Chapter 17 – Nutrition and Upper Gastrointestinal Disorders

I. Conditions Affecting the Mouth and Esophagus

A. Dry Mouth

B. Dysphagia

1. Complications of Dysphagia

2. Dietary Interventions

3. Food Properties and Preparation

4. How to Improve Acceptance of Mechanically Altered Foods

5. Feeding Strategies

C. Gastroesophageal Reflux Disease

1. Causes of GERD

2. Consequences of GERD

3. Treatment of GERD

4. How to Manage Gastroesophageal Reflux Disease

II. Conditions Affecting the Stomach

A. Dyspepsia

1. Causes of Dyspepsia

2. Potential Food Intolerances

B. Nausea and Vomiting

1. Treatment of Nausea and Vomiting

2. Dietary Interventions

C. Gastritis

1. Complications of Gastritis

2. Dietary Interventions

D. Peptic Ulcer Disease

1. Effects of Emotional Stress

2. Signs and Symptoms

3. Complications of Peptic Ulcers

4. Drug Therapy for Ulcers

5. Dietary Considerations

III. Gastric Surgery

A. Gastrectomy

1. The Postgastrectomy Diet

2. Dumping Syndrome

a. How to Alter the Diet to Reduce Symptoms of Dumping Syndrome

3. Postsurgical Complications and Nutrition Status

B. Bariatric Surgery

1. Dietary Guidelines after Bariatric Surgery

2. How to Alter Dietary Habits to Achieve and Maintain Weight Loss after Bariatric Surgery

3. Postsurgical Concerns in Bariatric Surgery

IV. Nutrition in Practice – Inborn Errors of Metabolism

A. What problems can result from inborn errors of metabolism?

B. What role can diet play in treating inborn errors of metabolism?

C. Are there treatments for inborn errors that don’t involve dietary changes?

D. What is an example of an inborn error that benefits from dietary treatment?

E. How is PKU diagnosed?

F. What is the treatment for PKU?

G. How do people affected by PKU manage such a strict diet?

H. How long should a person with PKU continue the dietary treatment?

I. What is another example of an inborn error that requires dietary changes?

J. What is the dietary treatment for galactosemia?

K. How effective is the dietary treatment for galactosemia?