-
Medical journals
- Career
Nutritional Intervention in Surgery
Authors: I. Satinský
Authors‘ workplace: Mezioborová jednotka intenzivní péče, Nemocnice s poliklinikou Havířov, primář: MUDr. Igor Satinský, Ph. D.
Published in: Rozhl. Chir., 2009, roč. 88, č. 7, s. 409-412.
Category: Monothematic special - Original
Overview
Perioperative nutritional intervention is an integral component of preoperative preperation and postoperative therapeutic strategy in surgical patients with undernutrition or in patients at severe nutritional risk. The guidelines based on clinical trials highlight the risk groups with benefit of artificial nutrition. The guidelines get over a lot of dogma from past decades. The introduction of these recommendations into practice reduces postoperative complications mainly in patients after major surgery, in patients with polytrauma, or in critically ill patients. The emphasis is put on shortening of preoperative starvation and on early postoperative enteral or peroral feeding.
Key words:
perioperative nutrition – enteral nutrition – parenteral nutrition – guidelines
Sources
1. Stratton, R. J., Green, C. J., Elia, M. Disease-related malnutrition: an evidence-based approach to treatment. CAB International, 2003.
2. Lochs, H., Richard, C, Allison, S. P. Evidence supports nutritional support. Clinical Nutrition, 2006, 25, 177–179.
3. Zadák, Z. Výživa v intenzivní péči. 2. vydání, Praha: Grada, 2008, 191.
4. Weimann, A., Braga, M., Harsanyi, L., Lavino, A., Ljungquist, O., Soeters, P., et al. ESPEN Guidelines on Enteral Nutrition: Surgery including Organ Transplantation. Clinical Nutrition, 2006, 25, 224–244.
5. Nygren, J., Thorell, A., Jacobsson, H., Larsson, S., Schnell, P. O., Hylen, L., Ljungquist, O. Preoperative gastric emptying. Effects on anxiety and oral carbohydrate administration. Ann. Surg., 1995, 6, 728–734.
6. Stuart, P. C. The evidence base behind modern fasting guidelines. Best Pract. Res. Clin. Anaesthesiol., 2006, 3, 457–469.
7. Soreide, E., Fasting, S., Raeder, J. New preoperative fasting guidelines in Norway. Acta Anaesthesiol. Scand., 1997, 4, 799.
8. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration to healthy patients undergoing elective procedures: a report by the American Society of Anaesthesiologist Task Force on Preoperative Fasting. Anaesthesiology, 1999, 3, 896–905.
9. Spies, C. D., Breuer, J. P., Gust, R., at al. Preoperative fasting, an update. Anaesthesist, 2003, 11, 1039–1045.
10. Brady, M., Kinn, S., Stuart, P. Preoperative fasting for adults to prevent perioperative complications. Cochrane Database Syst. Rev., 2003, CD004423.
11. Kaška, M., Grosmanová, T., Havel, E., Hyšpler, R. Příprava k operaci s perorálním příjmem v den plánované operace. Rozhl. Chir., 2006, 11, 554–559.
12. Šerclová, Z., Dytrych, P., Marvan, J., Nová, K., Hankeová, Z., Ryska, O., et al. Tolerance akcelerované pooperační rehabilitace po střevních resekčních výkonech. Rozhl. Chir., 2009, roč. 88, č. 4., s. 178–184.
13. Rey-Ferro, M., Castano, R., Orozco, O., Serna, A., Moreno, A. Nutritional and immunologic evaluation of patients with gastric cancer before and after surgery. Nutrition, 1997, 10, 878–881.
14. Sandstrom, R., Drott, C, Hyltander, A., et al. The effect of postoperative intravenous feeding (TPN) on outcome following maior surgery evaluated in a randomized study. Ann. Surg., 1993, 2, 185–195.
15. Lewis, S. J., Egger, M., Sylvester, P. A.,Thomas, S. Early enteral feeding versus nil by mouth after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. MBJ, 2001, 7316, 773–776.
