MNT: UPPER GI TRACT QUESTIONS WITH CORRECT ANSWERS |LATEST UPDATE
100% SOLVED| GRADED A+
Gastroparesis: diganosis scintigraphic gastric emptying test after ingesting standard meal
with radioisotope
Gastroparesis: treatment - Acute management and correction of any fluid, electrolyte, or
acid-base abnormalities
- Pharmacological treatment for gastric emptying time & reduction of nausea/vomiting
Gastroperesis: Nutrition Therapy Implication: High risk for malnutrition
Intervention: modifications of the oral diet or EN and/or PN if necessary, 5-6 smaller meals per
day, low fat, low fiber for quicker digestion, liquid high calorie supplements may be necessary
Zollinger-Ellison syndrome Gastric acid hypersecretion
**Similar to PUD but unresponsive to therapy
Stomach: Pathophysiology -Dsypepsia (indigestion): non-specific abdominal distress
-Nausea and vomiting: caused by drugs, toxins, metabolic conditions, stress, or extreme
conditions
, Nausea and Vomiting: Nutrition Therapy Implications: inadequate intake, dehydration, acid-
base imbalances, learned food aversions
Diagnosis: altered GI function, involuntary weight loss, inadequate fluid intake, inadquate oral
intake
Intervention: minimize symptoms and discomfort, maintain nutritional status
gastroesophageal reflux disease (GERD) Reflux of gastric contents into the esophagus
GERD: pathophysiology incompetence of lower esophageal sphincter (LES)
GERD: medical diagnosis Made clinically based on presence of associated symptoms and
*relief after use of a proton pump inhibitor*
GERD: Treatment **Goals: Increase LES competence (main goal)
decrease acid secretion
protect esophageal mucosa
**Medical management
**Modify lifestyle factors
Weight loss is a good way to treat GERD
Fundus is wrapped around LES to prevent reflux
100% SOLVED| GRADED A+
Gastroparesis: diganosis scintigraphic gastric emptying test after ingesting standard meal
with radioisotope
Gastroparesis: treatment - Acute management and correction of any fluid, electrolyte, or
acid-base abnormalities
- Pharmacological treatment for gastric emptying time & reduction of nausea/vomiting
Gastroperesis: Nutrition Therapy Implication: High risk for malnutrition
Intervention: modifications of the oral diet or EN and/or PN if necessary, 5-6 smaller meals per
day, low fat, low fiber for quicker digestion, liquid high calorie supplements may be necessary
Zollinger-Ellison syndrome Gastric acid hypersecretion
**Similar to PUD but unresponsive to therapy
Stomach: Pathophysiology -Dsypepsia (indigestion): non-specific abdominal distress
-Nausea and vomiting: caused by drugs, toxins, metabolic conditions, stress, or extreme
conditions
, Nausea and Vomiting: Nutrition Therapy Implications: inadequate intake, dehydration, acid-
base imbalances, learned food aversions
Diagnosis: altered GI function, involuntary weight loss, inadequate fluid intake, inadquate oral
intake
Intervention: minimize symptoms and discomfort, maintain nutritional status
gastroesophageal reflux disease (GERD) Reflux of gastric contents into the esophagus
GERD: pathophysiology incompetence of lower esophageal sphincter (LES)
GERD: medical diagnosis Made clinically based on presence of associated symptoms and
*relief after use of a proton pump inhibitor*
GERD: Treatment **Goals: Increase LES competence (main goal)
decrease acid secretion
protect esophageal mucosa
**Medical management
**Modify lifestyle factors
Weight loss is a good way to treat GERD
Fundus is wrapped around LES to prevent reflux
