ESPEN GUIDELINESESPEN Guidelines on Enteral Nutrition: Surgery including Organ Transplantation☆
Section snippets
Preliminary remarks
To make proper plans for the nutritional support of patients undergoing surgery, it is essential to understand the basic changes in body metabolism that occur as a result of injury. In addition, recent studies have shown that not only does surgery itself influence the response to nutritional support, but many of the perioperative routines also have a major impact on how well different nutritional treatments are tolerated by the postoperative patient.
Surgery, like any injury to the body elicits
When is EN necessary before solid organ transplantation?
Undernutrition is a major factor influencing outcome after transplantation, so optimising nutritional status is important (C).
In undernutrition, additional ONS or even TF is advised (C).
Regular assessment of nutritional status is necessary while monitoring patients on the waiting list before transplantation (C).
Recommendations for the living donor and recipient are no different from those for patients undergoing major abdominal surgery (C).
Comment: Undernutrition is likely to lead to a faster
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For further information on methodology see Schütz et al.231 For further information on definition of terms see Lochs et al.232
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The authors of the DGEM (German Society for Nutritional Medicine) guidelines on enteral nutrition in gastroenterology are acknowledged for their contribution to this article.