{"product_id":"nutritional-management-of-the-surgical-patient-isbn-9781119809098","title":"Nutritional Management of the Surgical Patient","description":"\u003cb\u003eNutritional Management of the Surgical Patient\u003c\/b\u003e \u003cp\u003e\u003cb\u003eManage patient diet and nutrition with this comprehensive guide\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003ci\u003eNutritional Management of the Surgical Patient\u003c\/i\u003e provides the first comprehensive evidence-based overview of the nutritional and dietary therapies for surgical patients. It takes clinicians through every stage of surgery, from pre-operative and immediate post-operative care, through to long term recovery and survivorship. This book describes the impact of surgical procedures and their complications and the effect these have on nutritional status as well as the nutritional strategies utilised to manage patients in these settings. The result is a valuable survey of this essential aspect of surgery.\u003c\/p\u003e \u003cp\u003e\u003ci\u003eNutritional Management of the Surgical Patient\u003c\/i\u003e features case studies which capture both typical patients and the more unusual cases to help clinicians understand the impact of nutrition in both circumstances. The textbook also details a range of surgical procedures to support underpinning knowledge of the mechanism behind nutritional intervention.\u003c\/p\u003e \u003cp\u003eReaders will also find:\u003c\/p\u003e \u003cul\u003e \u003cli\u003eConsideration in each chapter of both short- and long-term nutritional management\u003c\/li\u003e \u003cli\u003eDiscussion of potential long-term complications such as small intestinal bacterial overgrowth, bile acid diarrhoea, micronutrient deficiencies and osteoporosis\u003c\/li\u003e \u003cli\u003eQuestions to support consolidation of knowledge and promote understanding in clinical context\u003c\/li\u003e \u003c\/ul\u003e \u003cp\u003e\u003ci\u003eNutritional Management of the Surgical Patient\u003c\/i\u003e is a must-have for surgeons, surgical dietitians, trainees and all healthcare professionals involved in the care of surgical patients.\u003c\/p\u003e \u003cp\u003eContributors xv\u003c\/p\u003e \u003cp\u003e\u003cb\u003eSection 1 Introduction 1\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 1 Introduction 3\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eSection 2 Before and During Surgery 5\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 2 Nutrition Screening and Assessment 7\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eSara Smith\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eOverview of Body Composition 8\u003c\/p\u003e \u003cp\u003eNutrition-Related Syndromes 8\u003c\/p\u003e \u003cp\u003eNutrition Screening 8\u003c\/p\u003e \u003cp\u003eNutrition Assessment 12\u003c\/p\u003e \u003cp\u003eReferences 14\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 3 Nutritional Considerations Prior to Surgery 17\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eOonagh Griffin\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eMalnutrition and Sarcopenia 18\u003c\/p\u003e \u003cp\u003eIncidence 18\u003c\/p\u003e \u003cp\u003eImpact of Malnutrition and Sarcopenia on Surgical Outcomes 19\u003c\/p\u003e \u003cp\u003eMalnutrition 19\u003c\/p\u003e \u003cp\u003eSarcopenia and Sarcopenic Obesity 19\u003c\/p\u003e \u003cp\u003ePre-operative Nutritional Treatment Strategies 20\u003c\/p\u003e \u003cp\u003eCarbohydrate Loading 20\u003c\/p\u003e \u003cp\u003eLiver Shrinkage Diets 20\u003c\/p\u003e \u003cp\u003ePriorities For Future Research 21\u003c\/p\u003e \u003cp\u003eReferences 21\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 4 Prehabilitation Programmes and Their Impact on Surgical Outcomes 