Case Study Esophageal

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Case Study: Nutritional Management of Esophageal Stricture Case Study: Nutritional Management of Esophageal Stricture Abstract Nutritional management of an esophageal stricture depends on the severity of the stricture and what the pathophysiology is. The literature reports an estimated 70-80% are peptic in origin and result from gastro-esophageal reflux disease (GERD) (2). Severe cases of an esophageal stricture such as a narrowing of the esophagojejunal anastomies, alkaline reflux esophagitis, or long strictures in the esophagus may require procedures, that include non-surgical mechanical intervention, or surgical correction (2,3,4,5). This may include such as a partial or total gastrectomy, and esophagojejunostomy. The evidence-based literature related to the nutrition recommendations for those with this type of procedure suggest that nutritional support can maintain satisfactory nutritional status of the patient many if they are not medically able to start an oral diet (10,11,12,13,). With more extensive oral involvement it may be necessary to use a gastrostomy or jejunostomy tube for administering the formula. However, there is controversial evidence to support the difference between early and late initiation of enteral or parenteral feedings in critically ill patients to improve the patients outcomes. This case study illustrates the use of the nutrition care process (NCP) in providing high quality nutrition care for an individual with a history of GERD and multiple gastrectomies that resulted in an admit diagnoses of an esophageal stricture. Based on the clinical diagnosis and patient’s condition, components of the nutrition assessment, diagnoses, and application of evidence-based recommendations for nutritional interventions were made. Disease Description Disease processes that can produce esophageal
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