Normal food at will and nil-by-mouth enteral feeding after major upper GI surgery did not differ for mortality or morbidityCommentary

Brennan, Mary M.

doi:10.1136/ebn.12.1.21

Cited by 1 publication

(1 citation statement)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…14,15 In case of patients treated by OA method, the advantages of the introduction of enteral nutrition between the 36th hour and the 4th day after the laparotomy (regardless the stage of fascial closure) were proved, but the scope of the performed operation and the stage of dysfunction of gastrointestinal tract were also considered. [16][17][18] The above-mentioned beneficial effect is observed only at the supply of 20% of daily energy requirement (the so-called trophic nutrition). So despite the fact that in the described case enteral nutrition in the early postoperative period was risky and caused the development of cachexia due to gastrointestinal insufficiency, it is recommended to introduce enteral nutrition as soon as possible, once the appropriate tolerance was gained.…”

Section: Discussionmentioning

confidence: 99%

Role of nutritional intervention in negative pressure wound therapy (NPWT). Case report of patient treated by 'open abdomen' method.

Kuczyńska

2017

NPWTJ

View full text Add to dashboard Cite

Abstract-Introduction: Wound healing process depends on many factors. As it has been proved many times before, nutrition is one of the key factors in wound healing therapy. When there is an insufficient supply of nutrients and malnutrition, wound healing processes slow down and the inflammatory phase is prolonged, which requires high energy expenditure and as a consequence, may lead to the loss of lean body mass and the development of sarcopenia and cachexia. This promotes the formation of non-healing chronic wounds.In this paper we would like to emphasize the role of nutrition, as an integral part of wound healing processes, which should encompass the current metabolic needs associated with patient's clinical condition.Case report: This case describes a young male patient with gastrointestinal tract insufficiency and an extensive postoperative wound treated by the open abdomen method. In the course of increased catabolism, water and electrolyte loss and disturbances as well as nutritional insufficiencies, body mass loss and progressive cachexia occurred in this patient and, as a consequence, the wound healing processes was significantly diminished.Conclusions: Inducing and maintaining the anabolic processes in the organism and control of the enhanced catabolism in response to metabolic stress or injury are essential actions in optimizing the treatment and healing process. These are possible to achieve by the early introduction of balanced and individualized nutritional treatment regimens, provision of the energy and appropriate nutrients, which enables the restoration of lean body mass and stimulation of the healing processes.

show abstract

Section: Discussionmentioning

confidence: 99%

Role of nutritional intervention in negative pressure wound therapy (NPWT). Case report of patient treated by 'open abdomen' method.

Kuczyńska

2017

NPWTJ

View full text Add to dashboard Cite

show abstract

Normal food at will and nil-by-mouth enteral feeding after major upper GI surgery did not differ for mortality or morbidityCommentary

Cited by 1 publication

References 2 publications

Role of nutritional intervention in negative pressure wound therapy (NPWT). Case report of patient treated by 'open abdomen' method.

Role of nutritional intervention in negative pressure wound therapy (NPWT). Case report of patient treated by 'open abdomen' method.

Contact Info

Product

Resources

About