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Chapter-15 Postoperative Nutrition

BOOK TITLE: Operative Obstetrics and Gynecology

Author
1. Ahuja Maninder
ISBN
9788184485370
DOI
10.5005/jp/books/11088_15
Edition
1/e
Publishing Year
2009
Pages
5
Author Affiliations
1. Ahuja Nursing Home and Infertility Center, Faridabad, Haryana, India, Faridabad, India, Ahuja Nursing Home and Infertility Center Faridabad, Chairperson Elect, Geriatric Committee, FOGSI, Ahuja Hospital and Infertility Centre; Asian Institute of Medical Sciences, Faridabad, Haryana, India, Faridabad, Haryana, India, Ahuja Hospital and Infertility Center; Asian Hospital of Medical Sciences, Faridabad, Haryana, India; FOGSI 2013; Elect IMS 2014; South Asian Federation of Menopause Society (SAFOMS); Faridabad Obstetrics and Gynecology Society (FOGS), Faridabad, IMS 2014-2015; FOGSI 2013-2014; SAFOMS; Ahuja Hospital and Infertility Center, Faridabad, Haryana, India, Ahuja Hospital & Infertility Centre, Faridabad, Haryana, India, Ahuja Health care services, Faridabad, Haryana, India
Chapter keywords
enteral nutrition, vegetables, parenteral nutrition, research, nutritional level, nitrogen balance, skeletal muscle, radiological exams, energy requirement, oral intake, anorexia

Abstract

This chapter discusses postoperative nutrition of patients undergoing surgical procedures. Preferred route for nutrient delivery is an oral diet. Post surgery diet progression includes clear liquids, easy-to-digest foods and all foods in first step, and regular diet. The average normal requirement of a patient is 0. 8 g of protein/kg/day, and any kind of trauma, including surgery, increases this requirement. The indications for nutritional support should consider premorbid state, current nutritional status, age of the patient, duration of starvation, and degree of the anticipated insult. Types of oral supplements or enteral feeds are commercially available formulas, home blenderised formula, strained meat, strained vegetables, vegetable oil, corn syrup, and water. A large multi-center clinical trial has shown no significant reduction in morbidity or mortality when total parenteral nutrition (TPN) was administered perioperatively to a heterogeneous group of surgical patients.

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