UPPER GI DISEASES 11/15/2014. Lesson Objectives. GI Tract Review. NUTR 2050 Nutrition for Nursing Professionals. Mrs. Deborah A. Hutcheon, MS, RD, LD
|
|
- Victoria May
- 5 years ago
- Views:
Transcription
1 UPPER GI DISEASES NUTR 2050 Nutrition for Nursing Professionals Mrs. Deborah A. Hutcheon, MS, RD, LD Lesson Objectives At the end of the lesson, the student will be able to: 1. Describe causes and contributing risk factors for the development of GERD and PUD. 2. Describe dietary modification strategies to prevent and control GERD and PUD. 3. Identify potential drug-nutrient interactions with medications used to manage GERD and PUD. 4. Describe dietary modification strategies to manage liver disease, gallbladder disease, and pancreatitis. GI Tract Review Upper GI Tract: Lower GI Tract: Accessory Organs: 1
2 Gastric Esophageal Reflux Disease (GERD) Causes of GERD 1. Weakening/Relaxation of LES Muscle 2. Reduced LES Pressure: smoking, diet, smooth muscle relaxants, NSAID use, oral contraceptives, pregnancy, auto-immune disorders 3. Increased Abdominal Pressure 4. Delayed Gastric Emptying 5. Hiatal Hernia 2
3 Medications Medical Intervention GERD Proton-pump inhibitors (decrease acid secretion) most effective: omeprazole (Prilosec), Prevacid, Protonix, Aciphex, and Nexium H2 antagonists (decrease acid secretion): cimetidine (Tagamet HB), famotidine (Pepcid AC), nizatidine (Axid AR), and ranitidine (Zantac 75) Antacids (neutralize acid): Alka-Seltzer, Maalox, Mylanta, Rolaids, Tums (Side Effects: constipation, diarrhea) Limit and avoid NSAIDs use MNT Intervention Strategies for GERD Avoid consuming large, high fat meals Avoid carminitives, caffeine, chocolate Avoid garlic and onions Avoid acidic and spicy foods (irritants to inflammation) Avoid alcohol use and smoking MNT Intervention Strategies for GERD Avoid eating several hours (3 to 4 hrs) before bed Stay upright & avoid vigorous activity after eating Increase protein intake raise LES pressure Consume beverages between meals Lose weight if overweight Avoid wearing tightly fitting clothing Reduce stress 3
4 Gastritis & Peptic Ulcer Disease Definition: inflammation of the stomach mucosa, may result in ulceration of mucosa Symptoms: nausea, vomiting, malaise, anorexia, hemorrhage, epigastric pain, melena (black, tarry stools hemorrhage) Chronic gastritis may result in achlorhydria. Decreased intrinsic factor & vitamin B12 absorption. Decreased Ca and Iron absorption (pernicious anemia). Causes of Gastritis & PUD Infection: bacterial**, fungal, parasitic, viral Chronic use: alcohol, aspirin/nsaids** Smoking Autoimmune, systemic illness Emotional/Physical Stress Food insensitivity Genetics Causes of Gastritis & PUD Most Common Cause: Helicobacter pylori infection within mucosa of stomach. Gram-negative bacterium with flagella. Resistant to acidic medium of stomach. Produce urease ammonia generating byproduct of H. pylori used to create alkaline environment for survival. Standard medical treatment: 2 antibiotics & proton pump inhibitor (termed tri-therapy) 4
5 Peptic Ulcer Disease (PUD) 1. Gastric Ulcers: anywhere in stomach but normally along lesser curvature of stomach Low acid secretion 2. Duodenal Ulcer: in duodenum Increased acid secretion & nocturnal acid secretion, decreased carbonate secretion 3. Stress Ulcers: result from stress placed upon body system from severe burns, trauma, stress, shock, failure, radiation therapy MNT for Peptic Ulcer Disease Same Intervention Strategies as for GERD Milk & cream do not buffer gastric secretion but stimulate secretion of gastrin, acid, and pepsin. Food ph of very little importance as most are still higher than stomach secretions. Alcohol can promote mucosal damage & interfere with treatment. Coffee & caffeine stimulate acid secretion & decrease LES pressure. Chili, cayenne, & black peppers can promote increased acid production, erosions, & inflammation but may be protective. Drug-Nutrient Considerations Interaction with Dietary Substances Antacids Antibiotics Antisecretory Agents Coating Agents May absorption: Fe, folate, Vit B12 Tetracycline: absorption Fe & binds Ca in GI tract May absorption: Fe, folate, Vit B12 Hypophosphatemia & Ca retention 5
6 LIVER, GALLBLADDER, & PANCREAS Liver Function 1. Production & Excretion of Bile 2. Metabolism of CHO, Protein, Fat, Alcohol 3. Storage & Activation of Vitamin/Minerals 4. Conversion of Ammonia to Urea 5. Metabolism of Steroids & Drugs 6. Detoxification of Chemicals & Toxins 7. Filter & Flood Chamber for Blood 8. Blood Pressure Regulation Non-Alcoholic Fatty Liver Disease (NAFLD) Steatosis NASH NASH + Fibrosis Cirrhosis Carcinoma or Liver Failure 6
