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Volume 8 Journal of Obesity & Weight Loss Therapy Obesity Meeting 2018
August 24-25, 2018
August 24-25, 2018 Singapore
20th Global Obesity Meeting
Nutritional therapy approach for post ileostomy ET cause multiple diverticulitis ileum
Febryan Agus Pramuyo and Agussalim
Hasanuddin University, Indonesia
Background: Obesity could cause multiple diverticulitis induce dietary high fat and low fiber in daily diet. This case especially
Ileum diverticulitis, is a gastrointestinal disease characterized by inflammation of abnormal pouches - diverticuli - which
can develop in the wall of the small intestine, symptoms typically include upper abdominal pain of a sudden onset. The on-
set of symptoms however, may also occur over a few days. Other symptoms could be nausea, constipation and diarrhea,
gastrointestinal intolerance, electrolyte imbalance and vitamin B12 mal-absorption. The main principle in management of
wound healing in ileum diverticulitis is recurrent prevention by changing diet, where clinicians need to identify this condition
in the patient and improve postoperative outcome and accelerate wound healing and administration of appropriate diets.
Methods:A39 years old female with obesity historywas consulted to clinical nutrition department withmoderatemalnourished
patient. SGA SCORE B due to inanition in 5 month previously, body weight had decreased for around 10%; 24 hours food
recall was about 868.5 kcal. The patient metabolic status was: Anemia, immune system depletion, hypo-albuminemia, hyper-
bilirubinemia, hypokalemia and normal gastrointestinal function. Nutritional therapy based on Harris-Benedict equation was
1900 kcal, (protein 22%, carbohydrate 55% and fat 23%) and admitted via oral and parenteral nutrition containing Branched-
Chain Amino Acid (BCAA), glutamine, micronutrient and vitamin to accelerate wound healing process.
Result: After 60 days, there were improvements in nutritional status based anthropometric, laboratory value and faster process
of postoperative wound healing.
Conclusion: Optimal nutrition supported postoperative multiple diverticulitis improvement by giving low fat and high fiber,
high protein contain BCAA and glutamine, micronutrients and vitamins.
Biography
Febryan Agus Pramuyo has his expertise in evaluation and passion in improving the health and wellbeing. His open and contextual evaluation model based on
responsive constructivists creates new pathways for improving healthcare. He is evaluating patient in low-fiber diet with gastrointestinal inflammation in obese
people can create a disease called diverticulosis. He is a Clinical Nutrition Resident at Hasanuddin University in Makassar, South Sulawesi, Indonesia. He is very
concerned about most people with obesity who consume a lot of meat but lacks fiber foods and its impact will may cause diverticulosis.
Febryan Agus Pramuyo et al., J Obes Weight Loss Ther 2018, Volume 8
DOI: 10.4172/2165-7904-C6-073