{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T06:51:35Z","timestamp":1775199095182,"version":"3.50.1"},"reference-count":36,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: For patients with Ulcerative Colitis (UC) requiring surgical treatment, post-operative dietary management can pose significant challenges. TikTok is emerging as a popular social media platform for dissemination of health and nutrition information. The aim of this study is to analyse patient-generated content on TikTok regarding dietary management post-UC surgery, in order to identify recurring themes and highlight patient priorities. Methods: Relevant TikTok videos were identified through a systematic search. Search terms were developed by combining \u2018diet UC\u2019 or \u2018nutrition UC\u2019 with common UC surgical procedures. From each search term, the first 10 videos were screened. If a search produced fewer than 10 results, all identified videos were retrieved. Inclusion criteria were videos in English, and a strong indication that the content creator was diagnosed with UC and had undergone relevant surgery, and was providing nutrition recommendations. Thematic analysis of video transcripts was conducted using Braun and Clarke\u2019s framework to identify common themes. Results: A total of 89 videos, created between 2021 and 2024, were found on the initial search, of which 12 duplicates were removed, and 77 videos were screened. Sixteen English language videos met the inclusion criteria and were analysed. Thematic analysis identified three overarching themes: (1) adaptive dietary progression in the post-surgical period, where patients described a phased approach to reintroducing foods post-surgery; (2) personalisation of diet, highlighting individualised strategies for symptom and hydration management; and (3) Emotional and social impact of dietary restrictions and modifications, including fear of food and social isolation. Conclusions: This thematic analysis offers an insight into how patients navigate the complex management of diet following UC surgery. It is important for clinicians to discuss the dietary information and online content patients are exposed to in relation to their condition. Additionally, clinical practice should evolve to embrace patient-centred, multidisciplinary approaches that validate lived experience, ensure consistent dietary guidance, and address the psychological burden of dietary restriction.<\/jats:p>","DOI":"10.3390\/nu18071110","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T15:20:47Z","timestamp":1774884047000},"page":"1110","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dietary Management After Ulcerative Colitis Surgery: A Thematic Analysis of TikTok Content"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0699-6949","authenticated-orcid":false,"given":"Oliver R.","family":"Kaye","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health Sciences, University of East Anglia, Norwich NR4 7TJ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8096-6264","authenticated-orcid":false,"given":"Dakota R.","family":"Rhys-Jones","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, School of Translational Medicine, Monash University, Melbourne 3004, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9165-5613","authenticated-orcid":false,"given":"Orestis","family":"Argyriou","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, St Mark\u2019s National Bowel Hospital & Academic Institute, London NW10 7NS, UK"},{"name":"Department of Surgery and Cancer, Imperial College London, London W12 0NN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue","family":"Blackwell","sequence":"additional","affiliation":[{"name":"Institute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6063-5118","authenticated-orcid":false,"given":"Emma P.","family":"Halmos","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, School of Translational Medicine, Monash University, Melbourne 3004, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaid","family":"Ardalan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, School of Translational Medicine, Monash University, Melbourne 3004, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janindra","family":"Warusavitarne","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, St Mark\u2019s National Bowel Hospital & Academic Institute, London NW10 7NS, UK"},{"name":"Department of Surgery and Cancer, Imperial College London, London W12 0NN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3885-5752","authenticated-orcid":false,"given":"Kapil","family":"Sahnan","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, St Mark\u2019s National Bowel Hospital & Academic Institute, London NW10 7NS, UK"},{"name":"Department of Surgery and Cancer, Imperial College London, London W12 0NN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan P.","family":"Segal","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Royal Melbourne Hospital, Melbourne 3052, Australia"},{"name":"Department of Medicine, University of Melbourne, Parkville 3050, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ailsa L.","family":"Hart","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St Mark\u2019s National Bowel Hospital & Academic Institute, London NW10 7NS, UK"},{"name":"Department of Metabolism, Digestion and Reproduction, Imperial College, London W12 0NN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5301-2457","authenticated-orcid":false,"given":"Chu K.","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, School of Translational Medicine, Monash University, Melbourne 3004, Australia"},{"name":"Department of Gastroenterology, Eastern Health Clinical School, Eastern Health & Monash University, Melbourne 3128, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0714-5686","authenticated-orcid":false,"given":"Itai","family":"Ghersin","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St Mark\u2019s National Bowel Hospital & Academic Institute, London NW10 7NS, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2402","DOI":"10.1007\/s10620-012-2081-z","article-title":"Association of age at diagnosis and ulcerative colitis phenotype","volume":"57","author":"Quezada","year":"2012","journal-title":"Dig. 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