25\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eHelen McNamara\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eA Brief History of Prehabilitation 25\u003c\/p\u003e \u003cp\u003eDefining Prehabilitation 26\u003c\/p\u003e \u003cp\u003eStratified Care and Prehabilitation 26\u003c\/p\u003e \u003cp\u003eEnhanced Recovery After Surgery and Prehabilitation 27\u003c\/p\u003e \u003cp\u003eHolistic and Person-Centred Approaches To Prehabilitation 27\u003c\/p\u003e \u003cp\u003ePsychological Preparation 28\u003c\/p\u003e \u003cp\u003ePrehabilitation to Support Behaviour Change 28\u003c\/p\u003e \u003cp\u003eFrameworks for Prehabilitation 28\u003c\/p\u003e \u003cp\u003ePrime Prehabilitation for Surgery at The Royal Surrey Hospital Foundation Trust 28\u003c\/p\u003e \u003cp\u003eInterventions of Prime Prehabilitation 29\u003c\/p\u003e \u003cp\u003eGroup Programmes 29\u003c\/p\u003e \u003cp\u003eOne-to-One Consultations 29\u003c\/p\u003e \u003cp\u003eHome Exercise Programmes 29\u003c\/p\u003e \u003cp\u003eFriends and Family 29\u003c\/p\u003e \u003cp\u003eNutritional Support 29\u003c\/p\u003e \u003cp\u003ePeer Support 30\u003c\/p\u003e \u003cp\u003ePrime Outcome Data 30\u003c\/p\u003e \u003cp\u003eConclusion 30\u003c\/p\u003e \u003cp\u003eReferences 31\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 5 Enhanced Recovery after Surgery 33\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eNeil Bibby, Rebekah Lord, and Ashleigh Maske\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eEarly Oral Feeding 35\u003c\/p\u003e \u003cp\u003eNutritional Support and Oral Nutrition Supplements 36\u003c\/p\u003e \u003cp\u003eEnteral Nutrition 36\u003c\/p\u003e \u003cp\u003eImmuno-nutrition 37\u003c\/p\u003e \u003cp\u003eReferences 40\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 6 Surgical Terminology and Pre-operative Considerations: A Guide for Non-Surgeons 42\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eRajiv Lahiri\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eSurgical Descriptors 42\u003c\/p\u003e \u003cp\u003eKey Suffixes in Surgical Terminology 42\u003c\/p\u003e \u003cp\u003eTerms to Explain Positioning 43\u003c\/p\u003e \u003cp\u003ePre-operative Considerations 43\u003c\/p\u003e \u003cp\u003ePrehabilitation 46\u003c\/p\u003e \u003cp\u003eAssessing Surgical Risk 46\u003c\/p\u003e \u003cp\u003eEmergency Patients 46\u003c\/p\u003e \u003cp\u003eHigh-Risk Patients 47\u003c\/p\u003e \u003cp\u003eIntra-operative Risk Assessment 47\u003c\/p\u003e \u003cp\u003ePost-operative Complications 48\u003c\/p\u003e \u003cp\u003eFistula 48\u003c\/p\u003e \u003cp\u003eCollections 48\u003c\/p\u003e \u003cp\u003eAnastomotic Leak 48\u003c\/p\u003e \u003cp\u003eChyle Leak 49\u003c\/p\u003e \u003cp\u003eConclusion 49\u003c\/p\u003e \u003cp\u003eAcknowledgements 49\u003c\/p\u003e \u003cp\u003eReferences 49\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 7 Operating on the Malnourished Patient 51\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eKaty O’Rourke and Chris Jones\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eAnaemia 51\u003c\/p\u003e \u003cp\u003eElectrolyte Abnormalities 53\u003c\/p\u003e \u003cp\u003eSodium 53\u003c\/p\u003e \u003cp\u003ePotassium 55\u003c\/p\u003e \u003cp\u003eCalcium 55\u003c\/p\u003e \u003cp\u003eMagnesium 56\u003c\/p\u003e \u003cp\u003ePhosphate 56\u003c\/p\u003e \u003cp\u003eRefeeding Syndrome 57\u003c\/p\u003e \u003cp\u003eHyperglycaemia 60\u003c\/p\u003e \u003cp\u003eImpact of Body Habitus on Anaesthesia 61\u003c\/p\u003e \u003cp\u003eObesity 61\u003c\/p\u003e \u003cp\u003eConsequences of Obesity during Anaesthesia 61\u003c\/p\u003e \u003cp\u003eThe Underweight Patient 61\u003c\/p\u003e \u003cp\u003eConsequences of Malnutrition during Anaesthesia 61\u003c\/p\u003e \u003cp\u003eReferences 