7 Non-Alcoholic Fatty Liver Disease (NAFLD) Treatment of NAFLD 1. Weight Loss: most effective intervention Via diet modification with or without exercise. 1. Seek gradual weight loss of <2lbs per week. 2. Follow hypocaloric diets (1200 to 1500 kcal/day). Lose 3% to 10% of initial body weight over the course of one year. Loss of 3% to 5%: improves steatosis. Loss of 7% to 10%: reduces inflammation. Treatment of NAFLD McCarthy EM et al. J Acad Nutr Diet. 2012;112:401. 7
8 Liver Disease Manifestations Liver Disease Complication Interventions Low Sodium Diet with Fluid Restriction Soft, Bland, Low Residue, Low Acid Foods Small, Frequent Meals Adequate Protein as part of Mixed Diet BCAA vegetable & casein AAAs meat Cholelithiasis, or Gallstones Cholecystectomy: surgical removal of gallbladder Risk Factors: female, pregnancy, older age, family hx, obesity, DM, IBD, medications, rapid wt loss (fasting), long-term high dietary fat intake MNT: low-fat diet to prevent GB contractions 8
9 Pancreas Gland with endocrine & exocrine functions Endocrine: glucagon, insulin, somatostatin Exocrine: enzymes for nutrient digestion Pancreatic Secretion Stimulation 1. Cephalic Phase (vagus nerve): initiated by sight, smell, taste, anticipation of food 2. Gastric Phase: gastric distention with food 3. Intestinal Phase (CCK): most potent effect on pancreatic secretions Pancreatitis MNT for Acute MNT for Chronic NPO with hydration via IV Low-Fat Diet 6 Small Meals Clear Liquid Diet Consider Use of MCT Oil Progress to Low-Fat Diet May need 6 small meals Consider Use of MCT Oil EN into Jejunum TPN with Limiting Fat 9
KK College of Nursing Peptic Ulcer Badil D ass Dass, Lecturer 25th July, 2011
KK College of Nursing Peptic Ulcer Badil Dass, Lecturer 25 th July, 2011 Objectives: By the end of this lecture, the students t will be able to: Define peptic pp ulcer Describe the etiology and pathology
More informationHeartburn, also referred to acid reflux, happens when stomach acid flows back (refluxes) into your esophagus.
WHILE almost everyone experiences mild heartburn from time to time and many individuals have some antacids or another medication on hand for its relief, talk to your doctor, if you have heartburn more
More informationGI Pharmacology. Dr. Alia Shatanawi 5/4/2018
GI Pharmacology Dr. Alia Shatanawi 5/4/2018 Drugs Used in Gastrointestinal Diseases Drugs used in Peptic Ulcer Diseases. Drugs Stimulating Gastrointestinal Motility &Laxatives. Antidiarrheal Agents. Drugs
More informationHeartburn Overview. Causes & Risk Factors
Return to Web version Heartburn Overview What is heartburn? Despite its name, heartburn doesn't affect the heart. Heartburn is a burning feeling in the lower chest, along with a sour or bitter taste in
More informationGERD. Gastroesophageal reflux disease, or GERD, occurs when acid from the. stomach backs up into the esophagus. Normally, food travels from the
GERD What is GERD? Gastroesophageal reflux disease, or GERD, occurs when acid from the stomach backs up into the esophagus. Normally, food travels from the mouth, down through the esophagus and into the
More informationNational Digestive Diseases Information Clearinghouse
Gastritis National Digestive Diseases Information Clearinghouse What is gastritis? Gastritis is a condition in which the stomach lining known as the mucosa is inflamed, or swollen. The stomach lining contains
More informationGastroesophageal Reflux Disease (GERD)
Gastroesophageal Reflux Disease (GERD) Acid Reflux Acid reflux occurs when acid from the stomach moves backwards into the esophagus. Heartburn Heartburn is a symptom of acid reflux and GERD. It may feel
More informationPage 1 of 5 Official reprint from UpToDate www.uptodate.com 2017 UpToDate Patient education: Acid reflux (gastroesophageal reflux disease) in adults (The Basics) Written by the doctors and editors at UpToDate
More informationNational Digestive Diseases Information Clearinghouse
Gastritis National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What is gastritis? Gastritis is a condition in which the stomach
More informationThe Aging Digestive System
The Aging Digestive System shows significant senescence in old age: less saliva food less flavorful, harder swallowing ~half of those over 65 yrs wear dentures gastric mucosa secretes less acid reduces
More informationDYSPEPSIA Dyspepsia indigestion during or after eating Full Heat, burning or pain Note: one of every four people
What Is Dyspepsia? Dyspepsia, also known as indigestion, can have multiple symptoms. Feelings of indigestion happen during or after eating. If you have indigestion you might feel: Full during a meal. Painful
More informationF A M N O P R S ! D !
