Strive to maintain normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a program for the underweight.
Regular check-ups
Regular medical checkups
Nutritional medicine
Nutritional counseling based on nutritional analysis
Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
Observance of the following special dietary recommendations:
Partial replacement of dietary fat (LCT fats = fats with long-chain fatty acids) with MCT fats (fats with medium-chain fatty acids) for the dietary treatment of steatorrhea (fatty stools) and enteral protein loss syndrome (protein losses through the intestine) in Zollinger-Ellison syndrome. The digestion and absorption (assimilation) of MCT fats is faster and independent of bile acids, so they are preferred for diseases of the intestine.
The transition to MCT fats should be gradual, otherwise abdominal (stomach) pain, vomiting and headaches may occur.
MCT margarine – as a spread or after cooking add to the still warm food; is not suitable for frying, stewing, braising, grilling, etc.
MCT cooking oils – can be used as cooking fat; however, they can not be heated as high as usual vegetable oils (do not heat too long and never above 70 ° C, at temperatures above 120-130 ° C smoke development occurs).
Long keep warm or reheat the food prepared with MCT should be avoided, because a bitter aftertaste can arise.
Increased intake of high-quality protein to treat enteral protein loss syndrome in Zollinger-Ellison syndrome:
Prefer: eggs, meat, fish, milk and dairy products, nuts, legumes (peas, lentils, beans), potatoes, cereal products, etc.
By combining vegetable with animal protein, the biological value of the protein from plant sources can be upgraded – eg potato with egg, meat or fish with legumes, cereals with milk, etc..
As a result of Zollinger-Ellison syndrome, there is a deficient neutralization of the stomach contents entering the small intestine, which leads to deteriorated digestion and absorption of macro- and micronutrients (vital substances). The diet should therefore be balanced and varied (supplementation is recommended).