64\u003c\/p\u003e \u003cp\u003e\u003cb\u003eSection 3 Impact of Surgery 67\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 8 Nutritional Management of the Surgical Patient in Critical Care 69\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eNárbhla Donnelly and Anne Langan\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eMetabolic Response to Stress 70\u003c\/p\u003e \u003cp\u003eFeeding The Post-operative Surgical Patient in Critical Care 70\u003c\/p\u003e \u003cp\u003eEnteral Nutrition 71\u003c\/p\u003e \u003cp\u003eParenteral Nutrition 72\u003c\/p\u003e \u003cp\u003eFeeding While Receiving Inotrope and Vasopressor Support 72\u003c\/p\u003e \u003cp\u003eNutritional Targets 73\u003c\/p\u003e \u003cp\u003eDetermining Energy Targets 73\u003c\/p\u003e \u003cp\u003eProtein Targets 74\u003c\/p\u003e \u003cp\u003eAreas for Future Research\/Questions Unanswered 75\u003c\/p\u003e \u003cp\u003eAcknowledgements 79\u003c\/p\u003e \u003cp\u003eReferences 79\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 9 Nutritional Management of Patients Undergoing Head and Neck Cancer Surgery 83\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eCathy Skea\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eHead and Neck Cancers 83\u003c\/p\u003e \u003cp\u003eLaryngeal Cancer 84\u003c\/p\u003e \u003cp\u003eHypopharyngeal Cancer 85\u003c\/p\u003e \u003cp\u003eOropharyngeal Cancer 85\u003c\/p\u003e \u003cp\u003eOral Cavity Cancer 85\u003c\/p\u003e \u003cp\u003eGeneral Nutritional Implications Following Surgical Intervention 85\u003c\/p\u003e \u003cp\u003eSurgical Procedures 86\u003c\/p\u003e \u003cp\u003eGlossectomy 86\u003c\/p\u003e \u003cp\u003eTotal Laryngectomy 86\u003c\/p\u003e \u003cp\u003ePharyngo-Laryngo-Oesophagectomy 86\u003c\/p\u003e \u003cp\u003eMethods of Post-operative Nutritional Support 87\u003c\/p\u003e \u003cp\u003eEarly Oral Feeding 87\u003c\/p\u003e \u003cp\u003eEnteral Feeding 87\u003c\/p\u003e \u003cp\u003eRoute of Delivery 87\u003c\/p\u003e \u003cp\u003eChoice of Formulae 87\u003c\/p\u003e \u003cp\u003eParenteral Nutrition 87\u003c\/p\u003e \u003cp\u003ePost-operative Complications and their Nutritional Management 88\u003c\/p\u003e \u003cp\u003eFistulae\/Wound Breakdown 88\u003c\/p\u003e \u003cp\u003eDysphagia Due to Delayed Wound Healing Resulting in Dysphagia 88\u003c\/p\u003e \u003cp\u003ePseudo-epiglottis 88\u003c\/p\u003e \u003cp\u003eNasal Regurgitation\/Gastro-oesophageal Reflux 88\u003c\/p\u003e \u003cp\u003eChylous Fistula (Chyle Leak) 89\u003c\/p\u003e \u003cp\u003eLong-Term Management of Oesophageal Strictures 89\u003c\/p\u003e \u003cp\u003eReferences 95\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 10 Cardiothoracic Surgery and Nutrition 97\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eRupal Patel and Ann-Marie Nixon\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eOverview of Surgical Procedures 97\u003c\/p\u003e \u003cp\u003eCardiac 97\u003c\/p\u003e \u003cp\u003eCardiopulmonary Bypass 98\u003c\/p\u003e \u003cp\u003eCoronary Artery Bypass Grafting 98\u003c\/p\u003e \u003cp\u003eValve Replacement Surgery 98\u003c\/p\u003e \u003cp\u003eAortic Surgeries 98\u003c\/p\u003e \u003cp\u003eThoracic Surgery 98\u003c\/p\u003e \u003cp\u003eCardiothoracic Transplant 99\u003c\/p\u003e \u003cp\u003eNutritional Implications 99\u003c\/p\u003e \u003cp\u003eCardiac Surgery 99\u003c\/p\u003e \u003cp\u003eFluid Management 99\u003c\/p\u003e \u003cp\u003eThoracic Surgery 100\u003c\/p\u003e \u003cp\u003eCardiothoracic Transplant 100\u003c\/p\u003e \u003cp\u003eBody Composition and Weight Management 100\u003c\/p\u003e \u003cp\u003eFood Safety 100\u003c\/p\u003e \u003cp\u003eComplications 100\u003c\/p\u003e \u003cp\u003eGut Ischaemia 100\u003c\/p\u003e \u003cp\u003eVocal Cord Palsy 101\u003c\/p\u003e \u003cp\u003eChylothorax 101\u003c\/p\u003e \u003cp\u003eParenteral Nutrition 102\u003c\/p\u003e \u003cp\u003eOctreotide 102\u003c\/p\u003e \u003cp\u003eMonitoring 102\u003c\/p\u003e \u003cp\u003eSurgical and Radiological Interventions 102\u003c\/p\u003e \u003cp\u003eLong-Term Management 102\u003c\/p\u003e \u003cp\u003eCardioprotective Diet and Weight 102\u003c\/p\u003e \u003cp\u003eCardiac Rehabilitation 102\u003c\/p\u003e \u003cp\u003eLong-Term Post-Transplant Complications 103\u003c\/p\u003e \u003cp\u003eHypertension, Dyslipidaemia, and Diabetes 103\u003c\/p\u003e \u003cp\u003eChronic Kidney Disease 104\u003c\/p\u003e \u003cp\u003eOsteoporosis and Vitamin D 104\u003c\/p\u003e \u003cp\u003eFurther Research 107\u003c\/p\u003e \u003cp\u003eReferences 108\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 11 Nutritional Management of the Surgical Patient: Oesophago-gastric Surgery 110\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eCharles Rayner and Fiona Huddy\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eCommon Operations and Their Anatomy 111\u003c\/p\u003e \u003cp\u003eOesophagectomy 111\u003c\/p\u003e \u003cp\u003eGastrectomy – Total or Subtotal 112\u003c\/p\u003e \u003cp\u003eNutritional Optimisation and Prehabilitation 112\u003c\/p\u003e \u003cp\u003ePost-operative Nutrition Support 113\u003c\/p\u003e \u003cp\u003eDietary Reintroduction 114\u003c\/p\u003e \u003cp\u003eNutritional Management of Early Complications 114\u003c\/p\u003e \u003cp\u003eAnastomotic Leak 114\u003c\/p\u003e \u003cp\u003eChyle Leak 115\u003c\/p\u003e \u003cp\u003ePost-operative Ileus 115\u003c\/p\u003e \u003cp\u003eAdjuvant Oncological Treatments 115\u003c\/p\u003e \u003cp\u003eNutritional Management of Late Complications 115\u003c\/p\u003e \u003cp\u003ePoor Oral Intake and Anorexia 115\u003c\/p\u003e \u003cp\u003eDysphagia Due to Anastomotic Stricture 116\u003c\/p\u003e \u003cp\u003eDumping Syndrome 116\u003c\/p\u003e \u003cp\u003eMalabsorptive Syndromes 117\u003c\/p\u003e \u003cp\u003ePancreatic Exocrine Insufficiency 117\u003c\/p\u003e \u003cp\u003eSmall Intestinal Bacterial Overgrowth 117\u003c\/p\u003e \u003cp\u003eBile Acid Malabsorption 117\u003c\/p\u003e \u003cp\u003eMicronutrient Deficiencies 117\u003c\/p\u003e \u003cp\u003eReferences 120\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 12 Endoscopic Procedures and Their Implications for Nutrition 123\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eJohn S. Leeds\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eEndoscopic Procedures 124\u003c\/p\u003e \u003cp\u003eEndoscopic Retrograde Cholangiopancreatography 124\u003c\/p\u003e \u003cp\u003eEndoscopic Ultrasound 124\u003c\/p\u003e \u003cp\u003eCyst Drainage and Necrosectomy 125\u003c\/p\u003e \u003cp\u003eBiliary Access and Drainage 125\u003c\/p\u003e \u003cp\u003eFacilitation of Endoscopy in Patients with Surgically Altered Anatomy 126\u003c\/p\u003e \u003cp\u003eEndoscopic Ultrasound–Guided Gastroenterostomy 126\u003c\/p\u003e \u003cp\u003eOesophageal Stent 126\u003c\/p\u003e \u003cp\u003eEndoscopic Insertion of Feeding Tubes 126\u003c\/p\u003e \u003cp\u003eDuodenal Stent 127\u003c\/p\u003e \u003cp\u003eComplications 127\u003c\/p\u003e \u003cp\u003eManaging Duodenal Perforation 128\u003c\/p\u003e \u003cp\u003eLong-Term Management 128\u003c\/p\u003e \u003cp\u003eReferences 130\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 13 Pancreatitis 132\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eMary E. Phillips\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eTypes Of Pancreatitis 132\u003c\/p\u003e \u003cp\u003eAcute Pancreatitis 132\u003c\/p\u003e \u003cp\u003eChronic Pancreatitis 133\u003c\/p\u003e \u003cp\u003eAcute on Chronic Pancreatitis 133\u003c\/p\u003e \u003cp\u003eSurgical Procedures