After an ileocecal resection where 100 cm was removed, what recommendations should be made for the patient?

After an ileocecal resection, particularly with significant portions of the ileum removed, there are specific nutritional considerations that must be addressed due to the role of the ileum in nutrient absorption.

The ileum is crucial for the absorption of vitamin B12 and bile salts. When a portion of the ileum is resected, the body can struggle to absorb these nutrients effectively, potentially leading to deficiencies. Vitamin B12 deficiency is particularly concerning, as it can lead to neurological issues and anemia. Therefore, providing parenteral vitamin B12 can help bypass the impaired absorption due to the surgical loss of this segment of the intestine.

Additionally, increasing fluid intake is critical after such surgery because the patient may experience issues with dehydration or diarrhea, which can occur when absorption is compromised. Encouraging increased protein intake helps support healing and recovery following surgery, as proteins are essential for tissue repair and immune function.

The other options do not appropriately address the specific needs following an ileocecal resection. Increasing carbohydrates and fats doesn't target the critical need for vitamin B12 and hydration. Beginning a clear liquid diet may be relevant right after surgery for bowel rest, but it does not provide the necessary nutrients in the long term. Lastly, reducing protein intake and increasing fiber