title: Parenteral and enteral nutritional support (excluding immunonutrition).
abstract: The surgeon plays a key role in the perioperative nutritional care in patients undergoing elective major digestive surgery; therefore, he has to be able to anticipate needs and to implement corrective measures according to recommendations. Pre- and postoperative enteral feeding is preferred. In patients without obvious undernutrition, postoperative nutritional support has to be initiated if patients cannot maintain oral intake above 60% of recommended intake for more than 7 days, and it has to be programmed if it is anticipated that the patient will be unable to eat for more than 7 days. Preoperative and postoperative nutritional support has to be offer in malnourished patients (grades 3 and 4).
authors: Department of Oncological Surgery, Gustave Roussy, Villejuif, France. Electronic address: Diane.GOERE@gustaveroussy.fr.
authors: D
authors: D
authors: Goéré
authors: Hepato-biliary Centre, Paul Brousse Hospital, Villejuif, France.
authors: A Sa
authors: AS
authors: Cunha
mesh_terms: D013505:Digestive System Surgical Procedures; D004750:Enteral Nutrition / Q000379:methods*; D006801:Humans; D018529:Nutritional Support / Q000379:methods*; D010288:Parenteral Nutrition / Q000379:methods*; D019990:Perioperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control*
keywords: Enteral; Nutrition; Parenteral; Perioperative; Support