Evaluation of parenteral nutrition use in patients undergoing major upper gastro-intestinal surgery

International Journal of Clinical Pharmacy
Barbara DeleenheerIsabel Spriet

Abstract

After major upper gastro-intestinal surgery, enteral feeding is often hampered. There is still no consensus on which route of nutrition is preferable in patients undergoing this type of surgery. Current ESPEN guidelines recommend parenteral nutrition in undernourished patients, if caloric requirements cannot be met orally/enterally within 7 days and enteral nutrition is contraindicated. The current practice of systematic parenteral nutrition at the thoracic surgery ward of the University Hospitals Leuven was evaluated based on the ESPEN guidelines. This prospective observational study included patients undergoing upper gastro-intestinal surgery and receiving postoperative parenteral nutrition. Parenteral nutrition use was considered appropriate when patients were undernourished and unable to obtain adequate caloric requirements by oral or enteral feeding within 7 days. Twenty-five out of 35 patients were nutritionally at risk. In 9 of 25 patients, the indication for parenteral nutrition was considered justified. As the intestinal tract below the anastomosis site remains accessible in the total studied population, enteral nutrition might be an option. Unfortunately, an appropriate jejunostomy tube was not available at our instit...Continue Reading

References

May 5, 1999·World Journal of Surgery·J TapiaE Oñate
May 27, 2003·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Jens KondrupUNKNOWN Ad Hoc ESPEN Working Group
May 16, 2006·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·A WeimannUNKNOWN ESPEN (European Society for Parenteral and Enteral Nutrition)
May 26, 2009·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·M BragaUNKNOWN ESPEN
Mar 2, 2012·European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes·T FujitaM Nishimura
Jul 28, 2012·Indian Journal of Palliative Care·Vasileios AlivizatosSlaja Bajrucevic

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Citations

Aug 14, 2015·World Journal of Gastroenterology : WJG·Tajammool Hussein AubdoollahShao-Tao Tang
Nov 13, 2020·BMJ Supportive & Palliative Care·Cindy NeuzilletUNKNOWN Association Francophone pour Soins Oncologiques de Support (AFSOS)

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