Journal of Gastroenterology and Digestive Diseases

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.
Reach Us +1 (629)348-3199

Perspective - Journal of Gastroenterology and Digestive Diseases (2024) Volume 9, Issue 2

Nutritional support and recovery after gastrointestinal bleeding

Zhong Wang *

Department of Digestive System, The Second People's Hospital of Yunnan Province, China

*Corresponding Author:
Zhong Wang
Department of Digestive System, The Second People's Hospital of Yunnan Province, China
E-mail: wang@ch.com

Received: 29-Feb-2024, Manuscript No. JGDD-24-136146; Editor assigned: 01-Mar-2024, PreQC No. JGDD-24-136146(PQ); Reviewed: 15-Mar-2024, QC No. JGDD-24-136146; Revised: 21-Mar-2024, Manuscript No. JGDD-24-136146(R); Published: 28-Mar-2024, DOI: 10.35841/jgdd -9.2.199

Citation: : Wang Z. Nutritional support and recovery after gastrointestinal bleeding. J Gastroenterol Dig Dis.2024;9(2):199

Visit for more related articles at Journal of Gastroenterology and Digestive Diseases

Introduction

Gastrointestinal (GI) bleeding is a serious medical condition that requires immediate medical attention. It can occur anywhere along the gastrointestinal tract, from the esophagus to the rectum. Once the bleeding is controlled, proper nutritional support becomes crucial to aid recovery and prevent further complications [1]. Gastrointestinal bleeding can be classified into upper and lower GI bleeding, depending on the site of bleeding. Common causes include peptic ulcers, gastritis, esophageal varices, diverticular disease, and colorectal cancer. Symptoms vary depending on the location and severity of the bleeding but may include hematemesis (vomiting blood), melena (black, tarry stools), or hematochezia (fresh blood in stools) [2].

Nutritional support is essential for patients recovering from gastrointestinal bleeding for several reasons: Blood Loss and Anemia: Significant bleeding can lead to anemia due to iron deficiency and loss of red blood cells. Impaired Absorption: Bleeding and some underlying conditions can impair the absorption of essential nutrients, leading to deficiencies [3].

The primary goals of nutritional support after gastrointestinal bleeding include: Restoring Nutrient Levels: Correcting deficiencies caused by blood loss and impaired absorption. Promoting Healing: Supporting the healing process of damaged tissues in the gastrointestinal tract. Preventing Complications: Reducing the risk of infections and other complications associated with malnutrition [4].

Maintaining adequate fluid and electrolyte balance is crucial, especially if there has been significant blood loss. Intravenous fluids may be necessary initially, followed by oral rehydration solutions and a balanced diet. Proteins: Essential for tissue repair and recovery [5]. Include lean meats, fish, eggs, dairy, legumes, and nuts. Carbohydrates: Provide energy. Emphasize complex carbohydrates like whole grains, fruits, and vegetables. Fats: Provide essential fatty acids. Choose healthy fats like those found in nuts, seeds, and olive oil [6].

Iron: Important for replenishing iron stores lost through bleeding. Iron-rich foods include red meat, poultry, beans, and fortified cereals. Vitamin B12 and Folate: Essential for red blood cell production. Found in animal products, fortified cereals, and leafy green vegetables. Vitamin C: Helps with iron absorption. Found in citrus fruits, strawberries, and bell peppers. Vitamin K: Important for blood clotting. Found in green leafy vegetables, broccoli, and soybean oil [7].

Regular monitoring and evaluation are essential to assess nutritional status and adjust the diet as needed. This includes monitoring: Hemoglobin and Iron Levels: To assess anemia and iron deficiency. Electrolytes: To ensure proper fluid balance. Liver Function: To evaluate protein metabolism and synthesis [8]. Nutritional support after gastrointestinal bleeding often requires a multidisciplinary approach involving gastroenterologists, dietitians, and other healthcare providers. Collaboration ensures a comprehensive treatment plan tailored to the patient's needs [9].

Educating patients about the importance of nutrition and lifestyle changes are crucial for long-term recovery and prevention of future bleeding episodes. This includes: Providing resources on nutrition and diet management. Encouraging regular physical activity and stress reduction techniques [10].

Conclusion

In conclusion, nutritional support is a cornerstone of recovery for patients with gastrointestinal bleeding. By addressing nutrient deficiencies, promoting healing, and preventing complications, healthcare providers can improve outcomes and enhance the quality of life for these patients. A personalized approach, based on the specific cause and severity of bleeding, is essential to ensure optimal nutritional support and recovery.

References

  1. Qin L, Zhang XX, Jin X, et al. The effect of acupuncture on enteral nutrition and gastrointestinal dynamics in patients who have suffered a severe stroke. Curr Neurovasc Res. 2022;19(3):275-81.
  2. Indexed at, Google Scholar, Cross Ref

  3. Schaller BJ, Graf R, Jacobs AH. Pathophysiological changes of the gastrointestinal tract in ischemic stroke. Am J Gastroenterol. 2006;101(7):1655-65.
  4. Indexed at, Google Scholar, Cross Ref

  5. Kopp MA, Liebscher T, Watzlawick R, et al. SCISSOR—Spinal Cord Injury Study on Small molecule-derived Rho inhibition: a clinical study protocol. BMJ Open. 2016;6(7):010651.
  6. Indexed at, Google Scholar, Cross Ref

  7. Cui JQ, Tian HL, Wang XJ, et al. Analysis of short-term efficacy of perioperative fecal microbiota transplantation combined with nutritional support in patients with radiation-induced enteritis complicated by intestinal obstruction. Zhonghua Wei Chang Wai Ke Za Zhi. 2023;26(10):955-62.
  8. Indexed at, Google Scholar, Cross Ref

  9. Hernaiz JI, Jalón JM. When is it too early or too late for surgery in Crohn's disease?. Rev Esp Enferm Dig. 2008;100(1):35.
  10. Indexed at, Google Scholar, Cross Ref

  11. Yuan HC, Xiang Q, Zhang N, et al. Acupuncture combined with early enteral nutrition on patients with postoperative laparoscopic common bile duct exploration: a prospective randomized trial. Chin J Integr Med. 2020;26:769-75.
  12. Indexed at, Google Scholar, Cross Ref

  13. Zhang Y, Fang XM, Chen GX. Clinical use of low-dose aspirin for elders and sensitive subjects. World J Clin Cases. 2019;7(20):3168.
  14. Indexed at, Google Scholar, Cross Ref

  15. Friese RS. The open abdomen: definitions, management principles, and nutrition support considerations. Nutr Clin Pract. 2012;27(4):492-8.
  16. Indexed at, Google Scholar, Cross Ref

  17. Distenhreft JI, Vianna JG, Scopel GS, et al. The role of urea-induced osmotic diuresis and hypernatremia in a critically ill patient: case report and literature review. J Bras Nefrol. 2019;42:106-12.
  18. Indexed at, Google Scholar, Cross Ref

  19. Liu J, Zou Y, Chang W. Esophageal and gastric variceal bleeding in the prevention of early rebleeding given enteral nutrition value after endoscopic variceal ligation and treatment. Zhonghua Gan Zang Bing Za Zhi. 2015;23(1):46-9.
  20. Indexed at, Google Scholar, Cross Ref

Get the App