*GI intolerance: diarrhoea >300 mL/day or more than 4 loose stools per day; abdominal distention; nausea and/or vomiting.
Abbreviations:
Gl, gastrointestinal; MCT, medium chain triglycerides; TPN, total
parenteral nutrition.
References:
1. Don B, et al. Seminars in Dialysis . 2004;17(6):432-437.
2. Moore F, Weisbrodt N. Nestlé Nutrition Workshop Series Clinical
and Performance Program. 2003;8:149-170.
This worksheet is not a substitute for clinical judgement or medical advice.
Malabsorption Index
2. All the questions are mandatory.
1. Stool frequency and consistency
0
points
How frequently does the individual experience diarrhoea* and/or loose stools?
*GI intolerance: diarrhoea >300 mL/day or more than 4 loose stools per day; abdominal distention; nausea and/or vomiting.
Please select an option.2. Medication
0
points
Is the individual on a sorbitol-containing medication or other medications which promote rapid intestinal transit time and/or on a medication to control stools?
Please select an option.3. Nutritional status
0
points
Is weight loss occurring despite the provision of a reasonable level of calories and protein (e.g., 25-35 kcal/kg with >1.0 g protein/kg/day)?
Please select an option.4. Medical diagnoses
0
points
Have any of the following diagnoses been documented in the individual’s medical record over the last year: Crohn’s disease; inflammatory bowel disease; pancreatitis; Cytomegalovirus; cryptosporidiosis; short bowel syndrome; intestinal failure; bacterial overgrowth; Mycobacterium avium-intracellulare infection; Acquired immune deficiency syndrome enteropathy; liver disease?
Please select an option.5. Treatments and diagnoses
0
points
Have any of the following treatments or procedures been received/performed over the last 6 months: radiation therapy to the gastrointestinal (GI) tract or surrounding areas; intestinal resections; gastrectomy?
Please select an option.6. Serum albumin
0
points
Based on a recent laboratory report (within the last 2 months), what is the individual’s serum albumin level (indicating inflammatory status, which could be linked to gut dysfunction2,3)?
Please select an option.Thank you for submitting the answers!
Total points
Potential degree of malabsorption
Very HighRecommended nutrition therapy
TPN may be indicated as dual feeding with elemental diet or as sole therapy.Suggested Nestlé Health Science enteral products†
If dual feeding, use PEPTAMEN® family| Total Points | Potential Degree of Malabsorption | Recommended Nutrition Therapy | Suggested Nestlé Health Science Enteral Products† |
|---|---|---|---|
| 0 | Low | Utilise an intact protein formula. | COMPLEAT® Formulas, ISOSOURCE® Formulas, NOVASOURCE® Formulas |
| 2-6 | Moderate | Initiate high MCT-containing intact protein diet. If <60% of goal rate achieved due to documented GI intolerance,* advance to peptide-based, MCT-containing diet. | ISOSOURCE® 2.0 Protein, ISOSOURCE® 2.0 Protein Fiber, PEPTAMEN® family |
| 7-14 | High | Utilise peptide-based, MCT-containing or free amino acid-based, very low-fat diet. If <60% of goal rate achieved due to documented GI intolerance,* after a reasonable trial, consider use of total parenteral nutrition (TPN). | PEPTAMEN® family |
| 15+ | Very High | TPN may be indicated as dual feeding with elemental diet or as sole therapy. | PEPTAMEN® family (if dual feeding) |
*GI intolerance: diarrhoea >300 mL/day or more than 4 loose stools per day; abdominal distention; nausea and/or vomiting.
†Foods for Special Medical Purposes to be used under medical
supervision.
Abbreviations:
Gl, gastrointestinal; MCT, medium chain triglycerides; TPN, total
parenteral nutrition.
References:
1. Don B, et al. Seminars in Dialysis. 2004;17(6):432-437.
2. Moore F, Weisbrodt N. Nestlé Nutrition Workshop Series Clinical
and Performance Program. 2003;8:149-170.
This worksheet is not a substitute for clinical judgement or medical advice.