Therapeutic nutrition for complications of peptic ulcer

The most common complication of peptic ulcer is bleeding. Clinical nutrition is prescribed to the patient after stopping or reducing bleeding. Food should be liquid, cold: mucous soups, milk, jelly, jelly, rosehip broth (no more than 200 ml per day) are allowed. With a favorable course of the disease, the amount of food is gradually increased, meat soufflé and soft-boiled eggs are added.

Therapeutic nutrition for peptic ulcer with concomitant diseases

The presence of inflammation from the gallbladder, biliary tract and liver requires a change in diet.
In case of peptic ulcer with concomitant liver and biliary tract disease, a sufficient amount of complete, easily digestible protein and a greater amount of vegetable fats are introduced into the diet. The amount of animal fat is reduced to 50 g, proteins are increased to 120-130 g. Products containing cholesterol are limited . The diet includes carbohydrates, which contribute to the deposition of glycogen in the liver. Exclude dishes that enhance secretion. The food is cooked steamed, in boiled and mashed form. The amount of free fluid is 1.5 liters. The weight of the daily diet is 2.5-3 kg. Fractional diet (6 times a day).
The chemical composition and caloric content of lipotropic diets. Diet number 1a (as sparing as possible). Proteins 90-100 g, fat 70 g (of which 50% vegetable), carbohydrates 250 g. Calorie content 2000 kcal. Table salt 8 g. An approximate menu of the lipotropic diet No. 1a is given in table. Diet number 16 (more stressful). Proteins 100-110 g, fats 75-80 g (of which 50% are vegetable), carbohydrates 350-400 g. Calories 2500-2800 kcal. Table salt 10 g. An approximate menu of lipotropic diet No. 16 is given in table. Diet number 1 (mashed). Proteins 120-130 g, fat 85-90 g (of which 50% vegetable), carbohydrates 450-500 g. Caloric value 3200-3500 kcal. Salt 12 g

Gastric Cancer Epidemiology

Over the past 50 years, the incidence of gastric cancer in developed countries has shown a steady decline. So, in the United States, stomach cancer ranks 13th among the causes of death from malignant tumors: in 2003, 12,100 deaths from cancer of this localization were recorded. At the same time, in developing countries, stomach cancer continues to occupy the 2nd place among the causes of death from cancer, second only to lung cancer. In Russia, the incidence rates are among the highest in the world, characterized by significant regional variability. Most often, stomach cancer develops in Eastern Siberia, in the north of the European part of Russia and in the Far East, more than 2 times less often this disease is found in the south of the country, especially in the North Caucasus region.
According to literature data, men get stomach cancer 1.7 times more often than women, the average age of patients is 65 years (from 40 to 70 years). The decrease in the incidence of gastric cancer occurs due to distal localization due to infection with Helicobacter pylori . In recent years, the frequency of proximal gastric cancers has increased, which may be due to increased incidence rates of Barrett’s esophagus .

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