The role of nutritional treatment in postsurgical convalescence process
DOI:
https://doi.org/10.12775/QS.2024.24.54681Keywords
nutritional treatment, enteral nutrition, parenteral nutrition, cachexia, surgeryAbstract
The article discusses the importance of adequate nutrition for patients suffering from serious illnesses, such as those requiring surgery. Despite medical advances, malnutrition remains a challenge for practitioners. The authors described the importance of nutritional support for patients in critical care, short bowel syndrome and after bariatric surgery. The text highlights the difficulties and challenges of nutritional treatment, such as malnutrition, overweight, and the need to adapt nutritional practices to the latest guidelines and research. The article also emphasizes the importance of educating patients about the benefits of nutritional treatment and the need for access to dietary counseling at every stage of the disease. The role of artificial intelligence in nutritional treatment and the need for further research and innovation in this area are also addressed. The paper describes the different methods of nutrition - enteral and parenteral, their advantages and risks, and notes the need for an individualized approach to each patient, taking into account their condition, age, gender, height and weight. Ultimately, the article emphasizes the importance of access to health care and education to increase the effectiveness of nutrition treatment.
References
van Zanten ARH, De Waele E, Wischmeyer PE. Nutrition therapy and critical illness: practical guidance for the ICU, post-ICU, and long-term convalescence phases. Crit Care. 2019;23(1):368. Published 2019 Nov 21. doi:10.1186/s13054-019-2657-5
Dent E, Wright ORL, Woo J, Hoogendijk EO. Malnutrition in older adults. Lancet. 2023;401(10380):951-966. doi:10.1016/S0140-6736(22)02612-5
Elia M. Defining, Recognizing, and Reporting Malnutrition. The International Journal of Lower Extremity Wounds. 2017;16(4):230-237. doi:10.1177/1534734617733902
Bellanti F, Lo Buglio A, Quiete S, Vendemiale G. Malnutrition in Hospitalized Old Patients: Screening and Diagnosis, Clinical Outcomes, and Management. Nutrients. 2022;14(4):910. Published 2022 Feb 21. doi:10.3390/nu14040910
Malone A, Mogensen KM. Key approaches to diagnosing malnutrition in adults. Nutr Clin Pract. 2022;37(1):23-34. doi:10.1002/ncp.10810
Ostrowska J., Jeznach-Steinhagen A. Hospital malnutrition. Methods for assessing nutritional status. Forum Medycyny Rodzinnej 2017; 11(2): 54–61
Abunnaja S, Cuviello A, Sanchez JA. Enteral and parenteral nutrition in the perioperative period: state of the art. Nutrients. 2013;5(2):608-623. Published 2013 Feb 21. doi:10.3390/nu5020608
Thibault R, Abbasoglu O, Ioannou E, et al. ESPEN guideline on hospital nutrition. Clin Nutr. 2021;40(12):5684-5709. doi:10.1016/j.clnu.2021.09.039
Baiu I, Spain DA. Parenteral Nutrition. JAMA. 2019;321(21):2142. doi:10.1001/jama.2019.4410
Ingstad, K., Uhrenfeldt, L., Kymre, I. G., Skrubbeltrang, C., & Pedersen, P. (2020). Effectiveness of individualised nutritional care plans to reduce malnutrition during hospitalisation and up to 3 months post-discharge: a systematic scoping review. BMJ open, 10(11), e040439. https://doi.org/10.1136/bmjopen-2020-040439
Vanstone, M., Giacomini, M., Smith, A., Brundisini, F., DeJean, D., & Winsor, S. (2013). How diet modification challenges are magnified in vulnerable or marginalized people with diabetes and heart disease: a systematic review and qualitative meta-synthesis. Ontario health technology assessment series, 13(14), 1–40.
de Frel DL, Wicks H, Bakk Z, van Keulen N, Atsma DE and Janssen VR (2023) Identifying barriers and facilitators to adopting healthier dietary choices in clinical care: a cross-sectional observational study. Front. Nutr. 10:1178134. doi: 10.3389/fnut.2023.1178134
Endris, B. S., Fenta, E., Getnet, Y., Spigt, M., Dinant, G.-J., & Gebreyesus, S. H. (2023). Barriers and facilitators to the implementation of nutrition interventions at primary health care units of Ethiopia: A consolidated framework for implementation research. Maternal & Child Nutrition, 19, e13433. https://doi.org/10.1111/mcn.13433
Darnton-Hill, I., & Samman, S. (2015). Challenges and Opportunities in Scaling-Up Nutrition in Healthcare. Healthcare (Basel, Switzerland), 3(1), 3–19. https://doi.org/10.3390/healthcare3010003
Razzazi, A., Griffiths, M.D. & Alimoradi, Z. The effect of nutritional education based on the health action process approach (HAPA) on the pregnancy outcomes among malnourished pregnant mothers. BMC Pregnancy Childbirth 24, 83 (2024). https://doi.org/10.1186/s12884-024-06276-7
Kłęk S., Nutritional support of a critically ill patients – new recommendation. Klinika Chirurgii Onkologicznej, Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie Państwowy Instytut Badawczy, Oddział w Krakowie. DOI: 10.12872/PZK-4-2020-3-PL
Księżarczyk, Karolina & Sankowski, Bartłomiej. (2017). SELECTED ASPECTS OF PARENTERAL NUTRITION. Prospects in Pharmaceutical Sciences. 15. 34-39. 10.56782/pps.73.
