Korean J Gastroenterol.  2015 Jun;65(6):333-335. 10.4166/kjg.2015.65.6.333.

Understanding Nutritional Support in Digestive Diseases

• Chang DK
• Song GA

• KMID: 2373233
• DOI: http://doi.org/10.4166/kjg.2015.65.6.333

Abstract

The prevalence of hospital malnutrition is still high in patients with digestive diseases, especially for those suffering from cancer and bowel diseases which cause malabsorption. It is well known that malnutrition is associated with delayed wound healing, impaired immunity, infection, increased complication, and poor convalenscence. Recently, nutrition screening and assessment by nutrition support team has become essential for nutrition management, and gastroenterologists comprise a dominant member of the nutrition support team. In critically ill patients and older people with chronic disease, nutritional support with enteral feeding and early feeding contributes to recovery and rehabilitation of patients. Securing enteral feeding routes, such as feeding tube insertion and placement of percutaneous endoscopic gastrostomy/jejunostomy, is an essential part of nutrition care that should be accomplished by gastroenterologists without much difficulty. It will also be necessary to recommend nutrition care as one of the clinical routines in gastrointestinal clinical practices. Therefore, education on nutrition care is strongly required as a part of gastroenterologist's training.

Keyword

Hospital malnutrition; Nutritional support; Digestive system diseases

MeSH Terms

Critical Illness
Digestive System Diseases/*pathology
Enteral Nutrition
Humans
Malnutrition/*prevention & control
*Nutritional Support

Figure

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  Fig. 1. Prognostic impact of disease-related malnutrition. Cited from the study of Norman et al.1 (Clin Nutr 2008;27:5–15) with the permission of original copyright holder.

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  Fig. 2. Nutrition care algorithm. Cited from the study of Mueller et al.2 (JPEN J Parenteral Enteral Nutr 2011;35: 16–24).

Reference

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