A B C D E F A M N O P Q G H I J R S T U V 595 W http://www.encognitive.com/images/digestive-system-2.jpg K L M A N B C O P D E F G D Q R H S I J K http://apbrwww5.apsu.edu/thompsonj/anatomy%20&%20physiology/2020/2020%20exam%20reviews/exam%203/colon%20diagram.jpgd
More informationDiet and Gastrointestinal Problems
Chapter 20 Diet and Gastrointestinal Problems Objectives Explain uses of diet therapy in gastrointestinal disturbances Identify foods allowed and disallowed in therapeutic diets discussed Adapt normal
More informationGastro-Esophageal Reflux Disease (GERD)
Gastro-Esophageal Reflux Disease (GERD) Definition: GERD, or Gastro-Esophageal Reflux Disease, is a digestive disorder, in which partially digested food from the stomach, along with Hydrochloric acid (HCl)
More informationGASTROINTESTINAL AND ANTIEMETIC DRUGS. Submitted by: Shaema M. Ali
GASTROINTESTINAL AND ANTIEMETIC DRUGS Submitted by: Shaema M. Ali GASTROINTESTINAL AND ANTIEMETIC DRUGS by: Shaema M. Ali There are four common medical conditions involving the GI system 1) peptic ulcers
More informationOverview of digestion or, gut reactions - to food
Key concepts in Digestion. Indigestion module Overview of digestion or, gut reactions - to food Prof. Barry Campbell Gastroenterology Cellular & Molecular Physiology e-mail: bjcampbl@liv.ac.uk http://pcwww.liv.ac.uk/~bjcampbl
More informationModule 2 Heartburn Glossary
Absorption Antacids Antibiotic Module 2 Heartburn Glossary Barrett s oesophagus Bloating Body mass index Burping Chief cells Colon Digestion Endoscopy Enteroendocrine cells Epiglottis Epithelium Absorption
More informationUniversity of Buea. Faculty of Health Sciences. Programme in Medicine
Faculty of Health Sciences University of Buea Wednesday, 28 th January 2009 Time: 8 00-10 00 Programme in Medicine MED 303 (Gastrointestinal Physiology) EXAMS (2008-2009) Identify the letter of the choice
More informationOptimizing the Upper GI: Mind, Mouth, and Stomach What Can Go Wrong With Dr. Ritamarie Loscalzo
Optimizing the Upper GI: Mind, Mouth, and Stomach What Can Go Wrong With Dr. Ritamarie Loscalzo Medical Disclaimer: The information in this presentation is not intended to replace a one-onone relationship
More informationOverview of digestion or, gut reactions - to food
1 Key concepts in Digestion. Indigestion module Overview of digestion or, gut reactions to food Prof. Barry Campbell Gastroenterology Cellular & Molecular Physiology email: bjcampbl@liv.ac.uk http://pcwww.liv.ac.uk/~bjcampbl
More informationOur gut reactions to food or, gut reactions - to food
Key concepts in Digestion. Our gut reactions to food or, gut reactions to food Prof. Barry Campbell Cellular & Molecular Physiology email: bjcampbl@liv.ac.uk http://pcwww.liv.ac.uk/~bjcampbl Swallowing
More informationVictor Tambunan Department of Nutrition Faculty of Medicine Universitas Indonesia
Victor Tambunan Department of Nutrition Faculty of Medicine Universitas Indonesia 1 References Krause s Food & Nutrition Therapy 12th ed., 2008 ---- L.K. Mahan & S. Escott-Stump Modern Nutrition in Health
More informationReflux of gastric contents, particularly acid, into the esophagus
Heartburn Reflux of gastric contents, particularly acid, into the esophagus Patient assessment with GERD 1-signs and symptoms The hallmark of typical symptom of GERD is heartburn (restrosternal),acid regurgitation,
More informationTreatment Options for GERD or Acid Reflux Disease A Review of the Research for Adults
Treatment Options for GERD or Acid Reflux Disease A Review of the Research for Adults hur till återvinna från prostataoperation Is This Information Right for Me? Yes, if: A doctor said that you have gastroesophageal
More informationPeptic ulcer disease Disorders of the esophagus
Peptic ulcer disease Disorders of the esophagus Peptic ulcer disease Burning epigastric pain Exacerbated by fasting Improved with meals Ulcer: disruption of mucosal integrity >5 mm in size, with depth
More informationPharmacology. Drugs that Affect the Gastrointestinal System
Pharmacology Drugs that Affect the Gastrointestinal System Topics Peptic Ulcer Disease Constipation Diarrhea Emesis Digestion Peptic Ulcer Disease Factors that Increase Acidity Factors that Protect Against
More informationhttps://www.uptodate.com/contents/acid-reflux-gastroesophageal-reflux-disease-in-adults-...
