Nutritional support as a component of enhanced recovery program in hepatopancreatobiliary surgery

Q4 Medicine
I. Pasechnik, K. V. Agapov
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引用次数: 0

Abstract

According to the literature review, a nutritional support for patients after hepatopancreoduodenal surgery requires a differentiated approach. The paper presents data on the experience in providing nutritional support to this kind of patients. It is necessary to stress that nutritional risk screening should be performed prior to surgical intervention. The nutrition is recommended to be adjusted to protein and energy needs of the patient, taking into account concomitant diseases. Products for sip feeding are the method of choice. Enteral nutrition is preferable in the postoperative period. The nutritional support for patients undergoing pancreatoduodenal resection is increasingly recognized, and a randomized clinical trial is to be carried out to evaluate the effectiveness of enteral and parenteral nutrition. As a component of the enhanced recovery program, nutritional support can optimize outcomes in patients who have undergone hepatopancreatoduodenal resection. The nutritional status of a patient should be mandatorily assessed before surgery. Perioperative correction of nutritional status implies continuity and a multidisciplinary approach.
营养支持是肝胰外科强化康复计划的组成部分
根据文献综述,对肝胰十二指肠手术后患者的营养支持需要采取差异化的方法。本文介绍了为这类患者提供营养支持的经验数据。有必要强调的是,在手术干预之前应进行营养风险筛查。建议根据患者的蛋白质和能量需求调整营养,同时考虑到伴随疾病。产品为小口喂料是方法的选择。术后宜采用肠内营养。胰十二指肠切除术患者的营养支持日益受到重视,现拟开展随机临床试验,评估肠内和肠外营养的有效性。作为增强恢复计划的一个组成部分,营养支持可以优化肝胰十二指肠切除术患者的预后。术前必须对患者的营养状况进行评估。围手术期营养状况的纠正意味着连续性和多学科方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of HPB Surgery
Annals of HPB Surgery Medicine-Gastroenterology
CiteScore
0.70
自引率
0.00%
发文量
41
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