Sources and Severity of Self-Reported Food Intolerance after Ileal Pouch–Anal Anastomosis

Steenhagen, Elles; Roos, N.M. de; Bouwman, C.A.; Laarhoven, Cees J. H. M. van; Staveren, W.A. van

doi:10.1016/j.jada.2006.06.013

Cited by 11 publications

(9 citation statements)

References 14 publications

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“…Thus, nurses can teach how to increase appetite or replenish nutrition, such as eating small portions, eating frequent meals, and avoiding greasy, spicy, or gas-forming foods. 8 A dietitian can be invited to the ward for personal or group health education, so a dialogue can take place between nurses, patients, and patients' families. Patients' level of symptom discomfort and attention to distress can also be reduced by appropriate activities.…”

Section: Discussionmentioning

confidence: 99%

“…Foods reported by patients to increase stool consistency were potato products, bread, and bananas. 8 However, diarrhea distress is dynamic after colorectal cancer surgery, but little is known about how this distress of patients with colorectal cancer changes with time following surgery. Diarrhea is a common clinical issue after colorectal surgery, but its severity and self-care methods have not been studied in depth.…”

Section: Literature Reviewmentioning

confidence: 99%

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Symptom Distress and Self-care Strategies of Colorectal Cancer Patients With Diarrhea Up to 3 Months After Surgery

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Symptom Distress and Self-care Strategies of Colorectal Cancer Patients With Diarrhea Up to 3 Months After Surgery

et al. 2011

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“…Increased stool output was linked to the consumption of milk, 44,45 an array of fruits (including juices) and vegetables, 3,44‐46 high fat foods, 3,45,47 spicy foods, 46 and alcoholic beverages, especially beer 3,44,47 . Improved stool consistency was associated with ingestion of bananas and foods containing high amounts of digestible starch (pasta, potatoes and bread) 46,47 . Flatulence was reported with spicy foods, onions, leeks, cabbage and milk 44,46 .…”

Section: Studies On the Relationship Between Diet And Pouch Functionmentioning

confidence: 99%

“…Improved stool consistency was associated with ingestion of bananas and foods containing high amounts of digestible starch (pasta, potatoes and bread) 46,47 . Flatulence was reported with spicy foods, onions, leeks, cabbage and milk 44,46 . Perianal irritation was consistently associated with spicy foods, a “bad odour” with eggs, and undigested particles with grapefruit and lettuce ingestion 46,47 .…”

Section: Studies On the Relationship Between Diet And Pouch Functionmentioning

confidence: 99%

Review article: the impact of diet on ileoanal pouch function and on the pathogenesis of pouchitis

Ardalan

Yao

Sparrow

2020

Aliment Pharmacol Ther

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SummaryBackgroundThere is expanding interest in the role that diet plays in ileoanal pouch function and in the pathogenesis of pouchitis.AimsTo present a narrative review of published literature regarding the relationship of diet with pouch function and the pathogenesis of pouchitis, and to provide potentially beneficial dietary strategies.MethodsCurrent relevant literature was summarised and critically examined.ResultsDietary components influence pouch function via their effect on upper gastrointestinal transit, small bowel water content and the structure and fermentative activity of the pouch microbiota. FODMAPs in fruits and vegetables appear to affect pouch function the most, with intake positively associated with increased stool frequency and reduced consistency. Dietary factors that influence the pathogenesis of pouchitis appear different and, at times, opposite to those better for optimising function. For example, risk of pouchitis appears to be inversely associated with intake of fruits. The food components mechanistically responsible for this observation are not known, but a rich supply of fermentable fibres and micronutrients in such foods might play a beneficial role via modulation of microbial community structure (such as increasing diversity and/or changing microbial communities to favour ‘protective’ over ‘pathogenic’ bacteria) and function and/or anti‐inflammatory effects.ConclusionAvailable data are weak but suggest tailoring dietary recommendations according to pouch phenotype/behaviour and pouchitis risk might improve outcomes. More sophisticated dietary strategies that utilise the physiological and pathophysiological effects of dietary components on ileoanal pouches have potential to further improve outcomes. Well designed, adequately powered studies are required.

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“…Certain foods such as cabbage, corn, legumes, and spicy foods were even eliminated from the diet by >20% of patients due to bothersome effects. In a study by Steenhagen et al 35 of 105 patients with ileal pouch, most (83%) reported a decrease in stool consistency, with the predominant causative foods being spicy foods (26%), vegetables such as cabbage (24%), and fruit or fruit juice (14%). Increased stool consistency was reported by 62% of patients and was found to be associated with intake of potatoes (39%), bread (18%), and bananas (12%).…”

Section: Postoperative Nutrition Considerationsmentioning

confidence: 99%

Nutrition Considerations Surrounding Restorative Proctocolectomy

Buckman

Heise

2010

Nut in Clin Prac

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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.

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Sources and Severity of Self-Reported Food Intolerance after Ileal Pouch–Anal Anastomosis

Cited by 11 publications

References 14 publications

Symptom Distress and Self-care Strategies of Colorectal Cancer Patients With Diarrhea Up to 3 Months After Surgery

Symptom Distress and Self-care Strategies of Colorectal Cancer Patients With Diarrhea Up to 3 Months After Surgery

Review article: the impact of diet on ileoanal pouch function and on the pathogenesis of pouchitis

Nutrition Considerations Surrounding Restorative Proctocolectomy

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