Surgery and transplantation – Guidelines on Parenteral Nutrition, Chapter 18

A. Weimann, Ch. Ebener, S. Holland-Cunz, K. W. Jauch, L. Hausser, M. Kemen, L. Kraehenbuehl, E. R. Kuse, F. Laengle & Working Group For Developing The Guidelines For Parenteral Nutrition Of The German Association For Nutritional Medicine
In surgery, indications for artificial nutrition comprise prevention and treatment of catabolism and malnutrition. Thus in general, food intake should not be interrupted postoperatively and the re-establishing of oral (e.g. after anastomosis of the colon and rectum, kidney transplantation) or enteral food intake (e.g. after an anastomosis in the upper gastrointestinal tract, liver transplantation) is recommended within 24 h post surgery. To avoid increased mortality an indication for an immediate postoperatively artificial nutrition (enteral or...