16. Feo, C. V., Romanini, B., Sortuni, D., et al. Early oral feeding after colorectal resection: a randomized controlled study. ANZ Surg., 2004, 5, 298–301.
17. Kompan, L., Vidmar, G., Spindler-Vesel, A., Pecar, J. Is early enteral nutrition a risk factor for gastric intolerance and pneumonia? Clin. Nutr., 2004, 4, 527–532.
18. Marik, P. E., Zaloga, G. P. Early enteral nutrition in acutely ill patients: a systematic review. Crit. Care Med., 2001, 12, 2264–2270.
19. Tagaki, K., Yamamori, H., Toyoda, Y., Nakajima, N., Tashiro, T. Modulating effects of the feeding route on stress response and endotoxin translocation in severely stressed patients receiving thoracic esophagectomy. Nutrition, 2000, 5, 355–360.
20. Kudsk, K. A., Croce, M. A., Fabian, T. C., et al. Enteral versus parenteral feeding. Effects on septic morbidity after blunt and penetrating abdominal trauma. Ann. Surg., 1992, 5, 503–511.
21. Senkal, M., Zumtobe, I. V., Bauer, K. H. Outcome and cost-effectiveness of perioperative enteral immunutrition in patients undergoing elective upper gastrointestinal tract surgery: a prospective randomized study. Arch. Surg., 1999, 12, 1309–1016.
22. Braga, M, Gianotti, L., Gentilini, O., Liotta, S, Di, C. V. Feeding the gut early after digestive surgery: results of nine-year experience. Clin. Nutr., 2002, 1, 59–65.
23. Satinský, I., Mitták, M., Foltys, A., Kretek, J., Dostalík, J. Porovnání vlivu různých druhů umělé výživy na pooperační komplikace po velkých chirurgických výkonech. Rozhl. Chir., 2005, 84, 3, 134–141.
24. Loser, C, Aschl, G., Hebuterne, X., et al. ESPEN guidelines of artificial enteral nutrition - percutaneus endoscopic gastrostomy (PEG). Clin. Nutr., 2005, 5, 848–961.
Labels
Surgery Orthopaedics Trauma surgery
Article was published inPerspectives in Surgery
2009 Issue 7-
All articles in this issue
- The Role of Classical Surgery in Treatment of Acute Abdomen in Oncological Patients
- Necrotizing Infectious Complications in Diabetic Foot Syndrome and their Solutions
- Modern Radiotherapy in the Complex Management of Soft Tissue and Bone Sarcomas in Adults – Current Overview and the Author‘s Experience
- Complications of IPOM Plasty – Our Experience
- Septic Shock in a Patient with the Fourniér Gangrene with Fatal Outcome
- The Complication of a Periproctal Abscess – Fourniér’s Gangrene or Necrotizing Fasciitis? A Case Report
- Nutritional Intervention in Surgery
- Infrarenal Aortic Graft Infection
- Perioperative Metabolic Care in a Patient with Diabetes – Recommendations
- Anti- biotic Prophylaxis in Urology
- Distal Pancreatic Resections: Indications, Surgical Technique, and Complications
- Experimental Tumor Therapy Using Intratumoral Injection of Dendritic Cells
- Blood Loss Minimization in Liver Surgery
- Perspectives in Surgery
- Journal archive
- Current issue
- Online only
- About the journal
Most read in this issue- Septic Shock in a Patient with the Fourniér Gangrene with Fatal Outcome
- Complications of IPOM Plasty – Our Experience
- The Complication of a Periproctal Abscess – Fourniér’s Gangrene or Necrotizing Fasciitis? A Case Report
- Anti- biotic Prophylaxis in Urology
Login#ADS_BOTTOM_SCRIPTS#Forgotten passwordEnter the email address that you registered with. We will send you instructions on how to set a new password.
- Career