The key points and difficulties in the whole nutritional management of surgical patients
1Zhu Mingwei,1,2Li Yonghao
1Department of General Surgery Department of Hepatobiliopancreatic Surgery Beijing Hospital National Center of Gerontology
Institute of Geriatric Medicine Chinese Academy of Medical Sciences Beijing 100730 China
2Chinese Academy of Medical Sciences &
Peking Union Medical College Beijing 100730 China
Abstract：The incidence rates of nutritional risk and malnutrition among surgical patients are relatively high which are key factors
affecting the surgical prognosis and the rehabilitation process. A large number of studies have confirmed that for surgical patients with
nutritional risk and malnutrition before surgery formulating a nutritional support treatment plan in a timely manner and implementing it
in a standardized way are important measures to reduce postoperative complications. Whole-course nutritional management runs through
all stages before surgery after surgery and after discharge. Its core elements include five links nutritional screening assessment
diagnosis intervention and monitoring. By establishing a multidisciplinary nutritional support treatment team led by surgeons
nutritional diagnosis and treatment are carried out in a standardized manner according to the metabolic characteristics of surgical
patients at different stages of the perioperative period. Combining with the current status of surgical nutritional management in China
this article focuses on discussing key issues in whole -course nutritional management such as prehabilitation before surgery early
enteral nutrition after surgery and oral nutritional supplementation after discharge with a view to promoting the postoperative
rehabilitation process. However in the implementation process of whole-course nutritional management there are still difficulties such
as insufficient human resources lagging professional training lack of standardized processes and policy support which restrict its
widespread promotion and standardized application. In the future with the increasing attention paid by medical institutions at all
levels relying on the guidance of clinical nutrition experts and professional societies and strengthening discipline construction and
multidisciplinary collaboration it is expected to promote the in-depth development of whole-course nutritional management provide
more precise and efficient nutritional support treatment for the rapid rehabilitation of surgical patients continuously improve the quality
of medical care and optimize the health economic benefits.