for Acute Pancreatitis 133\u003c\/p\u003e \u003cp\u003eDrainage of Collections\/Necrosectomy 133\u003c\/p\u003e \u003cp\u003eEmbolisation 134\u003c\/p\u003e \u003cp\u003eLaparoscopic Cholecystectomy 134\u003c\/p\u003e \u003cp\u003eOther Surgical Procedures 134\u003c\/p\u003e \u003cp\u003eSurgical Procedures for Chronic Pancreatitis 134\u003c\/p\u003e \u003cp\u003eNutritional Management of Acute Pancreatitis 134\u003c\/p\u003e \u003cp\u003eTiming of Nutritional Intervention 134\u003c\/p\u003e \u003cp\u003eRoute of Feeding 134\u003c\/p\u003e \u003cp\u003eFormulation of Enteral Feed 135\u003c\/p\u003e \u003cp\u003eProbiotics 135\u003c\/p\u003e \u003cp\u003eOral Diet 135\u003c\/p\u003e \u003cp\u003ePancreatic Exocrine Insufficiency 135\u003c\/p\u003e \u003cp\u003eDiabetes 136\u003c\/p\u003e \u003cp\u003eLifestyle Advice 136\u003c\/p\u003e \u003cp\u003eNutritional Management of Chronic Pancreatitis 136\u003c\/p\u003e \u003cp\u003eNutritional Assessment 136\u003c\/p\u003e \u003cp\u003eOral Diet 137\u003c\/p\u003e \u003cp\u003eTube Feeding 137\u003c\/p\u003e \u003cp\u003ePancreatic Exocrine Insufficiency 137\u003c\/p\u003e \u003cp\u003eDiabetes 137\u003c\/p\u003e \u003cp\u003eLifestyle Advice and Long-Term Follow-Up 137\u003c\/p\u003e \u003cp\u003eReferences 138\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 14 Pancreatic Resection 141\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eAlessandro Parente, Sarah Powell-Brett, and Keith J. Roberts\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eOverview of Surgical Procedures 141\u003c\/p\u003e \u003cp\u003ePancreatico-duodenectomy 142\u003c\/p\u003e \u003cp\u003eDistal Pancreatectomy 142\u003c\/p\u003e \u003cp\u003eTotal Pancreatectomy 142\u003c\/p\u003e \u003cp\u003eCentral Pancreatectomy 142\u003c\/p\u003e \u003cp\u003eDrainage Procedures 143\u003c\/p\u003e \u003cp\u003eImpact of Pancreatic Resection on Nutrition 143\u003c\/p\u003e \u003cp\u003ePre-operative Malnutrition and Pancreatic Exocrine Insufficiency 143\u003c\/p\u003e \u003cp\u003ePost-operative Pancreatic Exocrine Insufficiency 143\u003c\/p\u003e \u003cp\u003eConsequences of Pancreatic Exocrine Insufficiency and Malnutrition Following Pancreatic Resection 144\u003c\/p\u003e \u003cp\u003eOther Nutritional Considerations 145\u003c\/p\u003e \u003cp\u003eCommon Post-operative Complications and Their Nutritional Management 145\u003c\/p\u003e \u003cp\u003ePost-Pancreatectomy Haemorrhage 145\u003c\/p\u003e \u003cp\u003eDelayed Gastric Emptying 145\u003c\/p\u003e \u003cp\u003ePost-operative Pancreatic Fistula 145\u003c\/p\u003e \u003cp\u003eBile Leak 146\u003c\/p\u003e \u003cp\u003eChyle Leak 146\u003c\/p\u003e \u003cp\u003eLong-Term Management 146\u003c\/p\u003e \u003cp\u003eDiabetes after Pancreatic Surgery 146\u003c\/p\u003e \u003cp\u003ePancreatic Enzyme Replacement Therapy 146\u003c\/p\u003e \u003cp\u003eReferences 149\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 15 Liver Resection 153\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eNabeel Merali and Adam Frampton\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eLiver Physiology and Anatomy 153\u003c\/p\u003e \u003cp\u003ePre-operative Care 154\u003c\/p\u003e \u003cp\u003eEmbolisation 154\u003c\/p\u003e \u003cp\u003ePre-operative Nutrition 154\u003c\/p\u003e \u003cp\u003eSurgery 155\u003c\/p\u003e \u003cp\u003eIndications for Surgery 155\u003c\/p\u003e \u003cp\u003eContraindications to Surgery 155\u003c\/p\u003e \u003cp\u003eOperative Description 155\u003c\/p\u003e \u003cp\u003ePost-operative Care 156\u003c\/p\u003e \u003cp\u003ePost-operative Nutritional Support 156\u003c\/p\u003e \u003cp\u003ePost-operative Complications 156\u003c\/p\u003e \u003cp\u003eAscites 156\u003c\/p\u003e \u003cp\u003eIleus 156\u003c\/p\u003e \u003cp\u003eHaemorrhage 