CSO STUDY GUIDE QUESTIONS WITH
100% CORRECT ANSWERS { GRADED
A+}
MNT for Small Bowel Resection - ✔✔1. Some patients may not be able to
tolerate normal feedings and may require enteral or parenteral nutrition.
2. Small, frequent feedings (6 times/day)
3. Fluid and electrolytes should be provided in small, frequent amounts. Consider
use of oral rehydration solutions when fluid losses result in dehydration.
4. If terminal ileum has been resected: monitor serum vitamin B12, monitor for
diarrhea (addition of bile acid sequestrants may be indicated), fat soluble vitamins
ADEK, and calcium, zinc, and magnesium may be supplemented.
MNT for Colectomy with reanastomosis - ✔✔1. Encourage intake of small, more
frequent meals.
2. Monitor fluid and electrolyte status.
,3. Advise dietary interventions (e.g. low fiber diet) to slow transit time, if
indicated.
MNT for Colectomy with ileostomy - ✔✔1. Manage fluid and electrolyte
imbalances, including Na and K+ losses.
2. Drink at least 1 L more than their output daily.
3. Chew foods well.
4. Avoid foods high in dietary fiber (both insoluble and soluble), high fat foods,
and simple sugars.
MNT for Ileal Pouch ("J-pouch") - ✔✔1. Monitor for pouchitis
2. Limit caffeine, avoid lactose if lactose-deficient, limit fructose and sorbitol;
stress adequate fluid and electrolyte intake d/t increase in losses.
3. Reinforce anti-diarrheal meds.
Vitamin and Mineral malabsorption in Colorectal Cancer - ✔✔-Monitor serum
vitamin D
-Encourage calcium-rich diet
-Vitamin B12 supplementation if ileum is resected
,-Folate supplementation may be indicated because of low fresh veggie and fruit
intake
Risk factors for Colorectal Cancer - ✔✔1. Age >50
2. Presence of adenoma polyps in the colon.
Inherited syndromes (e.g. HNPCC, FAP, Peutz-Jeghers syndrome, MUTYH-
associated polyposis)
3. Race and ethnicity (African Americans, Ashkanazi Jews)
4. Type II DM
5. Overweight and obesity, especially abdominal obesity
6. Smoking, use of tobacco products
7. Heavy ETOH use
8. Physical inactivity
9. Hx ulcerative colitis or Crohn's disease
10. Intake of polyaromatic hydrocarbons (PAH) and heterocyclin amines (HCA)
formed as result of grilling at high temp over extended times.
11. Diets high in red meats and processed meats.
, 12. Low serum vitamin D and low calcium intake.
MNT for Gastrectomy (Partial or Total) - ✔✔Pre-op: Small, frequent meals and
intake of soft, east-to-digest foods and fluids as tolerated.
Post-op:
- small, frequent feedings of ice or water on day 1 and 2. Once tolerated, small,
frequent meals of easy-to-digest foods.
-Initially limit refined CHO foods and lactose
-Avoid greasy and fried foods and initially limit total fat intake by choosing low fat
foods.
-Include a protein with each meal.
-Separate solids from liquids; waith 30-60 mins before or after eating to drink.
When jejunal feedings are used:
-Continuous feeds
-Fiber free 1.0 standard formula, over 8-0 hours
100% CORRECT ANSWERS { GRADED
A+}
MNT for Small Bowel Resection - ✔✔1. Some patients may not be able to
tolerate normal feedings and may require enteral or parenteral nutrition.
2. Small, frequent feedings (6 times/day)
3. Fluid and electrolytes should be provided in small, frequent amounts. Consider
use of oral rehydration solutions when fluid losses result in dehydration.
4. If terminal ileum has been resected: monitor serum vitamin B12, monitor for
diarrhea (addition of bile acid sequestrants may be indicated), fat soluble vitamins
ADEK, and calcium, zinc, and magnesium may be supplemented.
MNT for Colectomy with reanastomosis - ✔✔1. Encourage intake of small, more
frequent meals.
2. Monitor fluid and electrolyte status.
,3. Advise dietary interventions (e.g. low fiber diet) to slow transit time, if
indicated.
MNT for Colectomy with ileostomy - ✔✔1. Manage fluid and electrolyte
imbalances, including Na and K+ losses.
2. Drink at least 1 L more than their output daily.
3. Chew foods well.
4. Avoid foods high in dietary fiber (both insoluble and soluble), high fat foods,
and simple sugars.
MNT for Ileal Pouch ("J-pouch") - ✔✔1. Monitor for pouchitis
2. Limit caffeine, avoid lactose if lactose-deficient, limit fructose and sorbitol;
stress adequate fluid and electrolyte intake d/t increase in losses.
3. Reinforce anti-diarrheal meds.
Vitamin and Mineral malabsorption in Colorectal Cancer - ✔✔-Monitor serum
vitamin D
-Encourage calcium-rich diet
-Vitamin B12 supplementation if ileum is resected
,-Folate supplementation may be indicated because of low fresh veggie and fruit
intake
Risk factors for Colorectal Cancer - ✔✔1. Age >50
2. Presence of adenoma polyps in the colon.
Inherited syndromes (e.g. HNPCC, FAP, Peutz-Jeghers syndrome, MUTYH-
associated polyposis)
3. Race and ethnicity (African Americans, Ashkanazi Jews)
4. Type II DM
5. Overweight and obesity, especially abdominal obesity
6. Smoking, use of tobacco products
7. Heavy ETOH use
8. Physical inactivity
9. Hx ulcerative colitis or Crohn's disease
10. Intake of polyaromatic hydrocarbons (PAH) and heterocyclin amines (HCA)
formed as result of grilling at high temp over extended times.
11. Diets high in red meats and processed meats.
, 12. Low serum vitamin D and low calcium intake.
MNT for Gastrectomy (Partial or Total) - ✔✔Pre-op: Small, frequent meals and
intake of soft, east-to-digest foods and fluids as tolerated.
Post-op:
- small, frequent feedings of ice or water on day 1 and 2. Once tolerated, small,
frequent meals of easy-to-digest foods.
-Initially limit refined CHO foods and lactose
-Avoid greasy and fried foods and initially limit total fat intake by choosing low fat
foods.
-Include a protein with each meal.
-Separate solids from liquids; waith 30-60 mins before or after eating to drink.
When jejunal feedings are used:
-Continuous feeds
-Fiber free 1.0 standard formula, over 8-0 hours
