Effect of Nutritional Supplementation in Patients Undergoing Major Gastro-Intestinal Surgery
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Malnutrition is a serious problem in patients with gastrointestinal tract diseases. In those who have to undergo surgery for the malnutrition is a thorn in the flesh for patient as well as the surgical team. In recent years it has dawned that perioperative nutritional intervention in the form of oral or enteral feeding is far superior to the post operative total parenteral nutrition (TPN) therapy. Though the west has set specific guidelines for nutritional supplementation for gastrointestinal surgical patients, such practices have thus far been found wanting in India. The study enrolled 56 patients divided into two groups with one group receiving commercially available nutritional supplement starting preoperatively and continuing well into the postoperative period and even after discharge. The nonintervention group received nutritionist’s advice but no supplementation. The patients were followed up for a period of one month. Biochemical, nutritional as well as clinical parameters such as serum albumin, weight, body mass index (BMI), postoperative complications and number of days in hospital were assessed. There was significant increase in the albumin of patients in the intervention group compared to non intervention group. The other parameters studied didn’t show any statistical significance. We concluded that this would act as a pilot for bigger studies with larger sample size and more uniform institutional protocols to crystallize the need for early nutritional intervention in such patients.
Authors and Affiliations
Vimaladhithan Mahendran, Balakrishna Shetty
Keywords
Related Articles
- EP ID EP591254
- DOI 10.9790/0853-1603010507
- Views 54
- Downloads 0
Role of conservation In case of Acute Segmental Enteritis In children
Acute segmental enteritis (ASE) is an inflammatory disorder of small bowel that may present as a surgical emergency in children(1-3). ASE is uncommon in most parts of the world, but a relatively high incidence of this di...
Schwannoma of the Hard Palate
Schwannomas are benign encapsulated slow- growing tumor that orignates from the Schwann cells of the peripheral nerve sheath. It usually occurs in the head and neck regions, however, its location in the oral cavity is ra...
Efficacy of Melatonin as an adjuvantin lower limb surgeries performed under spinal anaesthesia and its role in preventing post- operative delirium.
Introduction: Postoperative delirium (POD) is usually seen in patients of any age and even upto5 days after surgery. Melatonin (N-acetyl-5-methoxytryptamine) is pineal hormone used in sleep disorders and for anxiolysis....
Correlation of Alvarado Score and Intra-operative Findings in patients presenting to a tertiary Center in Northwestern Nigeria
BACKGROUND: Acute appendicitis is the most common abdominal emergency in both the developed and developing countries. This common surgical disease continues to remain a diagnostic problem. This study aims to evaluate the...
Ocular Injuries in Road Traffic Accidents (Rtas)
Purpose: Aim of the study was to assess the visual outcome in patients attending tertiary care hospital with ocular injuries following RTA and compare various associated risk factors. Method: In this prospective study 12...