Nutrition in surgical patients: how soon is too soon?

被引:4
作者
Khan, Muhammad [1 ]
Latifi, Rifat [2 ,3 ]
机构
[1] Westchester Med Ctr, Dept Gen Surg, Valhalla, NY USA
[2] Westchester Med Ctr, Div Gen Surg, Dept Surg, Valhalla, NY USA
[3] New York Med Coll, Sch Med, Div Gen Surg, Valhalla, NY 10595 USA
关键词
critically ill; enteral nutrition; gastrointestinal surgery; nongastrointestinal surgery; nutrition support; parenteral nutrition; stress response; trauma; EARLY ENTERAL NUTRITION; PARENTERAL-NUTRITION; ENHANCED RECOVERY; AMERICAN SOCIETY; SURGERY; MALNUTRITION; METAANALYSIS; GUIDELINES; THERAPY; SUPPORT;
D O I
10.1097/MCC.0000000000000672
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Purpose of review Preoperative nutrition support has been extensively studied; however, data on the timing of postoperative nutrition initiation are scarce. The current review focuses on the importance of early nutritional support in surgical patients and their impact on outcomes. Recent findings Early nutrition support during the postoperative course may be the most important step that can be taken toward preventing subsequent malnutrition-related complications. European Society for Parenteral and Enteral Nutrition guidelines recommends early nutrition to improve outcomes after surgery and accelerates the recovery. Moreover, nutritional support should be personalized, and disease process-based. Existing studies appear to focus mostly on abdominal and gastrointestinal surgery. Further prospective observational and randomized clinical trials across different surgical populations will aid surgeons to better understand how early feeds in either form can reduce morbidity, quality of life, and increase recovery rates.
引用
收藏
页码:701 / 705
页数:5
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