Summary
Specialized nutritional support (SNS) is a necessary adjunctive therapy in some portion of hospitalized surgical patients. An understanding of the indications, techniques, and complications of SNS is necessary to practice modern surgical care. While most surgical patients do not require SNS, the continued monitoring of patients and appropriate initiation of SNS may reduce the incidence of complication and promote the early restoration of functional status.
Examples of the judicious use of SNS can be derived from the presented cases. In Case 1, where the patient has established cachexia, the initiation of SNS before operation might serve to diminish postoperative complications. In Case 2, SNS should be instituted at an early juncture, particularly if the patient does not steadily recover from her injuries.
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Lowry, S.F. (2005). Nutrition Support in the Surgery Patient. In: Lowry, S.F., Ciocca, R.G., Rettie, C.S., Vodarsik, M. (eds) Learning Surgery. Springer, New York, NY . https://doi.org/10.1007/0-387-28310-2_3
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DOI: https://doi.org/10.1007/0-387-28310-2_3
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