host_summaryIn a classic French study by Jolie, adults with short bowel syndrome had 60% absorption with ad lib feeding, 85% with continuous drip feeds, and 75% with half calories by mouth plus overnight drip feeds.↗
▶Ep 2 · 41:08
epidemiologicalSince developing a mature multidisciplinary intestinal rehabilitation program, internal transplant candidates have declined by 75%, and intestinal transplants are almost non-existent.↗
▶Ep 2 · 1:02:40
clinicalDonor breast milk is less advantageous than maternal breast milk because it is usually from mothers 10-14 months postpartum, has lower caloric density and protein, and freezing may inactivate trophic factors.↗
▶Ep 2 · 1:11:51
epidemiologicalAbout 60% of patients weaned off TPN have deficiencies in one micronutrient or another.↗
▶Ep 2 · 1:23:28
quoteThe older I get, and I'm pretty old, the more I recommend prebiotics and the less I recommend antibiotics.↗
▶Ep 2 · 1:23:28
opinionPrebiotics (oligosaccharides) induce a more healthful flora; probiotics are not routinely recommended due to case reports of central line infections, though these likely occurred through direct line contamination rather than translocation.↗
▶Ep 2 · 1:24:14
quoteWe need to discourage putrefactive bacteria such as E. coli, Klebsiella, and the like, and we want to encourage the anaerobes.↗
▶Ep 2 · 1:30:10
clinicalMetronidazole is the wrong choice for bacterial overgrowth because it has limited spectrum, knocks off anaerobes, and facilitates aerobic overgrowth; 2/3 of bloodstream infections were seen in patients on prophylactic Flagyl.↗
▶Ep 2 · 1:32:11
quoteMetronidazole is absolutely the wrong choice. It has a limited spectrum. It knocks off your anaerobes and facilitates the growth of aerobes.↗
▶Ep 2 · 1:32:27
opinionIf using antibiotics for bacterial overgrowth, selective decontamination with non-absorbable aminoglycosides (tobramycin) and colistin may be preferable to metronidazole.↗
▶Ep 2 · 1:46:00
clinicalCholestyramine in effective doses will bind nutrients, fat-soluble vitamins, and fats, with risk of hyperchloremic acidosis and bezoars; homeopathic doses may improve stool appearance but not reduce volume.↗
▶Ep 2 · 1:49:38
clinicalIn infants, only pancreatic proteases are present in adult quantities; amylases appear between 6-12 months and lipase reaches adult levels by end of first year.↗
▶Ep 2 · 1:54:00
host_summaryGLP-2 analog can reduce fecal output such that TPN can be reduced by about 20% in 60-70% of adult patients, and totally emancipate about 20% from TPN in extension studies.↗
host_summaryIn a classic French study by Jolie, adults with short bowel syndrome had 60% absorption with ad lib feeding, 85% with continuous drip feeds, and 75% with half calories by mouth plus overnight drip feeds.↗
▶Ep 1 · 41:08
epidemiologicalSince developing a mature multidisciplinary intestinal rehabilitation program, internal transplant candidates have declined by 75%, and intestinal transplants are almost non-existent.↗
▶Ep 1 · 1:02:40
clinicalDonor breast milk is less advantageous than maternal breast milk because it is usually from mothers 10-14 months postpartum, has lower caloric density and protein, and freezing may inactivate trophic factors.↗
▶Ep 1 · 1:11:51
epidemiologicalAbout 60% of patients weaned off TPN have deficiencies in one micronutrient or another.↗
▶Ep 1 · 1:23:28
opinionPrebiotics (oligosaccharides) induce a more healthful flora; probiotics are not routinely recommended due to case reports of central line infections, though these likely occurred through direct line contamination rather than translocation.↗
▶Ep 1 · 1:23:28
quoteThe older I get, and I'm pretty old, the more I recommend prebiotics and the less I recommend antibiotics.↗
▶Ep 1 · 1:24:14
quoteWe need to discourage putrefactive bacteria such as E. coli, Klebsiella, and the like, and we want to encourage the anaerobes.↗