Page 1 of 10 Official reprint from UpToDate www.uptodate.com 2017 UpToDate The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment.
More informationSection Coordinator: Jerome W. Breslin, PhD, Assistant Professor of Physiology, MEB 7208, ,
IDP Biological Systems Gastrointestinal System Section Coordinator: Jerome W. Breslin, PhD, Assistant Professor of Physiology, MEB 7208, 504-568-2669, jbresl@lsuhsc.edu Overall Learning Objectives 1. Characterize
More information2.08 Understand the functions and disorders of the digestive system Essential questions
2.08 Understand the functions and disorders of the digestive system Essential questions What are the functions of the digestive system? How do the functions of chemical and physical digestion interrelate?
More informationAn overview of the digestive system. mouth pharynx esophagus stomach small intestine large intestine rectum anus
An overview of the digestive system mouth pharynx esophagus stomach small intestine large intestine rectum anus Why GIT? What are the main steps in the digestive process? Ingestion intake of food via the
More informationChapter 26 The Digestive System
Chapter 26 The Digestive System Digestive System Gastroenterology is the study of the stomach and intestine. Digestion Catabolism Absorption Anabolism The actions of the digestive system are controlled
More informationGastro Esophageal Reflux Disease
CHAPTER 1 Gastro Esophageal Reflux Disease M.ASHOKKUMAR DEPT OF PHARMACY PRACTICE SRM COLLEGE OF PHARMACY SRM UNIVERSITY ** Click on the arrow at the bottom right to move forward ** ** The arrow at the
More informationWhy would fatty foods aggravate the patient s RUQ pain? What effect does cholecystokinin (CCK) have on gastric emptying?
CASE 28 A 43-year-old woman presents to the emergency department with the acute onset of abdominal pain. Her pain is located to the right upper quadrant (RUQ) and radiates to the right shoulder. She reports
More informationSecond term/
Second term/ 2015-2016 L. 1 Dr Mohammed AL-Zobaidy Learning objectives GIT pharmacology After completing this chapter the student will be able to: Recognise pathophysiological factors implicated in acid-peptic
More information-Mohammad Ashraf. -Anas Raed. -Alia Shatnawi. 1 P a g e
-1 -Mohammad Ashraf -Anas Raed -Alia Shatnawi 1 P a g e Dr. Alia started the lecture by talking about subjects we are going to cover through this course; you can refer to the record if you are interested.
More informationSphincters heartburn diaphragm The Stomach gastric glands pepsin, chyme The Small Intestine 1-Digestion Is Completed in the Small Intestine duodenum
Sphincters are muscles that encircle tubes and act as valves. The tubes close when the sphincters contract and they open when the sphincters relax. When food or saliva is swallowed, the sphincter relaxes
More informationGastroesophageal Reflux (GER) and Gastroesophageal Reflux Disease (GERD) in Adults
Gastroesophageal Reflux (GER) and Gastroesophageal Reflux Disease (GERD) in Adults National Digestive Diseases Information Clearinghouse What is GER? Gastroesophageal reflux (GER) occurs when stomach contents
More informationCopy right protected Page 1
DRUGS USED IN ULCERS AND GIT DISORDERS A peptic ulcer, also known as PUD or peptic ulcer disease is an ulcer of an area of the gastrointestinal tract that is usually acidic and thus extremely painful.
