Nutrition in gastrointestinal surgical patients
Author
Source
Issue
Vol. 15, Issue 2 (30 Sep. 2009), pp.10-15, 6 p.
Publisher
University of Basrah College of Medicine
Publication Date
2009-09-30
Country of Publication
Iraq
No. of Pages
6
Main Subjects
Topics
Abstract EN
Despite important advances in surgical care and minimized surgical trauma, postoperative complications are still of great concern.
Nutritional depletion has been demonstrated to be a major determinant in the development of postoperative complications.
Nutritional status of gastrointestinal surgical patients is an important issue, which need to be attended in particularly during the perioperative period.
Fears of postoperative ileus and the integrity of the newly constructed anastomosis have led to the adoption of starvation with administration of intravenous fluids until the return of normal bowel sounds and passage of flatus.
However, it has been shown that early postoperative enteral feeding is both beneficial and well-tolerated.
Meta-analysis has shown that enteral feeding compared with parenteral nutrition is associated with fewer complications, reduced costs and a shorter hospital stay.
Therefore it should be the preferred option whenever possible.
Evidence to support preoperative nutrition is limited, but malnourished individuals fed for 7-10 days preoperatively may have improved surgical outcome.
Prolong preoperative starvation is not essential, and the administration of preoperative carbohydrates is safe without the fear of increasing the risk of aspiration.
Initially nutritional support was aimed at meeting the energy needs and providing proteins and other essential micronutrients, while now it is more directed at modulation of the immune functions, the so called immunonutrition.
Multimodal strategies including minimal invasive surgery, adequate postoperative analgesia, nutritional care, and enforced mobilization resulted in reduction in postoperative complications and length of hospital stay.
American Psychological Association (APA)
Ulwan, Majid H.. 2009. Nutrition in gastrointestinal surgical patients. Basrah Journal of Surgery،Vol. 15, no. 2, pp.10-15.
https://search.emarefa.net/detail/BIM-111220
Modern Language Association (MLA)
Ulwan, Majid H.. Nutrition in gastrointestinal surgical patients. Basrah Journal of Surgery Vol. 15, no. 2 (Sep. 2009), pp.10-15.
https://search.emarefa.net/detail/BIM-111220
American Medical Association (AMA)
Ulwan, Majid H.. Nutrition in gastrointestinal surgical patients. Basrah Journal of Surgery. 2009. Vol. 15, no. 2, pp.10-15.
https://search.emarefa.net/detail/BIM-111220
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 14-15
Record ID
BIM-111220