Basic principles of nutritional support in patients after gastrectomy

Abstract

The aim of the study was to select methods for correcting protein-energy malnutrition in the postoperative period and evaluate their effectiveness in patients after gastrectomy.

Material and methods. The article presents the results of a study of surgical methods for treating acute gastric bleeding caused by gastric tumors and an assessment of the correction of protein-energy malnutrition syndrome in the postoperative period. After complete preoperative preparation, an urgent operation was performed in cases with a high risk of recurrent bleeding.

Results. Of the 31 patients who had profuse gastric bleeding, 15 required emergency surgery. Depending on the type of pathology, protein-energy malnutrition develops in 20-50% of surgical patients directly in the hospital in the early postoperative period. For enteral nutrition, we used Nutricomp Energy Fiber Liquid 1 kcal / ml 500 ml, from the first day after surgery. Nutritional status was monitored by determining the level of total protein, albumin, transferrin, absolute lymphocyte count, and body weight dynamics.

Conclusions: Early enteral nutrition in the absence of contraindications on the morning of the day following surgery. Patients experiencing malnutrition immediately after extensive abdominal surgery recover nutritional status, physical function, and quality of life faster if they receive enteral tube diets immediately after surgery. In most cases, enteral nutrition is the method of choice for early nutritional support.