Chapter 39 Nutritional Management of Inflammatory Bowel Disease

Chapter 39 Nutritional Management of Inflammatory Bowel Disease and Short Bowel Syndrome

FIGURE 39. 1: Summary of events leading to IBD. Reprinted from A. We˛drychowicz, A. Zaja˛c, T. Przemysław, Advances in nutritional therapy in inflammatory bowel disease: review, World J Gastroenterol. 22 (3) (2016) 10451066, with permission from Baishideng Publishing Group Inc. Copyright © 2016 Elsevier Inc. All rights reserved.

FIGURE 39. 2: Radiologic image of patient with CD. White arrows indicate areas of narrowed small intestine. Reprinted from M. Sleisenger, M. Feldman, Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, seventh ed. , W. B. Saunders, 2002, with permission from Elsevier. Copyright © 2016 Elsevier Inc. All rights reserved.

FIGURE 39. 3: (A) Mild UC with some evidence of hemorrhage; (B) severe UC with extensive hemorrhage. Reprinted from M. Sleisenger, M. Feldman, Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, seventh ed. , W. B. Saunders, 2002, with permission from Elsevier. Copyright © 2016 Elsevier Inc. All rights reserved.

FIGURE 39. 4: Radiologic image of patient following intestinal resection. Reprinted from M. Sleisenger, M. Feldman, Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, seventh ed. , W. B Saunders, 2002, with permission from Elsevier. Copyright © 2016 Elsevier Inc. All rights reserved.

FIGURE 39. 5: (A) Normal epithelium; (B) adapted epithelium with increased villus height and crypt depth following small bowel resection. Reprinted from J. A. Vanderhoof, A. N. Langnas, Short-bowel syndrome in children and adults, Gastroenterology 113 (5) (1997) 17671778, with permission from Elsevier. Copyright © 2016 Elsevier Inc. All rights reserved.

FIGURE 39. 6: Sites of nutrient absorption in the healthy GI tract. Reprinted from M. Sleisenger, M. Feldman, Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, seventh ed. , W. B. Saunders, 2002, with permission from Elsevier. Copyright © 2016 Elsevier Inc. All rights reserved.

FIGURE 39. 7: Common types of intestinal resection include (A) jejunal resections; (B) ileal resections; (C) end jejunostomy with resection of the ileum and colon. Reprinted from M. Sleisenger, M. Feldman, Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, seventh ed. , W. B. Saunders, 2002, with permission from Elsevier. Copyright © 2016 Elsevier Inc. All rights reserved.