More informationEpidemiology of Peptic Ulcer Disease
Epidemiology of Peptic Ulcer Disease Introduction Peptic Ulcer Disease (PUD) is disruption of the mucosal integrity of the stomach and/or duodenum leading to a local defect or excavation due to active
More informationGastroesophageal Reflux Disease (GERD)
Gastroesophageal Reflux Disease (GERD) Information for patients UHN Read this handout to learn about: What gastroesohageal reflux (GERD) is Signs and symptoms How your doctor will know if you have it Tests
More informationPHYSIOLOGY OF THE DIGESTIVE SYSTEM
Student Name CHAPTER 26 PHYSIOLOGY OF THE DIGESTIVE SYSTEM D igestion is the process of breaking down complex nutrients into simpler units suitable for absorption. It involves two major processes: mechanical
More informationNUTRIENT DIGESTION & ABSORPTION
NUTRIENT DIGESTION & ABSORPTION NUTR 2050: Nutrition for Nursing Professionals Mrs. Deborah A. Hutcheon, MS, RD, LD Lesson Objectives At the end of the lesson, the student will be able to: 1. Differentiate
More informationHelicobacter Pylori Testing HELICOBACTER PYLORI TESTING HS-131. Policy Number: HS-131. Original Effective Date: 9/17/2009
Easy Choice Health Plan, Inc. Harmony Health Plan of Illinois, Inc. Missouri Care, Inc. Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc. WellCare Health Insurance of Illinois,
More informationDigestion. Absorption and Transport. Digestion. Digestion. (Chapter 3) Your GI tract is like a tube!
Digestion Absorption and Transport Digestion the process of breaking down food into its basic components so they can be absorbed CHO, fat, pro are hydrolysed Vits, mins, water aren t (Chapter 3) Digestion
More informationDo You Know Your SATs? (Sugar, Acid blockers, Thinners) Laura Habighorst RN CAPA CGRN Heartland SGNA Spring Conference 2014
Do You Know Your SATs? (Sugar, Acid blockers, Thinners) Laura Habighorst RN CAPA CGRN Heartland SGNA Spring Conference 2014 Objectives Describe the anesthesia contraindications for the administration of
More information(*) (*) Ingestion, digestion, absorption, and elimination. Uptake of nutrients by body cells (intestine)
Human Digestive System Food is pushed along the digestive tract by peristalsis the rhythmic waves of contraction of smooth muscles in the wall of the canal Accessory glands. Main stages of food processing
More informationGastro-oesophageal reflux disease and peptic ulcer disease. By: Dr. Singanamala Suman Assistant Professor Department of Pharm.D
Gastro-oesophageal reflux disease and peptic ulcer disease By: Dr. Singanamala Suman Assistant Professor Department of Pharm.D Gastro-oesophageal reflux disease and peptic ulcer disease Learning objectives:
More informationChapter 32 Gastroenterology General Pathophysiology General Risk Factors for GI emergencies: Excessive Consumption Excessive Smoking Increased
1 2 3 4 5 6 7 Chapter 32 Gastroenterology General Pathophysiology General Risk Factors for GI emergencies: Excessive Consumption Excessive Smoking Increased Ingestion of Caustic Substances Poor Bowel Habits
More informationHeartburn. Understanding and Treating. Heal n Cure For appointments call
A C P S P E C I A L R E P O R T Understanding and Treating Heartburn What is Heartburn? It begins as a burning pain in the middle of your chest, behind the breastbone, often after a big meal. The burning
More informationGI update. Common conditions and concerns my patients frequently asked about
GI update Common conditions and concerns my patients frequently asked about Specific conditions I ll try to cover today 1. Colon polyps, colorectal cancer and colonoscopy 2. Crohn s disease 3. Peptic ulcer
More informationYou May Be at Risk. You are currently taking a proton-pump inhibitor (PPI): Dexlansoprazole (Dexilant ) Pantoprazole (Pantoloc, Panto IV )
You May Be at Risk. You are currently taking a proton-pump inhibitor (PPI): Dexlansoprazole (Dexilant ) Esomeprazole (Nexium ) Omeprazole (Losec, Olex ) Pantoprazole (Pantoloc, Panto IV ) Pantoprazole
More informationDigestive System Module 4: The Stomach *
OpenStax-CNX module: m49286 1 Digestive System Module 4: The * Donna Browne Based on The by OpenStax This work is produced by OpenStax-CNX and licensed under the Creative Commons Attribution License 4.0
More informationA Trip Through the GI Tract: Common GI Diseases and Complaints. Jennifer Curtis, MD
A Trip Through the GI Tract: Common GI Diseases and Complaints Jennifer Curtis, MD Colon Cancer How does it develop? Most cancers arise from polyps Over time these can turn into cancer Combination of genetic
More informationA. Incorrect! Histamine is a secretagogue for stomach acid, but this is not the only correct answer.
