Cerrahi Hastada Beslenme
Özet
Cerrahi hastalarda beslenme desteği, katabolik süreçleri önlemek ve iyileşmeyi hızlandırmak amacıyla kritik öneme sahiptir. Enerji ve protein gereksinimleri, hastanın durumuna göre değerlendirilir ve beslenme stratejileri bu ihtiyaçları karşılayacak şekilde düzenlenir. Enteral beslenme, gastrointestinal sistemi destekleyerek enfeksiyon riskini azaltabilirken, parenteral beslenme gastrointestinal yolun kullanılamadığı durumlarda devreye girer. Aşırı besleme ve komplikasyonların önlenmesi için enerji gereksinimlerinin doğru hesaplanması önemlidir.
Nutritional support in surgical patients is critical for preventing catabolic processes and accelerating recovery. Energy and protein needs are assessed based on the patient's condition, and nutritional strategies are adjusted accordingly. Enteral nutrition can reduce the risk of infections by supporting the gastrointestinal system, while parenteral nutrition is used when the gastrointestinal tract cannot be utilized. Accurate calculation of energy requirements is essential to prevent overfeeding and associated complications.
Referanslar
Ferrannini E. The theoretical bases of indirect calorimetry: a review. Metabolism. 1988;37(3):287-301.
Broekaert IJ, Falconer J, Bronsky J, Gottrand F, Dall’Oglio L, Goto E, et al. The use of jejunal tube feeding in children: a position paper by the gastroenterology and nutrition committees of the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition 2019. J Pediatr Gastroenterol Nutr. 2019;69(2):239-258.
Pearce CB, Duncan HD. Enteral feeding: nasogastric, nasojejunal, percutaneous endoscopic gastrostomy, or jejunostomy—its indications and limitations. Postgrad Med J. 2002;78(918):198-204.
Singer P, Blaser AR, Berger MM, Alhazzani W, Calder PC, Casaer MP, et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr. 2019;38(1):48-79.
Rahnemai-Azar AA, Rahnemaiazar AA, Naghshizadian R, Kurtz A, Farkas DT. Percutaneous endoscopic gastrostomy: indications, technique, complications and management. World J Gastroenterol. 2014;20(24):7739-7751.
Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Kao LS, et al. Schwartz’s Principles of Surgery. 11th ed. McGraw-Hill; 2019. p. 68-74.
Referanslar
Ferrannini E. The theoretical bases of indirect calorimetry: a review. Metabolism. 1988;37(3):287-301.
Broekaert IJ, Falconer J, Bronsky J, Gottrand F, Dall’Oglio L, Goto E, et al. The use of jejunal tube feeding in children: a position paper by the gastroenterology and nutrition committees of the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition 2019. J Pediatr Gastroenterol Nutr. 2019;69(2):239-258.
Pearce CB, Duncan HD. Enteral feeding: nasogastric, nasojejunal, percutaneous endoscopic gastrostomy, or jejunostomy—its indications and limitations. Postgrad Med J. 2002;78(918):198-204.
Singer P, Blaser AR, Berger MM, Alhazzani W, Calder PC, Casaer MP, et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr. 2019;38(1):48-79.
Rahnemai-Azar AA, Rahnemaiazar AA, Naghshizadian R, Kurtz A, Farkas DT. Percutaneous endoscopic gastrostomy: indications, technique, complications and management. World J Gastroenterol. 2014;20(24):7739-7751.
Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Kao LS, et al. Schwartz’s Principles of Surgery. 11th ed. McGraw-Hill; 2019. p. 68-74.
