Hostname: page-component-745bb68f8f-s22k5 Total loading time: 0 Render date: 2025-01-14T22:20:20.775Z Has data issue: false hasContentIssue false
  • English
  • Français

Diet and health of people with an ileostomy

1. Dietary assessment

Published online by Cambridge University Press:  09 March 2007

Sheila Bingham ,
J. H. Cummings  and
N. I. McNeil
Sheila Bingham
Affiliation:
Dunn Clinical Nutrition Centre, Old Addenbrooke's Hospital, Trumpington Street, Cambridge, CB2 1QE
J. H. Cummings
Affiliation:
Dunn Clinical Nutrition Centre, Old Addenbrooke's Hospital, Trumpington Street, Cambridge, CB2 1QE
N. I. McNeil
Affiliation:
Dunn Clinical Nutrition Centre, Old Addenbrooke's Hospital, Trumpington Street, Cambridge, CB2 1QE
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

1. People with an ileostomy experience digestive problems with some foods. Why these foods are avoided is not known nor is it certain whether this interferes with the nutritional adequacy of their diet.

2. A detailed dietary assessment has therefore been made of thirty-seven subjects with ileostomies and a similar number of age-and sex-matched healthy controls. All food and drink eaten over 1 week was weighed and recorded. In addition, a larger group of seventy-nine ileostomy subjects and seventy matched controls answered a questionnaire designed to identify foods which upset them and which they avoided.

3. Total nutrient and energy intakes were similar in the two groups but the subjects with an ileostomy ate less dietary fibre (g/d; mean ± SD: ileostomy subjects 18·0±5·9, controls 20·9±5·5; P < 0·05) mainly due to lower fruit and vegetable intakes. Iron and vitamins A and C intakes were also less.

4. A majority of ileostomy subjects had a pattern of food intake different from the controls, taking more of their energy in the morning and less at night. A variety of food items upset more than half of them including nuts, pips, seeds, skins, onions, beetroot, lettuce, raw cabbage and carrot, peas, sweetcorn, mushrooms and dried fruit.

5. On the basis of the results it is possible to formulate general dietary advice for people with an ileostomy.

Type
Papers of direct reference to Clinical and Human Nutrition
Information
British Journal of Nutrition , Volume 47 , Issue 3 , May 1982 , pp. 399 - 406
Copyright
Copyright © The Nutrition Society 1982

References

Avery Jones, F., Gummer, J. W. P. & Lennard-Jones, J. E. (1968). Clinical Gastroenterology. Oxford: Blackwell.Google Scholar
Bingham, S. A., Cummings, J. H. & McNeil, N. I. (1979). Am. J. clin. Nutr. 32, 1313.CrossRefGoogle Scholar
Bingham, S., McNeil, N. I. & Cummings, J. H. (1981). Br. J. Nutr. 45, 23.CrossRefGoogle Scholar
British Medical Journal (1970). Br. med. J. ii, 634.Google Scholar
Dalhamm, T., Graf, W. & Nilsson, L. H. (1978). Scand. J. Gastroenterol. 30, 485.CrossRefGoogle Scholar
Department of Health and Social Security (1979). Rep. on Health and Social Sub. 15.Google Scholar
Gazzard, B. G., Saunders, B. & Dawson, A. M. (1978). Br. J. Surg. 65, 642.CrossRefGoogle Scholar
Hill, G. L. (1976). Ileostomy: Surgery, Physiology and Management. New York: Grune and Stratton.CrossRefGoogle Scholar
McConnell, A. M., Eastwood, M. A. & Mitchell, W. D. (1974). J. Sci. Fd Agric. 25, 1457.CrossRefGoogle Scholar
McNeil, N. I., Bingham, S. A., Cole, T. J., Grant, A. M. & Cummings, J. H. (1982). Br. J. Nutr. 47, 407.CrossRefGoogle Scholar
Ministry of Agriculture, Fisheries and Food (1978). Household Food Consumption and Expenditure: 1976. London: HM. Stationery Office.Google Scholar
Newton, C. R. (1978). Gut 19, 377.CrossRefGoogle Scholar
Paul, S. A. & Southgate, D. A. T. (1978). McCance and Widdowson's The Composition of Foods, 4th ed. London: HM Stationery Office.Google Scholar
Ritchie, J. K. (1971). Gut 12, 528.CrossRefGoogle Scholar
Sleisenger, M. H. & Fordtran, J. S. (1978). Gastrointestinal Diseases. London: W. B. Saunders.Google Scholar
Thomson, T. J., Runcie, J. & Khan, A. (1970). Gut 11, 482.CrossRefGoogle Scholar
Truelove, S. C. & Lee, E. (1973). In Topics in Gastroenterology, Vol. 1. [Truelove, S. C. and Jewell, D. P., editors]. Oxford: Blackwell.Google Scholar