Document Detail


New developments facilitating nutritional intake after gastrointestinal surgery.
MedLine Citation:
PMID:  12913679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: Conventional perioperative care includes a period of semistarvation before bowel function returns and adequate oral intake is allowed. It has been clearly shown that there is no need for restriction in oral intake after, at least lower, gastrointestinal surgery, and that early oral feeding does not increase the risk for dehiscense of the anastomosis. In contrast, early feeding reduces postoperative complications. Even if early oral intake is allowed, however, it is common that side effects such as nausea and vomiting prevent patients from reaching the target energy intakes. Thus, developing routines and treatments that promote sufficient early oral intake after surgery and maintain adequate energy intake in the postoperative period are probably of great importance for the outcome from surgery. RECENT FINDINGS: There are a number of factors which may facilitate early oral intake after gastrointestinal surgery including effective pain relief using epidural anaesthesia while avoiding opioids, minimizing sodium and fluid administration perioperatively and substantially reducing preoperative fasting. In addition, sufficient preoperative information, intensive mobilization, energy-dense hospital food and oral supplements may all contribute to improved energy intake after surgery. SUMMARY: In general, there is a great need for randomized controlled trials examining factors important for the regulation of oral intake after surgery and also the effects of early oral intake after upper gastrointestinal surgery. Future areas of research may also include regulation of appetite and use of peripherally acting opioid antagonists.
Authors:
Jonas Nygren; Anders Thorell; Olle Ljungqvist
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in clinical nutrition and metabolic care     Volume:  6     ISSN:  1363-1950     ISO Abbreviation:  Curr Opin Clin Nutr Metab Care     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-08-12     Completed Date:  2004-02-10     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9804399     Medline TA:  Curr Opin Clin Nutr Metab Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  593-7     Citation Subset:  IM    
Affiliation:
Centre of Gastrointestinal Disease, Ersta Hospital, PO Box 4622, SE-116 91 Stockholm, Sweden. jonas.nygren@ersta.se
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MeSH Terms
Descriptor/Qualifier:
Abdomen / surgery
Energy Intake
Gastrointestinal Tract / surgery*
Humans
Nutritional Requirements
Nutritional Support*
Perioperative Care*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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