, Osteoporose en osteopenie............................................................................18
Malabsorptie en IBD....................................................................................... 18
Dieetbehandeldoelen bij exacerbatie.............................................................18
Dieetkenmerken bij de ziekte van Crohn tijdens een exacerbatie...........18
Dieetkenmerken bij de ziekte van Crohn tijdens een remissie.................18
Dieetkenmerken bij Colitis Ulcerosa tijdens een exacerbatie...................18
Dieetkenmerken bij Colitis Ulcerosa tijdens een remissie........................19
Energiebehoefte bij IBD.................................................................................. 19
Eiwitbehoefte bij IBD...................................................................................... 19
* Dieetkenmerken ondervoeding:............................................................21
Energie volgens behoefte: rustmetabolisme (berekend met bijvoorkeur de
WHO formule of gemeten) + toeslagen ..................................................21
Divertikels/ Diverticulitis................................................................................... 21
Divertikels...................................................................................................... 21
Oorzaken en klachten............................................................................... 21
Behandeling............................................................................................. 21
Klachten................................................................................................... 22
Pathofysiologie......................................................................................... 22
Medicatie.................................................................................................. 22
Behandeling............................................................................................. 22
Opname in het ziekenhuis........................................................................22
Diagnose van divertikels en diverticulitis.................................................22
Voeding bij resecties (van delen) van de darm.................................................23
De darmen – de basis..................................................................................... 23
Duodenum:............................................................................................... 23
Jejunum.................................................................................................... 23
Ileum........................................................................................................ 24
Colon........................................................................................................ 24
De darmen – de basis........................................................................................ 24
Kennis van anatomie en functie is essentieel...........................................24
Voeding bij een jejuno-colonische anastomose..............................................25
Oxaalzuurbeperkt dieet.................................................................................. 25
Galzure zouten.................................................................................................. 25
Voeding bij een jejunostoma............................................................................. 26
Voeding bij een ileostoma................................................................................. 26
Behandeldoelen:............................................................................................ 26
Richtlijnen:..................................................................................................... 27
Voeding bij een colostoma................................................................................ 27
Behandeldoelen:............................................................................................ 27
Richtlijnen:..................................................................................................... 27
Voeding bij een pouch....................................................................................... 27
Gevolgen darmresectie..................................................................................... 28
Gevolgen darmresecties: high output............................................................28
Vochtbalans....................................................................................................... 28
Osmolariteit....................................................................................................... 28
3
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