Pharmacology - Problem Drill 21: Drugs Used To Treat GI Disorders No. 1 of 10 1. Endogenous secretagogues for stomach acid include: #01 (A) Histamine (B) Gastrin (C) PGE1 (D) A and B (E) A, B and C Histamine
More information58 year old male complaining of 3-week history of increasing epigastric pain
Peptic Ulcer Disease 58 year old male complaining of 3-week history of increasing epigastric pain Has had dyspepsia in the past for which he took Tums, but this is much worse and only partially relieved
More informationYou May Be at Risk. You are currently taking a proton pump inhibitor (PPI):
PPI You are currently taking a proton pump inhibitor (PPI): Dexlansoprazole (Dexilant ) Esomeprazole (Nexium ) Omeprazole (Losec, Olex ) Lansoprazole (Prevacid, Prevacid Fast Tab ) Pantoprazole sodium
More information235 60th Street, West New York, NJ T: (201) F: (201) Main Street, Hackensack, NJ T: (201)
235 60th Street, West New York, NJ 07093 T: (201) 854-4646 F: (201) 854-4647 810 Main Street, Hackensack, NJ 07601 T: (201) 488-0095 Barrett's Esophagus WHAT IS BARRETTT'S ESOPHAGUS? Barrett's esophagus
More informationThe usual dose is 40 mg daily with amoxycillin 1.5 g (750 mg b.d.) for 2 weeks. Up to 2 g/day of amoxycillin has been used in clinical trials.
Name Gasec - 2 Gastrocaps Composition Gasec-20 Gastrocaps Each Gastrocaps contains: Omeprazole 20 mg (in the form of enteric-coated pellets) Properties, effects Proton Pump Inhibitor Omeprazole belongs
More informationPeptic ulcer disease. Nomin-Erdene. D SOM-531
Peptic ulcer disease Nomin-Erdene. D SOM-531 Learning objectives Stomach gross anatomy PUD Epidemiology Pathogenesis Clinical manifestation Diagnosing Treatment Complicated ulcer disease Surgical procedures
More informationGastrointestinal Disorders. Disorders of the Esophagus 3/7/2013. Congenital Abnormalities. Achalasia. Not an easy repair. Types
Gastrointestinal Disorders Congenital Abnormalities Disorders of the Esophagus Types Stenosis Atresia Fistula Newborn aspirates while feeding. Pneumonia Not an easy repair Achalasia Lack of relaxation
More informationPeptic Ulcer Disease and NSAIDs
Peptic Ulcer Disease and NSAIDs National Digestive Diseases Information Clearinghouse What is a peptic ulcer? A peptic ulcer is a sore on the inner lining of the stomach or duodenum the first part of the
More informationChapter 20 The Digestive System Exam Study Questions
Chapter 20 The Digestive System Exam Study Questions 20.1 Overview of GI Processes 1. Describe the functions of digestive system. 2. List and define the four GI Processes: 20.2 Functional Anatomy of the
More informationSequioa Education Systems, Inc. 1
Functional Diagnostic Medicine Training Program Module 2 The Functional Diagnostic Medicine Approach in the Treatment of Gastrointestinal Dysfunction and Disease Dr. Wayne L. Sodano, D.C., D.A.B.C.I. &
More informationProton Pump Inhibitors. Description. Section: Prescription Drugs Effective Date: July 1, 2014
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.09.01 Subject: Proton Pump Inhibitors Page: 1 of 7 Last Review Date: June 12, 2014 Proton Pump Inhibitors
More informationNational Digestive Diseases Information Clearinghouse
Barrett s Esophagus National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What is Barrett s esophagus? Barrett s esophagus is
More informationThe Digestive System. What is the advantage of a one-way gut? If you swallow something, is it really inside you?
The Digestive System What is the advantage of a one-way gut?! If you swallow something, is it really inside you? Functions and Processes of the Digestive System: Move nutrients, water, electrolytes from
More informationESSENTIAL QUESTION. What are the structures of the digestive system? THE DIGESTIVE SYSTEM
ESSENTIAL QUESTION What are the structures of the digestive system? THE DIGESTIVE SYSTEM DIGESTIVE SYSTEM, AKA. ALIMENTARY CANAL digestive tract or gastrointestinal tract (GI Tract). A 30 ft. tube from
More informationGastrointestinal pathology 2018 lecture 4. Dr Heyam Awad FRCPath
Gastrointestinal pathology 2018 lecture 4 Dr Heyam Awad FRCPath Topics to be covered Peptic ulcer disease Hiatal hernia Gastric neoplasms Peptic ulcer disease (PUD)= chronic gastric ulcer Causes H pylori
More informationSoft palate elevates, closing off the nasopharynx. Hard palate Tongue Bolus Epiglottis. Glottis Larynx moves up and forward.