157\u003c\/p\u003e \u003cp\u003eBile Leak 157\u003c\/p\u003e \u003cp\u003eBile Reinfusion 157\u003c\/p\u003e \u003cp\u003eLiver Failure 157\u003c\/p\u003e \u003cp\u003eSmall-for-Size Syndrome 158\u003c\/p\u003e \u003cp\u003eConclusion 158\u003c\/p\u003e \u003cp\u003eReferences 160\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 16 Nutritional Management of the Urological Surgical Patient 162\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eGregory J. Nason, Wissam Abou Chedid, Matthew J.A. Perry, and Krishna Patil\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eOverview Of Surgical Procedure 162\u003c\/p\u003e \u003cp\u003eEnhanced Recovery after Surgery and Prehabilitation 163\u003c\/p\u003e \u003cp\u003eImpact On Nutrition 164\u003c\/p\u003e \u003cp\u003ePre-operative Nutritional Support 164\u003c\/p\u003e \u003cp\u003ePost-operative Nutrition 165\u003c\/p\u003e \u003cp\u003eCommon Post-operative Complications and Their Nutritional Management 165\u003c\/p\u003e \u003cp\u003eIleus 165\u003c\/p\u003e \u003cp\u003eMetabolic Acidosis 165\u003c\/p\u003e \u003cp\u003eAreas for Future Research 166\u003c\/p\u003e \u003cp\u003eReferences 166\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 17 Colorectal Surgery 169\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eMary E. Phillips and Jeremy R. Huddy\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003ePresentation and Aetiology 169\u003c\/p\u003e \u003cp\u003eColorectal Cancer 170\u003c\/p\u003e \u003cp\u003eInflammatory Bowel Disease 170\u003c\/p\u003e \u003cp\u003eOther Colorectal Conditions 173\u003c\/p\u003e \u003cp\u003eSmall Bowel Conditions 173\u003c\/p\u003e \u003cp\u003eSurgical Procedures 174\u003c\/p\u003e \u003cp\u003eNutritional Management in the Peri-operative Setting 174\u003c\/p\u003e \u003cp\u003eStoma Management 174\u003c\/p\u003e \u003cp\u003eHigh-Output Stoma 175\u003c\/p\u003e \u003cp\u003eLow-Residue Diet 175\u003c\/p\u003e \u003cp\u003eIleus 175\u003c\/p\u003e \u003cp\u003eShort Bowel Syndrome 175\u003c\/p\u003e \u003cp\u003eLong-Term Complications 176\u003c\/p\u003e \u003cp\u003eKidney Stones 176\u003c\/p\u003e \u003cp\u003eBile Acid Malabsorption 176\u003c\/p\u003e \u003cp\u003eLow Anterior Resection Syndrome 176\u003c\/p\u003e \u003cp\u003ePouchitis 176\u003c\/p\u003e \u003cp\u003eConclusion 176\u003c\/p\u003e \u003cp\u003eReferences 176\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 18 Nutritional Management of Gynaecological Cancer Patients 178\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eThanuya Mahendran, Maria Ashworth, Mary E. Phillips, and Jayanta Chatterjee\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eDietary Contribution to Gynaecological Malignancies 178\u003c\/p\u003e \u003cp\u003ePre-operative Malnutrition 179\u003c\/p\u003e \u003cp\u003ePre-operative Nutritional Support 179\u003c\/p\u003e \u003cp\u003eImmuno-nutrition 180\u003c\/p\u003e \u003cp\u003eOverview Of Surgical Procedures 181\u003c\/p\u003e \u003cp\u003eEndometrial Cancer 181\u003c\/p\u003e \u003cp\u003eCervical Cancer 181\u003c\/p\u003e \u003cp\u003eOvarian Cancer 181\u003c\/p\u003e \u003cp\u003ePrimary Debulking Surgery 181\u003c\/p\u003e \u003cp\u003eInterval Debulking Surgery 181\u003c\/p\u003e \u003cp\u003ePrimary or Interval Debulking Surgery with Bowel Resection and Stoma Formation 182\u003c\/p\u003e \u003cp\u003eBowel Obstruction and Palliative Resection 182\u003c\/p\u003e \u003cp\u003ePost-operative Complications and Impact on Nutrition 182\u003c\/p\u003e \u003cp\u003eChyle Leak 183\u003c\/p\u003e \u003cp\u003eShort Bowel Syndrome 183\u003c\/p\u003e \u003cp\u003eConclusion 183\u003c\/p\u003e \u003cp\u003eReferences 184\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 19 Major Trauma and Surgery 