title: Nutritional support of surgical patients with inflammatory bowel disease.
abstract: Patients with inflammatory bowel disease (IBD) in need of surgery are often malnourished, which in turn increases the risk for postoperative complications. Malnutrition in IBD patients who must undergo surgery is due to the disordered activity of the diseased intestine, decreased dietary intake, and adverse effects of potent medications. IBD operations predispose patients to both macronutrient and micronutrient deficiencies. If the gut can be used safely it is the preferential route for feeding, though preoperative and postoperative parenteral nutrition remains a viable alternative for severely malnourished patients. New nutrient therapies include immunonutrition, fish oils, and probiotics.
authors.affiliation: Department of Surgery, Temple University School of Medicine, 3401 North Broad Street, Parkinson Pavilion, Suite 400, Philadelphia, PA 19140, USA. janellewagner@gmail.com
authors.forename: I Janelle
authors.initials: IJ
authors.lastname: Wagner
authors.forename: John L
authors.initials: JL
authors.lastname: Rombeau
mesh_terms: D004750:Enteral Nutrition; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D007408:Intestinal Absorption; D044342:Malnutrition / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D018529:Nutritional Support; D010289:Parenteral Nutrition, Total; D011182:Postoperative Care; D011183:Postoperative Complications; D011300:Preoperative Care; D011502:Protein-Energy Malnutrition / Q000209:etiology / Q000628:therapy