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
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- EP ID EP591254
- DOI 10.9790/0853-1603010507
- Views 87
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