Newsletter

[ Vol. 14 No. 1 ] (January - April 2013 )
Changing trends in perioperative nutrition support in HBP surgery

Hong-Jin Kim
YeungnamUniversity Hospital (Republic of Korea)

Recent studies have shown that malnourished patients have a higher risk of postoperative complications and a longer duration of hospital stay. And nutritional support can reduce the postoperative morbidity and mortality.

Because of the importance of liver, biliary tract and pancreas in absorption and metabolism of nutrients, patients with HBP diseases, especially HBP malignancy, have a high risk of progressive weight loss and nutrient depletion. Nutritional support plays a significant role in increasing the success rate of surgery.

Enhanced recovery of patients after surgery (“ERAS”) has become an important focus of perioperative management. Restoration of normal GIT function is a key aspect of postoperative care and is promoted by use of enhanced recovery program. Proper perioperative metabolic care is important to achieve prompt liver regeneration after liver surgery and liver transplantation.

The key aspects of perioperative nutritional care include 1) perioperative nutritional support in high risk patients, 2) avoidance of long preoperative fasting, 3) re-establishment of oral feeding as early as possible after surgery, 4) metabolic control of glucose, and 5) early ambulation.

I will review and discuss the current issues of perioperative nutritional support after HBP surgery.
 

From  
The 14^th Congress of Parenteral and Enteral Nutrition Society of Asia
“From Nutrition Support to Nutrition Therapy”
October 14-16, 2011, Taipei, Taiwan 
Page: 35