期刊
GASTROENTEROLOGY CLINICS OF NORTH AMERICA
卷 47, 期 1, 页码 1-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.gtc.2017.09.002
关键词
Malnutrition; Gastrointestinal disorders; Subjective Global Assessment; Macronutrient malnutrition; Nutritional assessment
All patients with significant gastrointestinal disease should be clinically assessed for protein calorie malnutrition by using the subjective global assessment. Blood tests for anemia, electrolytes, calcium, phosphorus, magnesium, ferritin, vitamin B-12, and folate should be considered for the assessment of major micronutrients. Where malabsorption or inflammatory bowel disease is diagnosed, bone mineral density using dual beam x-ray absorptiometry, 25-OH vitamin D levels, and measurement of other vitamins and trace elements should be considered. In addition, in at-risk patients, vitamin and trace element clinical deficiency syndromes should be considered during patient assessment.
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