Nutritional Support After Gastrointestinal Surgery

This volume provides readers with the necessary information to select the most appropriate nutritional support following gastrointestinal tract surgery. Most patients are worried about resuming oral intake, particularly when the surgery has altered the GI tract normal physiology removing organs (e.g. total colectomy) or part of them, or modifying the natural sequence of the different GI tract parts (e.g. after esophagectomy or pancreatectomy). Patients may also worry about the possible complications of an inappropriate alimentation. As a matter of fact, several metabolic processes can be modified by GI tract surgery (e.g. major liver resection or pancreatectomy), thus making the nutritional support essential: and the same support is fundamental in bariatric surgery, nowadays widely used for super-obese patients. There is therefore a need for a nutritional guide in surgery and in troubleshooting postoperative cases where nutrition is a major issue This book offers nutritionists insights into the possible alterations of GI tract physiology occurring after surgery, and will be a valuable resource for surgeons, gastroenterologists, coloproctologists, nutritionists and clinical specialist nurses, seeking guidance on postoperative nutrition.

Malnutrition and obesity are both common among Americans over age 65. There are also a host of other medical conditions from which older people and other Medicare beneficiaries suffer that could be improved with appropriate nutritional intervention. Despite that, access to a nutrition professional is very limited. Do nutrition services benefit older people in terms of morbidity, mortality, or quality of life? Which health professionals are best qualified to provide such services? What would be the cost to Medicare of such services? Would the cost be offset by reduced illness in this population? This book addresses these questions, provides recommendations for nutrition services for the elderly, and considers how the coverage policy should be approached and practiced. The book discusses the role of nutrition therapy in the management of a number of diseases. It also examines what the elderly receive in the way of nutrition services along the continuum of care settings and addresses the areas of expertise needed by health professionals to provide appropriate nutrition services and therapy.

This book provides the reader with an understanding of human nutritional and metabolic physiology and how it goes wrong in illness. Divided into three major sections, the volume instructs the reader on how and when to use nutritional support, and includes a summary of the published outcome studies on the application of nutritional support to the management of common illnesses. In this way, the book supplies the reader with all the known information on how to make the best judgment of when, what and how to feed sick patients. Authored by a renowned expert in the field, The Principles and Practice of Nutritional Support is a valuable resource for gastroenterologists, surgeons, critical care physicians, endocrinologists, and all those involved with patient-care, both in hospital, in rehabilitation, or at home.

A definitive, accessible, and reliable resource which provides a solid foundation of the knowledge and basic science needed to hone all of the core surgical skills used in surgical settings. Presented in a clear and accessible way it addresses the cross-specialty aspects of surgery applicable to all trainees.

Much has been learned, great developments have occurred, and so much has been written about cancer and transplantation in the last 2-3 decades. Yet, to the author's knowledge, no monograph or book has addressed nutrition support of cancer and transplant patients together. Experts from the around the world have addressed the nutrition support in can

This Surgical Clinics issue is Part 2 of a special two part issue on nutrition and metabolism of the surgical patient, co-guest edited by Dr. Stanley Dudrick, a pioneer in total parenteral nutrition. Part 2, guest edited by Dr. Dudrick and Dr. Juan Sanchez present topics on nutrition and metabolism for the chronically ill patient. Topics will include: nutrition management of acute and chronic pancreatitis, surgical treatment of patients with diabetes mellitus, nutrition management of geriatric surgical patients, nutrients, routes of delivery and immunocompetence, immunologic functions and aspects of the alimentary tract related to feeding, overview of enteral and parenteral feeding access techniques, dietary, metabolic and surgical management of obese patients, historical highlights of the development of total parenteral nutrition, nutrition support of patients with cardiovascular disease, genomic and epigenomic aspects of nutrition and metabolism in surgical patients, nutrition support of patients with inflammatory bowel disorders of the small intestine, colon and rectum, nutrition support of patients with cancer, home parenteral nutrition for intestinal failure, and more.

Clinical Nutrition for Surgical Patients, Third Edition, is the most comprehensive resource available for practitioners who offer interdisciplinary nutrition care to surgical patients. This reference begins with a through review of the basics of medical nutrition therapy for surgical patients, including nutritional assessment, the role of surgical diets, and the indications and contraindications for specialized nutrition support. Subsequent chapters, written by experts in the field, address specific medical and surgical conditions and disease states that present specific challenges with provision of nutrition support. All recommendations are evidence-based and can be applied to clinical practice. The latest nutrition support techniques are described and their roles in managing many types of surgical patients are outlined. Any clinician caring for surgical patients will benefit from the wealth of current information provided in this text.