▶Ep 1 · 1:30:10
clinicalMetronidazole is the wrong choice for bacterial overgrowth because it has limited spectrum, knocks off anaerobes, and facilitates aerobic overgrowth; 2/3 of bloodstream infections were seen in patients on prophylactic Flagyl.↗
▶Ep 1 · 1:32:11
quoteMetronidazole is absolutely the wrong choice. It has a limited spectrum. It knocks off your anaerobes and facilitates the growth of aerobes.↗
▶Ep 1 · 1:32:27
opinionIf using antibiotics for bacterial overgrowth, selective decontamination with non-absorbable aminoglycosides (tobramycin) and colistin may be preferable to metronidazole.↗
▶Ep 1 · 1:46:00
clinicalCholestyramine in effective doses will bind nutrients, fat-soluble vitamins, and fats, with risk of hyperchloremic acidosis and bezoars; homeopathic doses may improve stool appearance but not reduce volume.↗
▶Ep 1 · 1:49:38
clinicalIn infants, only pancreatic proteases are present in adult quantities; amylases appear between 6-12 months and lipase reaches adult levels by end of first year.↗
▶Ep 1 · 1:54:00
host_summaryGLP-2 analog can reduce fecal output such that TPN can be reduced by about 20% in 60-70% of adult patients, and totally emancipate about 20% from TPN in extension studies.↗
host_summaryIn a classic French study by Jolie, adults with short bowel syndrome had 60% absorption with ad lib feeding, 85% with continuous drip feeds, and 75% with half calories by mouth plus overnight drip feeds.↗
▶Ep 8 · 41:08
epidemiologicalSince developing a mature multidisciplinary intestinal rehabilitation program, internal transplant candidates have declined by 75%, and intestinal transplants are almost non-existent.↗
▶Ep 8 · 1:02:40
clinicalDonor breast milk is less advantageous than maternal breast milk because it is usually from mothers 10-14 months postpartum, has lower caloric density and protein, and freezing may inactivate trophic factors.↗
▶Ep 8 · 1:11:51
epidemiologicalAbout 60% of patients weaned off TPN have deficiencies in one micronutrient or another.↗
▶Ep 8 · 1:23:28
opinionPrebiotics (oligosaccharides) induce a more healthful flora; probiotics are not routinely recommended due to case reports of central line infections, though these likely occurred through direct line contamination rather than translocation.↗
▶Ep 8 · 1:23:28
quoteThe older I get, and I'm pretty old, the more I recommend prebiotics and the less I recommend antibiotics.↗
▶Ep 8 · 1:24:14
quoteWe need to discourage putrefactive bacteria such as E. coli, Klebsiella, and the like, and we want to encourage the anaerobes.↗
▶Ep 8 · 1:30:10
clinicalMetronidazole is the wrong choice for bacterial overgrowth because it has limited spectrum, knocks off anaerobes, and facilitates aerobic overgrowth; 2/3 of bloodstream infections were seen in patients on prophylactic Flagyl.↗
▶Ep 8 · 1:32:11
quoteMetronidazole is absolutely the wrong choice. It has a limited spectrum. It knocks off your anaerobes and facilitates the growth of aerobes.↗
▶Ep 8 · 1:32:27
opinionIf using antibiotics for bacterial overgrowth, selective decontamination with non-absorbable aminoglycosides (tobramycin) and colistin may be preferable to metronidazole.↗
▶Ep 8 · 1:46:00
clinicalCholestyramine in effective doses will bind nutrients, fat-soluble vitamins, and fats, with risk of hyperchloremic acidosis and bezoars; homeopathic doses may improve stool appearance but not reduce volume.↗
▶Ep 8 · 1:49:38
clinicalIn infants, only pancreatic proteases are present in adult quantities; amylases appear between 6-12 months and lipase reaches adult levels by end of first year.↗
▶Ep 8 · 1:54:00
host_summaryGLP-2 analog can reduce fecal output such that TPN can be reduced by about 20% in 60-70% of adult patients, and totally emancipate about 20% from TPN in extension studies.↗
