Emphasizing nutritional risk in surgical patients and implementing comprehensive nutritional management
10.3760/cma.j.cn113855-20231130-00381
- VernacularTitle:重视外科患者的营养风险与全程营养管理
- Author:
Jianchun YU
1
Author Information
1. 中国医学科学院北京协和医学院 北京协和医院基本外科，北京 100730
- Keywords:
Nutritional sciences;
Malnutrition;
Nutritional support
- From:
Chinese Journal of General Surgery
2024;39(3):161-165
- CountryChina
- Language:Chinese
-
Abstract:
Over the past 60 years, clinical nutrition has evolved into a key technology for saving the lives of patients with intestinal failure or complex diseases. However, the 21st century has seen issues with adverse outcomes due to a lack of timely and effective nutritional screening and intervention. Despite the benefits of minimally invasive surgery, nutritional risks or adverse outcomes still exceed 50% in gastrointestinal surgery. The study explores the importance of comprehensive nutritional management for surgical patients, beginning with a reevaluation of their nutritional risks and malnutrition, especially in the context of increasing chronic diseases like cancer, elderly comorbidities, and inflammatory bowel disease. It emphasizes the importance of clinical nutrition guidelines and consensus in surgical practice validated by various studies. The article then details the comprehensive nutritional management of surgical patients, including the importance of nutritional risk screening, assessment, diagnosis, and nutritional support treatment, especially during the early and recovery phases of major gastrointestinal surgery. The aim is to enhance the awareness of surgeons and healthcare workers about nutritional management to improve patients' clinical outcomes and quality of life.