187\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eJennifer Wetherden and Evanna Leavy\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003ePhysiological Response to Injury 188\u003c\/p\u003e \u003cp\u003eRoutes of Nutrition 188\u003c\/p\u003e \u003cp\u003eNutritional Requirements 189\u003c\/p\u003e \u003cp\u003eOverview of Trauma Injuries and Surgeries 189\u003c\/p\u003e \u003cp\u003ePatient and Injury Characteristics 189\u003c\/p\u003e \u003cp\u003eTypes of Injury 189\u003c\/p\u003e \u003cp\u003eTypes of Surgery 190\u003c\/p\u003e \u003cp\u003eAbdominal Trauma 190\u003c\/p\u003e \u003cp\u003eMaxillofacial Trauma 191\u003c\/p\u003e \u003cp\u003eChest Trauma and Thoracic Surgery 191\u003c\/p\u003e \u003cp\u003eOrthopaedic Surgery 191\u003c\/p\u003e \u003cp\u003eCommon Post-operative Complications and Their Nutritional Management 192\u003c\/p\u003e \u003cp\u003eParalytic Ileus 192\u003c\/p\u003e \u003cp\u003eNutritional Losses 192\u003c\/p\u003e \u003cp\u003eLong-Term Nutritional Barriers and Complications 192\u003c\/p\u003e \u003cp\u003eImpaired Mobility 192\u003c\/p\u003e \u003cp\u003eWeight Management 193\u003c\/p\u003e \u003cp\u003eMicronutrients and Wound Healing 193\u003c\/p\u003e \u003cp\u003eAreas For Future Research 193\u003c\/p\u003e \u003cp\u003eReferences 196\u003c\/p\u003e \u003cp\u003e\u003cb\u003eSection 4 Consequences of Surgery 199\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 20 Bowel Obstruction and Dysfunction in Benign and Malignant Disease 201\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eLindsey Allan and Naomi Westran\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eParalytic Ileus 201\u003c\/p\u003e \u003cp\u003eDiagnosis and Incidence 201\u003c\/p\u003e \u003cp\u003eCauses and Risk Factors 202\u003c\/p\u003e \u003cp\u003eManagement 203\u003c\/p\u003e \u003cp\u003eBowel Obstruction 203\u003c\/p\u003e \u003cp\u003eCauses and Incidence 203\u003c\/p\u003e \u003cp\u003eDiagnosis 204\u003c\/p\u003e \u003cp\u003eSurgical Management 204\u003c\/p\u003e \u003cp\u003eNutritional Management 204\u003c\/p\u003e \u003cp\u003eAreas for Future Research 206\u003c\/p\u003e \u003cp\u003eReferences 206\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 21 Intestinal Failure and Rehabilitation 210\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eAlison Culkin\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eManagement 211\u003c\/p\u003e \u003cp\u003eSepsis 211\u003c\/p\u003e \u003cp\u003eNutrition Assessment 211\u003c\/p\u003e \u003cp\u003eNutrition Support 212\u003c\/p\u003e \u003cp\u003eFluid and Electrolytes 213\u003c\/p\u003e \u003cp\u003eParenteral Nutrition 213\u003c\/p\u003e \u003cp\u003eEnteral Nutrition 213\u003c\/p\u003e \u003cp\u003eOral Nutrition 214\u003c\/p\u003e \u003cp\u003eAnatomy 215\u003c\/p\u003e \u003cp\u003eSurgical Management 215\u003c\/p\u003e \u003cp\u003ePrehabilitation 215\u003c\/p\u003e \u003cp\u003eLong-Term\u003c\/p\u003e \u003cp\u003eNutritional Consequences 215\u003c\/p\u003e \u003cp\u003eRenal Issues 215\u003c\/p\u003e \u003cp\u003eIntestinal Failure–Associated Liver Disease 216\u003c\/p\u003e \u003cp\u003eMicronutrient Deficiencies 216\u003c\/p\u003e \u003cp\u003eAreas for Future Research 216\u003c\/p\u003e \u003cp\u003eReferences 218\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 22 Nutritional Biochemistry in the Post-operative Patient 220\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eCallum Livingstone\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eTrace Elements 221\u003c\/p\u003e \u003cp\u003eZinc (Zn) 221\u003c\/p\u003e \u003cp\u003eCopper (Cu) 225\u003c\/p\u003e \u003cp\u003eSelenium (Se) 226\u003c\/p\u003e \u003cp\u003eManganese (Mn) 226\u003c\/p\u003e \u003cp\u003eIron (Fe) 227\u003c\/p\u003e \u003cp\u003eVitamins 227\u003c\/p\u003e \u003cp\u003eThiamine (Vitamin B1) 231\u003c\/p\u003e \u003cp\u003eVitamin B12 (Cyanocobalamin) 231\u003c\/p\u003e \u003cp\u003eFolate 231\u003c\/p\u003e \u003cp\u003eVitamin A 232\u003c\/p\u003e \u003cp\u003eVitamin D 232\u003c\/p\u003e \u003cp\u003eVitamin E 233\u003c\/p\u003e \u003cp\u003eConclusion 234\u003c\/p\u003e \u003cp\u003eReferences 235\u003c\/p\u003e \u003cp\u003e\u003cb\u003eSection 5 Consolidate Your Learning 239\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 23 Test Yourself 241\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIndex 245\u003c\/p\u003e I was delighted to be able to include the newly published \u003ci\u003eNutritional Management of the Surgical Patient\u003c\/i\u003e on our MSc in Nutrition and Dietetics reading list. Not only is it going to be a fantastic resource and evidence-based text to support our dietetic learners during their studies, but for those who progress into clinical and surgical dietetics, I foresee it being a resource that will support their everyday practice.\u003cbr\u003e\u003cbr\u003e\u003cb\u003eJoanne Black, Programme Director for MSc Nutrition and Dietetics at the University of Hull\u003c\/b\u003e  \u003cp\u003e\u003cb\u003eMary E. Phillips, OStJ BSc (Hons), RD DipADP\u003c\/b\u003e is an Advanced Clinical Practitioner and Senior Specialist Dietitian in Hepato-Pancreatico-Biliary Surgery, Royal Surrey NHS Foundation Trust, Guildford, UK.   \u003c\/p\u003e\u003cp\u003e\u003cb\u003eManage patient diet and nutrition with this comprehensive guide\u003c\/b\u003e \u003c\/p\u003e\u003cp\u003e\u003ci\u003eNutritional Management of the Surgical Patient\u003c\/i\u003e provides the first comprehensive evidence-based overview of the nutritional and dietary therapies for surgical patients. It takes clinicians through every stage of surgery, from pre-operative and immediate post-operative care, through to long term recovery and survivorship. This book describes the impact of surgical procedures and their complications and the effect these have on nutritional status as well as the nutritional strategies utilised to manage patients in these settings. The result is a valuable survey of this essential aspect of surgery. \u003c\/p\u003e\u003cp\u003e\u003ci\u003eNutritional Management of the Surgical Patient\u003c\/i\u003e features case studies which capture both typical patients and the more unusual cases to help clinicians understand the impact of nutrition in both circumstances. The textbook also details a range of surgical procedures to support underpinning knowledge of the mechanism behind nutritional intervention.  \u003c\/p\u003e\u003cp\u003eReaders will also find: \u003c\/p\u003e\u003cul\u003e\n\u003cli\u003eConsideration in each chapter of both short- and long-term nutritional management\u003c\/li\u003e \u003cli\u003eDiscussion of potential long-term complications such as small intestinal bacterial overgrowth, bile acid diarrhoea, micronutrient deficiencies and osteoporosis\u003c\/li\u003e \u003cli\u003eQuestions to support consolidation of knowledge and promote understanding in clinical context\u003c\/li\u003e\n\u003c\/ul\u003e \u003cp\u003e\u003ci\u003eNutritional Management of the Surgical Patient\u003c\/i\u003e is a must-have for surgeons, surgical dietitians, trainees and all healthcare professionals involved in the care of surgical patients.\u003c\/p\u003e","brand":"Wiley-Blackwell","offers":[{"title":"Default Title","offer_id":47989706129637,"sku":"NP9781119809098","price":70.0,"currency_code":"USD","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1842\/7735\/files\/9781119809098.jpg?v=1761785182","url":"https:\/\/k12savings.com\/es\/products\/nutritional-management-of-the-surgical-patient-isbn-9781119809098","provider":"K12savings","version":"1.0","type":"link"}