Page 128 - Sách năm 2022 - Fulltext - hieu final
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CURRENT STATUS AND SOLUTIONS OF PERIOPERATIVE NUTRITION
CARE IN GASTROINTESTINAL SURGERY
Nguyen Thi Hoa, Pham Tran Quynh Nhu, Tran Thi Minh Hanh
Nutrition Department, Hoan My Sai Gon hospital
ABSTRACT
Introduction: Enhanced recovery after surgery (ERAS) programs are multimodal
evidenced-based care pathways for optimal recovery. Perioperative nutrition care in ERAS
includes: Nutrition risk screening, carbohydrate loading, early oral nutrition after surgery.
Subjects and methods: A cross-sectional descriptive study in patients undergoing
gastrointestinal surgery. Patients were interviewed about feeding before and after surgery.
Diet were collected by 24-hour questionnaire method.
Results: In 40 gastrointestinal surgery patients, 65.9% had colorectal surgery, more
than half had elective surgery. The rate of patients with nutritional risk before elective
surgery is 19% (4/21 patients), which only one patient was received nutritional intervention
before surgery.
Patients undergoing elective surgery had a prolonged fast, median 20.1 (14.6-27.0)
hours. The percentage of patients who drank clear water (maltodextrin) before surgery was
very low (25%), most of them drank it the night before surgery..
Most of the patients (95%) were prescribed early oral nutrition after surgery.
However, dietary energy in the first three postoperative days only reached 144 Kcal/day.
Diet almost no protein for the first 3 days after surgery. Energy and protein in the diet only
reach about 50% of the recommended requirement for seven postoperative days.
Conclusion: Currently, ERAS has only been initially implemented in hospitals, so
the rate of adherence to nutritional care according to ERAS is low. To increase the rate of
compliance with ERAS, the gastroenterology department needs to work with the nutrition
department to develop specific guidelines on feeding before and after surgery.
Keywords: Enhanced recovery after surgery, perioperative nutrition care, nutrition
risk screening
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