.13690544664859772,
-0.02393820695579052,
0.026652131229639053,
0.03312543034553528,
-0.0006094768177717924,
0.025096267461776733,
0.038647111505270004,
0.02009127102792263,
0.027574915438890457,
0.04... |
The\tASPEN\tAdult\nNutrition\tSupport\tCore\tCurriculum,\n\ted\t2,\tSilver\tSpring,\tMd,\t2012,\tAmerican\tSociety\tfor\tParenteral\tand\nEnteral\tNutrition.\nMedical\n\ttreatment\nWound\tcare,\tresuscitation,\tsource\tcontrol,\tand\tthe\tuse\tof\tnutrition\tsupport\tduring\tthe\thealing\tphase\nare\tthe\tprimary\tappr... | [
0.020596066489815712,
-0.03605801612138748,
0.067330002784729,
-0.004416971933096647,
-0.10894487053155899,
0.019329005852341652,
0.08155839890241623,
-0.022750411182641983,
-0.012114623561501503,
0.057683758437633514,
0.11944209784269333,
0.01617526076734066,
0.04465719312429428,
0.004041... |
Bhutiani\tet\tal,\t2017\n).\tA\tfistulogram\tis\tconsidered\nthe\tgold\tstandard\tfor\tidentifying\tthe\tlocation\tand\troute\tof\tthe\tfistulous\ttract.\tFluid\tand\telectrolyte\nbalance\tmust\tbe\trestored,\tinfection\tmust\tbe\tbrought\tunder\tcontrol,\tand\taggressive\n\tnutrition\tsupport | [
-0.01101626269519329,
0.004821852780878544,
0.054753195494413376,
-0.046825386583805084,
-0.08959797024726868,
-0.0011730940314009786,
0.14069588482379913,
0.009731009602546692,
-0.001277673407457769,
0.03698011487722397,
0.09660874307155609,
-0.1132713183760643,
0.06158624216914177,
0.012... |
nutrition\tsupport\nmay\tbe\tnecessary\tto\tpermit\tspontaneous\tclosure\tor\tto\tmaintain\toptimal\tnutritional\tstatus\tbefore\nsurgical\tclosure.\nMedical\tnutrition\ttherapy\nNutrition\tmanagement\tof\tpatients\twith\tECF\tcan\tbe\tvery\tchallenging.\tInitial\tmanagement\tmay\ninclude\tkeeping\tthe\tpatient\t\nnil\... | [
0.009030817076563835,
-0.031149115413427353,
0.06664711236953735,
0.019606376066803932,
-0.12198329716920853,
0.008965915068984032,
0.04714284464716911,
0.02078762650489807,
-0.04747844487428665,
0.008769098669290543,
0.09354034066200256,
0.0018612529383972287,
0.026951944455504417,
0.0184... |
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