[Nutritional management of functional chronic diarrhea associated to malnutrition with peptide diet: a case report]. / Manejo nutricional de la diarrea crónica funcional asociada a desnutrición con una dieta peptídica: un caso clínico.

BACKGROUND: functional bowel disorders are characterized by an absence of structural or biochemical damage, but can lead to chronic diarrhea and intestinal malabsorption. If not properly treated, they predispose to a state of malnutrition that, depending on the underlying pathologies, could affect the evolution of other concomitant diseases. CASE REPORT: the relevance of this case stems from the fact that our 43-year-old patient, with multiple comorbidities, with progressive weight and muscle mass loss, after five years of inefficiency in the treatment of chronic diarrhea, achieves, on a peptide enteral formula basis, a good nutritional status and quality of life, which finally leads to the control of the chronic diarrhea and malnutrition. DISCUSSION: in the unintentional weight loss caused by long-term functional diarrhea, the choice of a peptide diet may have a fundamental role for a satisfactory patient's progress.

Manejo nutricional de la diarrea crónica funcional asociada a desnutrición con una dieta peptídica: un caso clínico / Nutritional management of functional chronic diarrhea associated to malnutrition with peptide diet: a case report

Introducción: los trastornos funcionales del intestino se caracterizan por una ausencia de daño estructural o bioquímico, pero pueden causar diarrea crónica y malabsorción intestinal. Sin tratamiento adecuado, predisponen a un estado de desnutrición que, dependiendo de las patologías de base, podría condicionar la evolución de otras enfermedades concomitantes. Caso clínico: la relevancia de este caso se debe a que nuestra paciente pluripatológica, de 43 años de edad, con pérdida progresiva de peso y masa muscular, tras cinco años de ineficiencia en el tratamiento nutricional y soporte estándar de la diarrea crónica consigue, después de unos meses de tratamiento con dieta peptídica, un buen estado nutricional y calidad de vida, habiendo logrado controlar la diarrea crónica y la desnutrición. Discusión: en la pérdida inintencionada de peso que causa una diarrea de perfil funcional de larga evolución, la elección de una dieta peptídica puede ser muy útil para que la evolución del paciente sea satisfactoria

Background: functional bowel disorders are characterized by an absence of structural or biochemical damage, but can lead to chronic diarrhea and intestinal malabsorption. If not properly treated, they predispose to a state of malnutrition that, depending on the underlying pathologies, could affect the evolution of other concomitant diseases. Case report: the relevance of this case stems from the fact that our 43-year-old patient, with multiple comorbidities, with progressive weight and muscle mass loss, after five years of inefficiency in the treatment of chronic diarrhea, achieves, on a peptide enteral formula basis, a good nutritional status and quality of life, which finally leads to the control of the chronic diarrhea and malnutrition. Discussion: in the unintentional weight loss caused by long-term functional diarrhea, the choice of a peptide diet may have a fundamental role for a satisfactory patient's progress