The Cephalic Phase Chemical and mechanical digestion begins in the mouth Saliva is an exocrine secretion Salivary secretion is under autonomic control Softens and lubricates food Chemical digestion: salivary
More informationDigestive System. Why do we need to eat? Growth Maintenance (repair tissue) Energy
Digestive System Why do we need to eat? Growth Maintenance (repair tissue) Energy Nutrients Nutrient = chemical that must be obtained by an organism from it s environment in order to survive; nutrients
More informationChapter 21 NUTRITION AND DIGESTION
Chapter 21 NUTRITION AND DIGESTION Stages of Food Processing 1. Ingestion: The act of eating. Usually involves placing food in mouth or oral cavity. 2. Digestion: Macromolecules in food (fats, proteins,
More informationDesigned Healthy Living. Drug and Nutrient Interaction
Drug and Nutrient Interaction Drugs and nutrients (both in food and in supplements) can interact with each other. It is always important to read the documentation that comes with each prescription. The
More informationEsophageal Disorders. Gastrointestinal Diseases. Peptic Ulcer Disease. Wireless capsule endoscopy. Diseases of the Small Intestine 7/24/2010
Esophageal Disorders Gastrointestinal Diseases Fernando Vega, MD HIHIM 409 Dysphagia Difficulty Swallowing and passing food from mouth via the esophagus Diagnostic aids: Endoscopy, Barium x ray, Cineradiology,
More informationGlencoe Health. Lesson 3 The Digestive System
Glencoe Health Lesson 3 The Digestive System Health espotlight Video BIG IDEA The digestive system provides nutrients and energy for your body through the digestion of food. New Vocabulary mastication
More informationHelicobacter 2008;13:1-6. Am J Gastroent 2007;102: Am J of Med 2004;117:31-35.
An Update on Helicobacter pylori and Its Treatment Trenika Mitchell, PharmD, BCPS Clinical Assistant Professor University of Kentucky College of Pharmacy October 18, 2008 Objectives Review the epidemiology
More informationAugust 2003 Peptic Ulcer Management H01
W-F Professional Associates, Inc. 400 Lake Cook Rd., Suite 207 Deerfield, IL 60015 847-945-8050 August 2003 Peptic Ulcer Management 707-000-03-008-H01 MISSING A LESSON? IT S EASY TO GO TO OUR WEBSITE &
More informationIncludes mouth, pharynx, esophagus, stomach, small intestine, large intestine, rectum, anus. Salivary glands, liver, gallbladder, pancreas
Chapter 14 The Digestive System and Nutrition Digestive System Brings Nutrients Into the Body The digestive system includes Gastrointestinal (GI) tract (hollow tube) Lumen: space within this tube Includes
More informationChapter 15. Cardiovascular, Respiratory, Digestive Systems
Chapter 15 Cardiovascular, Respiratory, Digestive Systems Cardiovascular/Respiratory Systems Cardiovascular System Blood is pumped to the body 24/7 Heart s tasks: Carries oxygen from lungs to body cells
More informationChapter 5: Common Digestive Problems from The Kansas State University Human Nutrition (HN 400) Flexbook by Brian Lindshield is in the public domain
Chapter 5: Common Digestive Problems from The Kansas State University Human Nutrition (HN 400) Flexbook by Brian Lindshield is in the public domain in the United States. 5 Common Digestive Problems Before
More informationIngestion Digestion- Absorption- Elimination
DIGESTIVE SYSTEM 1 FUNCTIONS Organization GI tract==mouth anus Accessory organs Salivary glands, liver, pancreas, gallbladder Major Functions: Ingestion-mouth, teeth, tongue Digestion- chemical and mechanical
More informationNOTES: The Digestive System (Ch 14, part 2)
NOTES: The Digestive System (Ch 14, part 2) PANCREAS Structure of the pancreas: The pancreas produces PANCREATIC JUICE that is then secreted into a pancreatic duct. The PANCREATIC DUCT leads to the The
More informationUnderstandings, Applications & Skills
D.2 Digestion Understandings, Applications & Skills Statement D.2.U1 Nervous and hormonal mechanisms control the secretion of digestive juices. D.2.U2 Exocrine glands secrete to the surface of the body
More informationFecal incontinence causes 196 epidemiology 8 treatment 196
Subject Index Achalasia course 93 differential diagnosis 93 esophageal dysphagia 92 95 etiology 92, 93 treatment 93 95 work-up 93 Aminosalicylates, pharmacokinetics and aging effects 36 Antibiotics diarrhea
More informationDigestive System. What happens to the donut you ate for breakfast this morning?
