Chapter 39 Nutritional Management of Inflammatory Bowel Disease and Short Bowel Syndrome

Copyright © 2016 Elsevier Inc. All rights reserved. FIGURE 39.1: Summary of events leading to IBD. Reprinted from A. We˛drychowicz, A. Zaja˛c, T. Przemysław, Advances in nutritional therapy in inflammatory bowel disease: review, World J Gastroenterol. 22 (3) (2016) 10451066, with permission from Baishideng Publishing Group Inc. Copyright © 2016 Elsevier Inc. All rights reserved.

Copyright © 2016 Elsevier Inc. All rights reserved. FIGURE 39.2: Radiologic image of patient with CD. White arrows indicate areas of narrowed small intestine. Reprinted from M. Sleisenger, M. Feldman, Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, seventh ed., W.B. Saunders, 2002, with permission from Elsevier. Copyright © 2016 Elsevier Inc. All rights reserved.

Copyright © 2016 Elsevier Inc. All rights reserved. FIGURE 39.3: (A) Mild UC with some evidence of hemorrhage; (B) severe UC with extensive hemorrhage. Reprinted from M. Sleisenger, M. Feldman, Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, seventh ed., W.B. Saunders, 2002, with permission from Elsevier. Copyright © 2016 Elsevier Inc. All rights reserved.

Copyright © 2016 Elsevier Inc. All rights reserved. FIGURE 39.4: Radiologic image of patient following intestinal resection. Reprinted from M. Sleisenger, M. Feldman, Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, seventh ed., W.B Saunders, 2002, with permission from Elsevier. Copyright © 2016 Elsevier Inc. All rights reserved.

Copyright © 2016 Elsevier Inc. All rights reserved. FIGURE 39.5: (A) Normal epithelium; (B) adapted epithelium with increased villus height and crypt depth following small bowel resection.Reprinted from J.A. Vanderhoof, A.N. Langnas, Short-bowel syndrome in children and adults, Gastroenterology 113 (5) (1997) 17671778, with permission from Elsevier. Copyright © 2016 Elsevier Inc. All rights reserved.

Copyright © 2016 Elsevier Inc. All rights reserved. FIGURE 39.6: Sites of nutrient absorption in the healthy GI tract. Reprinted from M. Sleisenger, M. Feldman, Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, seventh ed., W.B. Saunders, 2002, with permission from Elsevier. Copyright © 2016 Elsevier Inc. All rights reserved.

Copyright © 2016 Elsevier Inc. All rights reserved. FIGURE 39.7: Common types of intestinal resection include (A) jejunal resections; (B) ileal resections; (C) end jejunostomy with resection of the ileum and colon. Reprinted from M. Sleisenger, M. Feldman, Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, seventh ed., W.B. Saunders, 2002, with permission from Elsevier. Copyright © 2016 Elsevier Inc. All rights reserved.