臨床外科66巻6号

2011年06月発行

特集 栄養療法―最新の知見と新たな展開

〔周術期の栄養療法〕

術後栄養管理のありかた

著者： 福島亮治¹ 井上泰介¹ 小川越史¹ 堀川昌宏¹ 小出泰平¹ 山崎江里子¹ 岩崎晃太¹ 飯沼久恵¹ 稲葉毅¹

所属機関： ¹帝京大学医学部外科

ページ範囲：P.750 - P.755

文献概要

【ポイント】

◆術後に積極的な栄養管理（artificial nutrition）を必要とするのは，術前から低栄養に陥っている患者，および術後7～10日以上にわたり十分な経口摂取が障害されることが予想される場合である．

◆術後のartificial nutritionを必要とする場合は，術後24（36）時間以内の早期経腸栄養を開始することが望ましい．

◆消化器外科手術でも多くの症例で術後早期からの経口摂取が可能であること，また必ずしも流動食から食事を開始する必要がないことが明らかとなってきている．

参考文献

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