Journals / Ankara Medical Journal / 2013 / Cilt: 13 Sayı: 1

Malnutrition and Nutrition Supplementation In Surgical Patients

Cerrahi Hastalarda Malnütrisyon ve Beslenme Desteği

Pages
33–39
Publication Date
2013-01-01
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This article reviews the basics of surgical nutrition and assesses the evidence supporting enteral versus parenteral nutrition.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Malnutrition is associated with significant morbidity and mortality in surgical patients .
📊
Key Findings & Data:Nutrition can be delivered by oral supplements, enteral or parenteral feeding, the route depending on an individual’s requirements and surgical condition.
💡
Conclusion & Impact:This article reviews the basics of surgical nutrition and assesses the evidence supporting enteral versus parenteral nutrition.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:cerrahi · beslenme · malnütrisyon

Abstract

Malnutrition is associated with significant morbidity and mortality in surgical patients . Nutrition can be delivered by oral supplements, enteral or parenteral feeding, the route depending on an individual’s requirements and surgical condition. Enteral feeding has largely been regarded as superior to parenteral feeding, as it is cheaper, safer and “more physiological” but studies show this is not always the case. This article reviews the basics of surgical nutrition and assesses the evidence supporting enteral versus parenteral nutrition.

Özet

Malnütrisyon, cerrahi hastalarda mortalite ve morbiditeyi etkileyen önemli bir unsurdur. Bireyin gereksinimleri ve cerrahi durumuna bağlı olarak, beslenme oral takviyeler, enteral veya parenteral yoldan sağlanabilir. Enteral beslenmenin, parenteral beslenmeye göre daha ucuz, daha güvenli ve “daha fizyolojik” olduğu büyük ölçüde kabul edilmiştir, ancak çalışmalar bunun her zaman böyle olmadığını göstermektedir.Bu makalede, cerrahi beslenme temelleri irdelenmiş ve enterale karşı parenteral beslenmenin destekleyici kanıtları değerlendirilmiştir.

🔖

Cite This Article

DUMLU, E., BOZKURT, B., TOKAÇ, M., KIYAK, G., ÖZKARDEŞ, A., YALÇIN, S., KILIÇ, M. (2013). Malnutrition and Nutrition Supplementation In Surgical Patients. Ankara Medical Journal, Cilt: 13 Sayı: 1, 33–39. https://ajindex.com/articles/981814

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Studley HO. Percentage of weight loss: a basic indicator of surgical risk in patients with chronic peptic ulcer. JAMA 1936; 106: 458. McWhirter JP, Pennington CR. Incidence and recognition of malnutrition in hospital. BMJ 1994; 308: 945-948
  2. Hill GL, Blackett RL, Pickford I et al. Malnutrition in surgical patients: an unrecognised problem. Lancet 1977; 1: 689-692.
  3. Stratton RJ, Elia M. Who benefits from nutritional support: what is the evidence? Eur J Gastroenterol Hepatol 2007:19; 353-358. BAPEN Malnutrition Universal Screening Tool (MUST). Available at www.bapen.org.uk/must_tool.html (Accessed 27th December 2007).
  4. Windsor JA, Hill GL. Weight loss with physiologic impairment: a basic indicator of surgical risk. Ann Surg 1988; 207: 290-291.
  5. Detsky AS, McLaughlin JR, Baker JP. What is subjective global assessment of nutritional status? JPEN 1987; 11: 8Gibbs J, Cull W, Henderson W, et al. Preoperative serum albumin level as a predictor of operative mortality and morbidity: results from the National VA Surgical Risk Study. Arch Surg 1999; 134: 36-42. The Veterans Affairs Total Parenteral Nutrition Cooperative Study Group. Perioperative total parenteral nutrition in surgical patients. NEJM 1991; 325: 525-532. Schofield WN. Predicting basal metabolic rate, new standards and review of previous work. Hum Nutr Clin Nutr 1985; 39S: 5-41. Potter JM. Oral supplements in the elderly. Curr Opin Clin Nutr Metab Care 2001; 4: 21-28.
  6. Smedley F, Bowling T, James M et al. Randomised clinical trial of the effects of preoperative and postoperative oral nutritional supplements on clinical course and cost of care. Br J Surg 2004; 91: 983-990
  7. McWhirter JP, Pennington CR. A comparison between oral and nasogastric nutritional supplements in malnourished patients. Nutrition 1996; 12: 502-506.
  8. Cabre E, Gassull MA. Complications of enteral feeding. Nutrition 1993; 9: 1-9.
  9. Lewis SJ, Egger M, Sylvester PA, et al. Early enteral feeding versus “nil by mouth” after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. BMJ 2001; 323: 773-776.
  10. Marik PE, Zaloga GP. Early enteral nutrition in acutely ill patients: a systematic review. Crit Care Med 2001;29: 2264-2270.
  11. Heyland DK, Montalvo M, MacDonald S, et al. A review of RCTs of surgical patients. Can J Surg 2001;44: 102-111.
  12. Fan ST, Lo CM, Lai EC, et al. Perioperative nutritional support in patients undergoing hepatectomy for hepatocellular carcinoma. NEJM 1994; 331: 1547-1552.
  13. Bozzetti F, Gavazzi C, Miceli R et