Resected Intestine Syndrome: Term Defining the Strategy for Nutritional Deficiency Management
| Autor: | Russian Federation Moscow, E.A. Sabelnikova, A I Parfenov, I.E. Khatkov, A.S. Loginov Moscow Clinical Scientific, T N Kuzmina |
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| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Doctor.Ru. 19:59-67 |
| ISSN: | 2713-2994 1727-2378 |
| DOI: | 10.31550/1727-2378-2020-19-7-59-67 |
| Popis: | Study Objective: to develop nutritional deficiency management approaches in patients with resected intestine syndrome. Study Design: observational study. Materials and Methods. We examined and treated 239 patients (143 women, mean age: 49.4 ± 6.5 years old; 96 men, mean age: 52.1 ± 15.6 years old) who underwent intestine resection to a various extent and level caused by various conditions. Small intestine was resected in 96 patients; a combined resection of small intestine and right half of large intestine was performed in 97 patients; and right hemicolectomy/colectomy was indicated in 46 cases. At least one month after surgery all patients underwent a screening to identify the nutrition risk as per the Screening of Nutritional Risk 2002 questionnaire. Study Results. It was found out that nutritional support was needed in 85.7% of cases, including 51% and 34.7% of cases with moderate and high risk of nutritional disorders, respectively. Various extent and levels of intestine resections are characterised by similar types of nutritional deficiency, most often it was a mixed type with signs on dehydration and protein-calorie deficiency. Following the results of a comprehensive nutritional deficiency assessment in our patients and taking into account the level and extent of intestine resection, as well as its causes and concomitant pathology, we propose a new term “resected intestine syndrome” and classification. Additional examinations using the proposed classification allowed adjusting the conventional nutritional therapy and modifying management. Conclusion. Data consolidation resulted in the need to introduce a new term “resected intestine syndrome” and to develop a classification which allows using differentiated correction of this condition and to make any forecasts. The term “resected intestine syndrome” we propose and a new classification of nutritional deficiency can help in identifying the potential risk as well as patients requiring nutritional correction and follow-up. Keywords: nutritional deficiency, resected intestine syndrome, therapy. |
| Databáze: | OpenAIRE |
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