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Ileoanal-Pouch

Dietetic Gut Clinic

When you have a Ileoanal-Pouch your GP or Gastroenterologist may advise you to see a Gastrointestinal Dietitian at the Dietetic Gut Clinic. Optimising function of a newly formed Ileoanal-pouch, managing Irritable pouch syndrome and recurrent Pouchitis are some of the services our team has been offering to patients in Perth since the launch of our Gut Clinic in Nedlands and Murdoch.

Ileoanal-pouch Diet

What is a Ileoanal-Pouch?

Ileoanal pouch or a J-pouch is a surgery that removes the large intestine, and a pouch is formed that allows a person to get rid of stool in the usual way. Most often is done to treat long-term ulcerative colitis and conditions such as familial adenomatous polyposis that carry a high risk of colon and rectal cancer, or to treat colon and rectal cancer.

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Medical Information

Diet for Pouchitis

What is Pouchitis?

Pouchitis is a non-specific inflammation that can occur after Pouch surgery. Although the cause is still unclear, two key components suspected to play are role in the development of pouchitis include pouch dysbiosis (changes in the pouch microbiota) and dysregulated pouch mucosal immune system. 

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Pouchitis Diet Nedlands and Murdoch

Irritable Pouch Syndrome 

Irritable Pouch Syndrome Is a non-inflammatory, functional disorder in patients with ileal anal pouch.  It is similar to other functional disorders, such as irritable bowel syndrome characterised by visceral hypersensitivity in the presence of normal rectal biomechanics. 

Diet for Pouch-related symptoms


Diet plays a key role in the management of pouch related symptoms. Some interventions that may be considered include:

  • Modification in dietary intake to optimise function of newly formed Pouch, and reduce risk of pouchitis 

  • Probiotic and prebiotic supplementation (Pouchitis)

  • Modification of dietary fibre​ 

  • Modifications of nutrients (protein, starch and omega 3 fats)

  • Elimination Diet (Low FODMAP diet) in managing of Irritable Pouch Syndrome 

 

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FODMAP diet for Irritable Pouch Syndrome

How can the Low FODMAP Diet help with Irritable Pouch Syndrome?

The low FODMAP diet is an evidence based dietary strategy to successfully manage of functional symptoms, when inflammation has been excluded as a cause for your symptoms. FODMAP is an acronym for Fermentable Oligo-, Di, Mono-saccharides And Polyols. It is considered to be a second-line dietary strategy after assessment and management of dietary and lifestyle factors that may contribute to symptoms. 

 

The low FODMAP diet involves collective restriction of a group of short-chain carbohydrates that have been shown to  increase small intestinal water volume and are rapidly fermented, leading to increased gas (e.g. hydrogen) production and gastrointestinal symptoms (i.e. pain, bloating, distension, flatulence, nausea and altered bowel motility).

 

The low FODMAPs diet is a dietitian-taught program to ensure nutritional intake adequacy despite food restrictions. The long-term restriction of FODMAPs is not recommended. Structured reintroduction of  FODMAPs is recommended after two to six weeks to identify which FODMAPs you are sensitive to, your level of tolerance to each individual high FODMAP foods, and optimise food variety and self-management long term.

Dietetic Gut Clinic

How we can help you with your Pouch-related symptoms?

The Dietetic Gut Clinic is a Perth based private practice with special focus on diet and gastrointestinal health and disease. 

We believe that pouches are best managed by Gut Health Dietitian with an interest in that field. 

At Dietetic Gut Clinic our mission is to empower and support our patients, to take charge of their digestive condition and health in order to optimise their quality of life. 

We have clinics both north and south of the river which means that we are able to accommodate patients across the Perth metropolitan area, in addition to also providing Telehealth services.

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Rebates 

You may be eligible for a Medicare rebate for your dietary consultation. In order to receive a Medicare rebate, you must obtain a care plan from your GP. Medicare rebates can be processed in our office at the time of your consultation. Out of pocket expenses apply for dietitian consultations. 

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