Busetto L, Dicker D, Azran C, et al. Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management. Obes Facts. 2017;10(6):597-632. doi:10.1159/000481825
Bettini S, Belligoli A, Fabris R, Busetto L. Diet approach before and after bariatric surgery [published correction appears in Rev Endocr Metab Disord. 2020 Aug 17;:]. Rev Endocr Metab Disord. 2020;21(3):297-306. doi:10.1007/s11154-020-09571-8
Gasmi A, Bjørklund G, Mujawdiya PK, et al. Micronutrients deficiences in patients after bariatric surgery. Eur J Nutr. 2022;61(1):55-67. doi:10.1007/s00394-021-02619-8
Bering J, DiBaise JK. Short Bowel Syndrome in Adults. Am J Gastroenterol. 2022;117(6):876-883. doi:10.14309/ajg.0000000000001763
Ladefoged K, Hessov I, Jarnum S. Nutrition in short-bowel syndrome. Scand J Gastroenterol Suppl. 1996;216:122-131. doi:10.3109/00365529609094567
Weimann A, Braga M, Carli F, et al. ESPEN guideline: Clinical nutrition in surgery. Clin Nutr. 2017;36(3):623-650. doi:10.1016/j.clnu.2017.02.013
Fearon K, Strasser F, Anker SD, et al. Definition and classification of cancer cachexia: an international consensus. Lancet Oncol. 2011;12(5):489-495. doi:10.1016/S1470-2045(10)70218-7
Arends J, Bachmann P, Baracos V, et al. ESPEN guidelines on nutrition in cancer patients. Clin Nutr. 2017;36(1):11-48. doi:10.1016/j.clnu.2016.07.015
Ravasco P, Monteiro-Grillo I, Marques Vidal P, Camilo ME. Impact of nutrition on outcome: a prospective randomized controlled trial in patients with head and neck cancer undergoing radiotherapy. Head Neck. 2005;27(8):659-668. doi:10.1002/hed.20221
Shenkin A. The key role of micronutrients. Clin Nutr. 2006;25(1):1-13. doi:10.1016/j.clnu.2005.11.006
Biesalski HK, Bischoff SC, Boehles HJ, Muehlhoefer A; Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional Medicine. Water, electrolytes, vitamins and trace elements - Guidelines on Parenteral Nutrition, Chapter Ger Med Sci. 2009;7:Doc21. Published 2009 Nov 18. doi:10.3205/000080
Fukatsu K. Role of nutrition in gastroenterological surgery. Ann Gastroenterol Surg. 2019 Feb 25;3(2):160-168. doi: 10.1002/ags3.12237. PMID: 30923785; PMCID: PMC6422822.
García-Malpartida K, Aragón-Valera C, Botella-Romero F, Ocón-Bretón MJ, López-Gómez JJ. Effects of Immunonutrition on Cancer Patients Undergoing Surgery: A Scoping Review. Nutrients. 2023 Apr 5;15(7):1776. doi: 10.3390/nu15071776. PMID: 37049616; PMCID: PMC10096769.
Shima, H.; Masuda, S.; Date, Y.; Shino, A.; Tsuboi, Y.; Kajikawa, M.; Inoue, Y.; Kanamoto, T.; Kikuchi, J. Exploring the Impact of Food on the Gut Ecosystem Based on the Combination of Machine Learning and Network Visualization. Nutrients 2017, 9, 1307. https://doi.org/10.3390/nu9121307
Ordovas JM, Ferguson LR, Tai ES, Mathers JC. Personalised nutrition and health. BMJ. 2018. https://doi.org/10.1136/bmj. k2173. k2173.
Shyam S, Lee KX, Tan ASW, Khoo TA, Harikrishnan S, Lalani SA, et al. Effect of Personalized Nutrition on Dietary, Physical
Activity, and Health Outcomes: A Systematic Review of Randomized Trials. Nutrients 2022;14:4104. https://doi.org/10.3390/nu14194104.
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Copyright (c) 2024 Ewa Rzeska, Karolina Jurasz, Dominika Podgórska, Radosław Cymer, Miłosz Sanecki, Karolina Tomczyk, Natalia Chojnacka, Jakub Klarycki
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