Dr Philippe Fauqué1
1Head of department of the Clinical Nutrition Unit at the Cannes Polyclinic Institute
The digestive tract is the organ of digestion. It transforms the food into nutrients that are absorbed with water through the wall of the intestine into blood stream. Ostomies modify absorption by increasing the mobility of the digested food, damaging certain enzymes and reducing the absorption area. The consequences are an increased risk of undernutrition and dehydration, which can delay healing processes and reduce immunity.
The nutritional management of ostomate patients therefore requires a few simple rules. First of all, an assessment of the nutritional status and an estimate of energy needs.
Then, the introduction of a diet adapted to the patient’s metabolism and the type of stoma will provide the nutrients necessary for optimal energy production and will cover protein requirements as building blocks. For stomas with high output it may be necessary to introduce parenteral nutrition, systemic hydration, and vitamin and mineral supplementation.
Dr Philippe Fauqué is a nutritionist doctor specialized in artificial nutrition. He leads the largest french clinical nutrition unit at the Institute Polyclinique of Cannes that welcomes patients with various digestive pathologies, hepatitis, pancreatitis, digestive cancers, hepatic transplant and digestive surgery.
With his team of 25 nurses, caretakers and dieticians they take care of patients during more or less long hospitalization in order to educate them to adapt food intake according to their pathologies and to manage enteral and parenteral nutrition. For ostomates a therapeutic educational program is also provided.
Dr Fauqué have been working for many years to optimize diet in pre and post surgical procedure and specifically for patients with wounded digestive tract to prevent risk of malnutrition and to improve the recovery and the quality of life throughout their pathologies.