ESPEN Guidelines on Enteral Nutrition: Surgery including Organ Transplantation

A. Weimann, M. Braga, L. Harsanyi, A. Laviano, O. Ljungqvist, P. Soeters, K. W. Jauch, M. Kemen, J. M. Hiesmayr, T. Horbach, E. R. Kuse, K. H. Vestweber

Research output: Contribution to journalArticle

730 Citations (Scopus)

Abstract

Enhanced recovery of patients after surgery ("ERAS") has become an important focus of perioperative management. From a metabolic and nutritional point of view, the key aspects of perioperative care include:•avoidance of long periods of pre-operative fasting;•re-establishment of oral feeding as early as possible after surgery;•integration of nutrition into the overall management of the patient;•metabolic control, e.g. of blood glucose;•reduction of factors which exacerbate stress-related catabolism or impair gastrointestinal function;•early mobilisation. Enteral nutrition (EN) by means of oral nutritional supplements (ONS) and if necessary tube feeding (TF) offers the possibility of increasing or ensuring nutrient intake in cases where food intake is inadequate. These guidelines are intended to give evidence-based recommendations for the use of ONS and TF in surgical patients. They were developed by an interdisciplinary expert group in accordance with officially accepted standards and are based on all relevant publications since 1980. The guideline was discussed and accepted in a consensus conference. EN is indicated even in patients without obvious undernutrition, if it is anticipated that the patient will be unable to eat for more than 7 days perioperatively. It is also indicated in patients who cannot maintain oral intake above 60% of recommended intake for more than 10 days. In these situations nutritional support should be initiated without delay. Delay of surgery for preoperative EN is recommended for patients at severe nutritional risk, defined by the presence of at least one of the following criteria: weight loss >10-15% within 6 months, BMI2, Subjective Global Assessment Grade C, serum albumin

Original languageEnglish
Pages (from-to)224-244
Number of pages21
JournalClinical Nutrition
Volume25
Issue number2
DOIs
Publication statusPublished - Apr 2006

Fingerprint

Enteral Nutrition
Organ Transplantation
Guidelines
Perioperative Care
Early Ambulation
Nutritional Support
Serum Albumin
Malnutrition
Blood Glucose
Publications
Weight Loss
Fasting
Consensus
Eating
Food

Keywords

  • Clinical practice
  • Complications
  • Enteral nutrition
  • Guideline
  • Malnutrition
  • Nutrition and transplantation
  • Oral nutritional supplements
  • Perioperative nutrition
  • Surgery
  • Tube feeding
  • Undernutrition

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Endocrinology, Diabetes and Metabolism
  • Gastroenterology
  • Health Professions(all)
  • Medicine (miscellaneous)

Cite this

Weimann, A., Braga, M., Harsanyi, L., Laviano, A., Ljungqvist, O., Soeters, P., ... Vestweber, K. H. (2006). ESPEN Guidelines on Enteral Nutrition: Surgery including Organ Transplantation. Clinical Nutrition, 25(2), 224-244. https://doi.org/10.1016/j.clnu.2006.01.015

ESPEN Guidelines on Enteral Nutrition : Surgery including Organ Transplantation. / Weimann, A.; Braga, M.; Harsanyi, L.; Laviano, A.; Ljungqvist, O.; Soeters, P.; Jauch, K. W.; Kemen, M.; Hiesmayr, J. M.; Horbach, T.; Kuse, E. R.; Vestweber, K. H.

In: Clinical Nutrition, Vol. 25, No. 2, 04.2006, p. 224-244.

Research output: Contribution to journalArticle

Weimann, A, Braga, M, Harsanyi, L, Laviano, A, Ljungqvist, O, Soeters, P, Jauch, KW, Kemen, M, Hiesmayr, JM, Horbach, T, Kuse, ER & Vestweber, KH 2006, 'ESPEN Guidelines on Enteral Nutrition: Surgery including Organ Transplantation', Clinical Nutrition, vol. 25, no. 2, pp. 224-244. https://doi.org/10.1016/j.clnu.2006.01.015
Weimann, A. ; Braga, M. ; Harsanyi, L. ; Laviano, A. ; Ljungqvist, O. ; Soeters, P. ; Jauch, K. W. ; Kemen, M. ; Hiesmayr, J. M. ; Horbach, T. ; Kuse, E. R. ; Vestweber, K. H. / ESPEN Guidelines on Enteral Nutrition : Surgery including Organ Transplantation. In: Clinical Nutrition. 2006 ; Vol. 25, No. 2. pp. 224-244.
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