Effect of Parenteral Nutrition on Nutrition Status After Bariatric Surgery for Morbid Obesity

Olmos, Miguel; Vázquez, M. J. Martínez; Gorria, María José Morales; González, Purificación Parada; Martínez, I. Otero; Chimeno, I. Maruri; González, E. Pena; Bobo, María Teresa Inaraja; Núñez, José Enrique Casal

doi:10.1177/0148607105029006445

Cited by 8 publications

(6 citation statements)

References 19 publications

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“…Anastomotic leaks and SBO may be treated operatively or nonoperatively and may also necessitate a prolonged course of NPO (nil per os) with parenteral nutrition (PN) support until resolution of the complication 6 – 9 . Studies have reported the use of PN in the hospitalized patient following bariatric surgery complications, but none have been reported on the use of long‐term or home PN (HPN) in this patient population 10 – 12 . The aim of our study was to determine if hypocaloric HPN provided to obese patients for complications following bariatric surgery had an effect on BMI, serum albumin level, and HPN complications.…”

Section: Methodsmentioning

confidence: 99%

“…[6][7][8][9] Studies have reported the use of PN in the hospitalized patient following bariatric surgery complications, but none have been reported on the use of long-term or home PN (HPN) in this patient population. [10][11][12] The aim of our study was to determine if hypocaloric HPN provided to obese patients for complications following bariatric surgery had an effect on BMI, serum albumin level, and HPN complications.…”

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confidence: 99%

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Hypocaloric Home Parenteral Nutrition and Nutrition Parameters in Patients Following Bariatric Surgery

et al. 2011

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%

Hypocaloric Home Parenteral Nutrition and Nutrition Parameters in Patients Following Bariatric Surgery

et al. 2011

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“…The Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient do not recommend PN on a regular basis [442]. In these patients the GI tract is usually working and catheter associated complications have to be considered [450].…”

Section: Commentarymentioning

confidence: 99%

ESPEN guideline: Clinical nutrition in surgery

Braga²,

et al. 2017

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Early oral feeding is the preferred mode of nutrition for surgical patients. Avoidance of any nutritional therapy bears the risk of underfeeding during the postoperative course after major surgery. Considering that malnutrition and underfeeding are risk factors for postoperative complications, early enteral feeding is especially relevant for any surgical patient at nutritional risk, especially for those undergoing upper gastrointestinal surgery. The focus of this guideline is to cover nutritional aspects of the Enhanced Recovery After Surgery (ERAS) concept and the special nutritional needs of patients undergoing major surgery, e.g. for cancer, and of those developing severe complications despite best perioperative care. From a metabolic and nutritional point of view, the key aspects of perioperative care include: • integration of nutrition into the overall management of the patient • avoidance of long periods of preoperative fasting • re-establishment of oral feeding as early as possible after surgery • start of nutritional therapy early, as soon as a nutritional risk becomes apparent • metabolic control e.g. of blood glucose • reduction of factors which exacerbate stress-related catabolism or impair gastrointestinal function • minimized time on paralytic agents for ventilator management in the postoperative period • early mobilisation to facilitate protein synthesis and muscle function The guideline presents 37 recommendations for clinical practice.

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“…The Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient do not recommend PN regularly [247]. In these patients, the gastrointestinal tract is usually working and catheter-associated complications have to be considered [255].…”

Section: Recommendation 34mentioning

confidence: 99%

ESPEN practical guideline: Clinical nutrition in surgery

Weimann¹,

et al. 2021

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Early oral feeding is the preferred mode of nutrition for surgical patients. Avoidance of any nutritional therapy bears the risk of underfeeding during the postoperative course after major surgery. Considering that malnutrition and underfeeding are risk factors for postoperative complications, early enteral feeding is especially relevant for any surgical patient at nutritional risk, especially for those undergoing upper gastrointestinal surgery. The focus of this guideline is to cover both nutritional aspects of the Enhanced Recovery After Surgery (ERAS) concept and the special nutritional needs of patients undergoing major surgery, e.g. for cancer, and of those developing severe complications despite best perioperative care. From a metabolic and nutritional point of view, the key aspects of perioperative care include the integration of nutrition into the overall management of the patient, avoidance of long periods of preoperative fasting, re-establishment of oral feeding as early as possible after surgery, the start of nutritional therapy immediately if a nutritional risk becomes apparent, metabolic control e.g. of blood glucose, reduction of factors which exacerbate stress-related catabolism or impaired gastrointestinal function, minimized time on paralytic agents for ventilator management in the postoperative period, and early mobilization to facilitate protein synthesis and muscle function.

show abstract

Effect of Parenteral Nutrition on Nutrition Status After Bariatric Surgery for Morbid Obesity

Cited by 8 publications

References 19 publications

Hypocaloric Home Parenteral Nutrition and Nutrition Parameters in Patients Following Bariatric Surgery

Hypocaloric Home Parenteral Nutrition and Nutrition Parameters in Patients Following Bariatric Surgery

ESPEN guideline: Clinical nutrition in surgery

ESPEN practical guideline: Clinical nutrition in surgery

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