Implementation of enhanced recovery after surgery in nutritional management of patients undergoing metabolic surgery.
- Author:
Tianzi ZHANG
1
;
Qin XU
2
;
Ningli YANG
1
;
Juan TANG
1
;
Hui LIANG
3
Author Information
1. School of Nursing, Nanjing Medical University, Nanjing 211166, China.
2. School of Nursing, Nanjing Medical University, Nanjing 211166, China. qinxu@njmu.edu.cn.
3. Department of Bariatric and Metabolic Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
- Publication Type:Journal Article
- MeSH:
Bariatric Surgery;
Digestive System Surgical Procedures;
Humans;
Nutrition Therapy;
methods;
standards;
Perioperative Care;
methods;
standards
- From:
Chinese Journal of Gastrointestinal Surgery
2017;20(4):477-480
- CountryChina
- Language:Chinese
-
Abstract:
Metabolic surgery is a gastrointestinal surgical procedure to treat obesity and its related co-morbidities with rapid development in recent years. Patients undergoing metabolic surgery have preoperative nutritional disorders, and the nutrition management for these patients is the key point of perioperative management. During the perioperative period, current research has preliminarily confirmed that perioperative managements including supplementation of micronutrients, preoperative evaluation of the weight loss, preoperative fasting and carbohydrate oral intake based on the full application of ERAS and characteristics of the patients undergoing metabolic surgery, are safe and effective in clinical practice. As for the postoperative diet strategy, current literature remains non-unified to identify the duration and the content of the nutrition managements. Domestic clinical reports about the postoperative nutrition managements after metabolic surgery are rare and lack of unified and good reference standard. Meanwhile, divergence still existed in current literature regarding to the content of the postoperative nutrition managements. Therefore, it is necessary to develop the standardized protocol for nutrition managements which is offering basis and reference for the clinical application of perioperative nutrition managements after metabolic surgery.
