Despite the efforts of the medical team, Daniel’s Crohn’s disease remains poorly controlled. He has a number of relapses that deplete his nutritional status quickly. Two years after his diagnosis,...

Despite the efforts of the medical team, Daniel’s Crohn’s disease remains poorly controlled. He has a number of relapses that deplete his nutritional status quickly. Two years after his diagnosis, Daniel has his first bowel resection surgery. Afterwards, he has approximately 120 cm of his small intestine remaining with an ileostomy, meaning his colon is not continuous with his GI tract. During the first month after discharge from the hospital following the bowel resection and ileostomy procedure, Daniel has multiple admissions for dehydration and continued unintended weight loss. The dietitian completes a recall, which reveals that he is eating adequately. This means that his intake is not the source of his significant weight loss.

1. What additional diagnosis might Daniel present with?

2. List the potential nutritional implications of decreased bowel length and loss of colon continuity.

 3. What might you recommend for Daniel to maintain his quality of life for the long term?