Digestive System What happens to the donut you ate for breakfast this morning? Free Tutoring and Extra Credit!!! Digestive System: Is the basic process of breaking down the food you eat into individual
More informationDIGESTION: Breakdown of food. Small components WHY?
HOW YOU DIGEST FOOD Cells Organs DIGESTION: Breakdown of food Small components WHY? Carbohydrates Sugars Protein Amino Acids Fats Fatty Acids Absorption: Taking Substances Interior of Body (blood) Gastrointestinal
More informationDefinition: gas tro e soph a ge al re f lux dis ease (GERD) from Stedman's Medical Dictionary for the Health Professions and Nursing
Topic Page: Gastroesophageal reflux Definition: gas tro e soph a ge al re f lux dis ease (GERD) from Stedman's Medical Dictionary for the Health Professions and Nursing (gas trō-ĕ-sof ă-jē ăl rē flŭks
More informationChapter 20 The Digestive System Exam Study Questions
Chapter 20 The Digestive System Exam Study Questions 20.1 Overview of GI Processes 1. Describe the functions of digestive system. 2. List and define the four GI Processes: 20.2 Functional Anatomy of the
More informationPearson's Comprehensive Medical Assisting Administrative and Clinical Competencies
Pearson's Comprehensive Medical Assisting Administrative and Clinical Competencies THIRD EDITION CHAPTER 30 The Digestive System Lesson 2: Pathology of the Digestive System Lesson Objectives Upon completion
More informationManagement of Patients With Gastric and Duodenal Disorders
Chapter 37 Management of Patients With Gastric and Duodenal Disorders LEARNING OBJECTIVES On completion of this chapter, the learner will be able to: 1. Compare the etiology, clinical manifestations, and
More informationDigestive System. Digestion Myths
Digestive System Digestion Myths Myth # 1 Ulcers: Spicy food and stress cause stomach ulcers. Myth # 2 Heartburn: Smoking a cigarette helps relieve heartburn. Myth # 3 Celiac Disease: Celiac disease is
More informationGastric ulcer Duodenal ulcer Pancreatitis Ileus. Barbora Konečná
Gastric ulcer Duodenal ulcer Pancreatitis Ileus Barbora Konečná basa.konecna@gmail.com Peptic ulcers of stomach and duodenum (PUD) Ulcers are chronic, often solitary lesions, that occur in any part of
More informationHarvesting energy from food. Digestion: A Closer Look. Where digestion begins. Salivary Glands 4/17/13. Or how food gets from
Harvesting energy from food Or how food gets from to and body structures Cheese protein (a polymer of amino acids in a specific sequence) Breakdown of protein by human digestive system Amino acid monomer
More informationThe Digestive System. Chapter
The Digestive System Chapter 15.1 Functions: mechanical and chemical breakdown of food *absorption of nutrients Consists of alimentary canal and accessory organs Wall of the Alimentary Canal 15.2 Characteristics
More informationGastroenterology. Certification Examination Blueprint. Purpose of the exam
Gastroenterology Certification Examination Blueprint Purpose of the exam The exam is designed to evaluate the knowledge, diagnostic reasoning, and clinical judgment skills expected of the certified gastroenterologist
More informationKRISHNA TEJA PHARMACY COLLEGE HUMAN ANATOMY AND PHYSIOLOGY. DIGESTIVE SYSTEM Dr.B.Jyothi
KRISHNA TEJA PHARMACY COLLEGE HUMAN ANATOMY AND PHYSIOLOGY DIGESTIVE SYSTEM Dr.B.Jyothi Prof, Dept. Of Pharmacology KTPC The Digestive System Food undergoes six major processes: 1. Ingestion : process
More informationThe Players. Liver Thyroid Adrenals Pancreas Reproductive System Pituitary Gut Bacteria
The Players Part I Quick Review Understanding some of the key systems and their relationship to hormones is the best place to start It will help with some of the hormone interconnections Key to understanding
More informationTissues: systems of cells working together to perform specialized tasks. Ex muscles, nerves, blood
Chapter 3 Cells: the smallest units in which independent life can exist. All living things are single cells or organisms made of cells. Need water and nutrients to survive Enzyme: any of the great working
More informationNeoplastic Disease KNH 406
Neoplastic Disease KNH 406 Cancer Carcinogenesis - Etiology Genes may be affected by antioxidants, soy, protein, fat, kcal, alcohol Nutritional genomics study of genetic variations that cause different
More informationThe Stomach. Bởi: OpenStaxCollege
Bởi: OpenStaxCollege Although a minimal amount of carbohydrate digestion occurs in the mouth, chemical digestion really gets underway in the stomach. An expansion of the alimentary canal that lies immediately
More information