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Nutrition Considerations Surrounding Restorative Proctocolectomy
Author(s) -
Buckman Sara A.,
Heise Charles P.
Publication year - 2010
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0884533610368708
Subject(s) - proctocolectomy , medicine , pouchitis , pouch , anastomosis , ulcerative colitis , ileostomy , gastroenterology , perioperative , ileum , familial adenomatous polyposis , surgery , disease , colorectal cancer , cancer
Restorative proctocolectomy with ileal pouch–anal anastomosis has become the surgical treatment of choice for patients with ulcerative colitis and familial polyposis coli syndromes. Pouch construction uses the distal 30‐40 cm of ileum, and there exists a potential for postoperative nutrition consequences. These include vitamin B 12 deficiency, iron deficiency, bile acid malabsorption, and abnormalities of trace elements, fluids, and electrolytes. Patients who have undergone an ileal pouch–anal anastomosis procedure often describe specific food sensitivities that may require diet alteration, even more so than do patients with permanent ileostomy. There may be roles for postoperative probiotic supplementation in an attempt to decrease the rate of “pouchitis” and appropriate preoperative nutrition support to minimize the risk of perioperative complications.