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Medical Nutrition Therapy for Upper Gastrointestinal Tract Disorders. Esophagus. Tube from pharynx to stomach Upper esophageal sphincter (UES or cardiac sphincter) closed except when swallowing
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DeVault KR and Castell DO. Updated guidelines for the diagnosis and treatment of Gastroesophageal Reflux disease. Am J. Gastroenterol 2005;100:190-200
DeVault KR and Castell DO. Updated guidelines for the diagnosis and treatment of Gastroesophageal Reflux disease. Am J. Gastroenterol 2005;100:190-200
ADA Nutrition Care Manual, accessed 4-06
ADA Nutrition Care Manual, accessed 4-06
Reduce gastric acidity by eliminating the following:
Substitute smaller more frequent meals
Restrict foods that lessen lower esophageal sphincter pressure by eliminating the following:
ADA Nutrition Care Manual, accessed 4-06
Antibiotics: eradicate Helicobacter pylori, prevent or treat infection after abdominal wounds or surgery
Antacids: neutralize gastric acid in acid reflux, peptic ulcer
Proton pump inhibitors (omeprazole, lansoprazole): decrease gastric acid secretion
Histamine-2 receptor antagonists (cimetidine, ranitidine): inhibit gastric acid secretion
Sucralfate (sulfated disaccharide): protects stomach lining and may increase mucosal resistance to acid or enzyme damage
DeVault KR and Castell DO. Updated guidelines for the diagnosis and treatment of Gastroesophageal Reflux disease. Am J. Gastroenterol 2005;100:190-200
DeVault KR and Castell DO. Updated guidelines for the diagnosis and treatment of Gastroesophageal Reflux disease. Am J. Gastroenterol 2005;100:190-200
Promotility Agents (enhance esophageal clearing and gastric emptying)
Source: http://www.medformation.com/ac/adamsurg.nsf/page/100181#
ADA Nutrition Care Manual, accessed 4-06
ADA Nutrition Care Manual, accessed 4-06
ADA Nutrition Care Manual, accessed 4-06
ADA Nutrition Care Manual, accessed 4-06
—Alcohol
—Aspirin
—Nonsteroidal antiinflammatory agents
ADA Nutrition Care Manual, accessed 4-06
Fig. 30-7. p. 661.
Obstruction and mechanical interference
Surgical resection or gastrectomy
Prevention of GI cancers: fruits, vegetables, and selenium
Increase risk of GI cancers: alcohol, overweight, high salted or pickled foods, inadequate micronutrients
Fig. 30-7. p. 661.
ADA Nutrition Care Manual, accessed 4-06
These foods may exacerbate symptoms:
Source: ADA Nutrition Care Manual, accessed 4-06