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Review
. 2021 Jul 30;13(8):2655.
doi: 10.3390/nu13082655.

Oral Nutritional Supplements and Enteral Nutrition in Patients with Gastrointestinal Surgery

Affiliations
Review

Oral Nutritional Supplements and Enteral Nutrition in Patients with Gastrointestinal Surgery

Maria Wobith et al. Nutrients. .

Abstract

Nowadays, patients undergoing gastrointestinal surgery are following perioperative treatment in enhanced recovery after surgery (ERAS) protocols. Although oral feeding is supposed not to be stopped perioperatively with respect to ERAS, malnourished patients and inadequate calorie intake are common. Malnutrition, even in overweight or obese patients, is often underestimated. Patients at metabolic risk have to be identified early to confirm the indication for nutritional therapy. The monitoring of nutritional status postoperatively has to be considered in the hospital and after discharge, especially after surgery in the upper gastrointestinal tract, as normal oral food intake is decreased for several months. The article gives an overview of the current concepts of perioperative enteral nutrition in patients undergoing gastrointestinal surgery.

Keywords: enteral nutrition; gastrointestinal surgery; malnutrition; oral nutritional supplements; perioperative nutrition; sarcopenia.

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Conflict of interest statement

Arved Weimann received lecture fees from Baxter, B. Braun, Fresenius Kabi, Ethicon, and Falk Foundation, and a research grant from Baxter, Mucos. Maria Wobith declares no conflicts of interest.

Figures

Figure 1
Figure 1
Pathway for nutritional care in patients undergoing gastrointestinal surgery.

References

    1. Williams D.G.A., Molinger J., Wischmeyer P.E. The malnourished surgery patient: A silent epidemic in perioperative outcome? Curr. Opin. Anesthesiol. 2019;32:405–411. doi: 10.1097/ACO.0000000000000722. - DOI - PMC - PubMed
    1. Gustafsson U.O., Scott M.J., Hubner M., Nygren J., Demartines N., Francis N., Rockall T.A., Young-Fadok T.M., Hill A.G., Soop M., et al. Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018. World J. Surg. 2019;43:659–695. doi: 10.1007/s00268-018-4844-y. - DOI - PubMed
    1. Cruz-Jentoft A.J., Bahat G., Bauer J., Boirie Y., Bruyère O., Cederholm T., Cooper C., Landi F., Rolland Y., Sayer A.A., et al. Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2. Sarcopenia: Revised European consensus on definition and diagnosis. Age Ageing. 2019;48:16–31. doi: 10.1093/ageing/afy169. - DOI - PMC - PubMed
    1. Agarwal E., Ferguson M., Banks M., Vivanti A., Batterham B., Bauer J., Capra S., Isenring E. Malnutrition, poor food intake, and adverse healthcare outcomes in noncritically ill obese acute care hospital patients. Clin. Nutr. 2019;38:759–766. doi: 10.1016/j.clnu.2018.02.033. - DOI - PubMed
    1. Jensen G.L., Cederholm T., Correia M.T.D., Gonzalez M.C., Fukushima R., Higashiguchi T., Baptista G., Barrazoni R., Blaauw R., Coats A., et al. GLIM criteria for the diagnosis of malnutrition: A consensus report from the global clinical nutrition community. J. Parenter. Enter. Nutr. 2019;43:32–40. doi: 10.1002/jpen.1440. - DOI - PubMed