Sintomas do trato gastrointestinal e modificações alimentares pós-estomia em indivíduos com câncer colorretal

Abstract

Objective: To evaluate the frequency of tract gastrointestinal symptoms and after surgery dietary modifications in individuals with colorectal cancer. Methods: A cross-sectional study was conducted in individuals colostomized due colorectal cancer, over 18 years old, both sexes. Socioeconomic, clinical were obtained by structured questionnaire. Gastrointestinal symptoms and dietary modifications were adapted from City of Hope Quality of Life Colorectal Cancer Tool (COH-QOL-CRC) questionnaire. Results: Of the total 64 individuals, 51,6% were women and 68,8% were over than 60 years old. The symptoms most frequent, reported flatulence (43,8%) and problems with odor of feces (40,6%). Therefore, the five food groups that were most avoided were: strong seasonings (81,3%), canned product (64,1%), carbonated drinks (56,3%), fruits (40,6%) and dairy (23,4%). The main foods causing gastrointestinal symptoms were cabbage (54,7%), guava (32,8%) and papaya (46,9%). Were observed an important frequency of food changes (51,6%), 34,9% mentioned planning/modifying the diet before leaving home, 31,3% reduction food consumption and 17,2% loss of appetite. Conclusion: High frequency of gastrointestinal symptoms (specially flatulence and odor), and dietary food restrictions, (reduced consumption of fruits and dairy) were observed. Therefore, patients submitted to ostomy require periodic, individualized nutritional follow-up in order to minimize gastrointestinal symptoms and undesirable dietary changes, minimizing after surgery nutritional impact.