Perioperative nutritional therapy for surgical patients.
10.5124/jkma.2014.57.6.500
- Author:
Dongwoo SHIN
1
Author Information
1. Department of Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea. shin519@hallym.or.kr
- Publication Type:Original Article
- Keywords:
Perioperative period;
Enteral nutrition;
Parenteral nutrition
- MeSH:
Aged;
Enteral Nutrition;
Humans;
Length of Stay;
Malnutrition;
Nutrition Assessment;
Nutritional Support;
Parenteral Nutrition;
Perioperative Care;
Perioperative Period;
Postoperative Complications;
Pressure Ulcer;
Wound Healing
- From:Journal of the Korean Medical Association
2014;57(6):500-507
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Malnutrition of hospitalized patients is a prevailing issue, especially in the perioperative period. As the elderly population increases progressively, surgeons should become more alert to preventing the risk of iatrogenic malnutrition. The consequences of malnutrition, such as delayed wound healing, exposure to infection, pressure sores, gastrointestinal bacterial overgrowth, and compromised immunity can be prevented or attenuated by vigorous nutritional support. Enhanced recovery after surgery is a multimodal perioperative care pathway designed to achieve early recovery for patients undergoing major surgery, in which nutritional intervention is the most important and integral part. Preoperative nutritional assessment, intraoperative considerations against postoperative nutritional problems, and an appropriate postoperative nutritional supply will result in better outcomes of surgery, and, in turn, in reduced postoperative complications, shorter hospital stays, and decreased medical costs. Though enteral nutrition is preferable over parenteral nutrition, parenteral nutrition should be supplemented selectively in those for whom enteral nutrition will inevitably be inadequate.
