Nutritional Management of the Surgical Patient 1st Edition

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 CHRONIC KIDNEY DISEASE
REFERENCES
CHATPER 11: Nutritional Management of the Surgical
Patient
COMMON OPERATIONS AND THEIR ANATOMY
NUTRITIONAL MANAGEMENT OF EARLY
COMPLICATIONS
REFERENCES
CHATPER 12: Endoscopic Procedures and Their
Implications for Nutrition
ENDOSCOPIC PROCEDURES
COMPLICATIONS
LONG‐TERM MANAGEMENT
REFERENCES
CHATPER 13: Pancreatitis
TYPES OF PANCREATITIS
SURGICAL PROCEDURES FOR ACUTE
PANCREATITIS
SURGICAL PROCEDURES FOR CHRONIC
PANCREATITIS
NUTRITIONAL MANAGEMENT OF ACUTE
PANCREATITIS
NUTRITIONAL MANAGEMENT OF CHRONIC
PANCREATITIS
REFERENCES
CHATPER 14: Pancreatic Resection
OVERVIEW OF SURGICAL PROCEDURES
IMPACT OF PANCREATIC RESECTION ON
NUTRITION
COMMON POST‐OPERATIVE COMPLICATIONS
AND THEIR NUTRITIONAL MANAGEMENT
LONG‐TERM MANAGEMENT
 REFERENCES
CHATPER 15: Liver Resection
LIVER PHYSIOLOGY AND ANATOMY
PRE‐OPERATIVE CARE
SURGERY
POST‐OPERATIVE CARE
CONCLUSION
REFERENCES
CHATPER 16: Nutritional Management of the Urological
Surgical Patient
OVERVIEW OF SURGICAL PROCEDURE
ENHANCED RECOVERY AFTER SURGERY AND
PREHABILITATION
IMPACT ON NUTRITION
COMMON POST‐OPERATIVE COMPLICATIONS
AND THEIR NUTRITIONAL MANAGEMENT
AREAS FOR FUTURE RESEARCH
REFERENCES
CHATPER 17: Colorectal Surgery
PRESENTATION AND AETIOLOGY
SURGICAL PROCEDURES
NUTRITIONAL MANAGEMENT IN THE PERI‐
OPERATIVE SETTING
LONG‐TERM COMPLICATIONS
CONCLUSION
REFERENCES
CHATPER 18: Nutritional Management of Gynaecological
Cancer Patients
DIETARY CONTRIBUTION TO GYNAECOLOGICAL
MALIGNANCIES
PRE‐OPERATIVE MALNUTRITION
 PRE‐OPERATIVE NUTRITIONAL SUPPORT
OVERVIEW OF SURGICAL PROCEDURES
POST‐OPERATIVE COMPLICATIONS AND IMPACT
ON NUTRITION
CONCLUSION
REFERENCES
CHATPER 19: Major Trauma and Surgery
PHYSIOLOGICAL RESPONSE TO INJURY
ROUTES OF NUTRITION
NUTRITIONAL REQUIREMENTS
OVERVIEW OF TRAUMA INJURIES AND
SURGERIES
COMMON POST‐OPERATIVE COMPLICATIONS
AND THEIR NUTRITIONAL MANAGEMENT
LONG‐TERM NUTRITIONAL BARRIERS AND
COMPLICATIONS
AREAS FOR FUTURE RESEARCH
REFERENCES
SECTION 4: CONSEQUENCES OF SURGERY
CHATPER 20: Bowel Obstruction and Dysfunction in
Benign and Malignant Disease
PARALYTIC ILEUS
DIAGNOSIS AND INCIDENCE
CAUSES AND RISK FACTORS
MANAGEMENT
BOWEL OBSTRUCTION
AREAS FOR FUTURE RESEARCH
REFERENCES
CHATPER 21: Intestinal Failure and Rehabilitation
MANAGEMENT
LONG‐TERM NUTRITIONAL CONSEQUENCES
 AREAS FOR FUTURE RESEARCH
REFERENCES
CHATPER 22: Nutritional Biochemistry in the Post‐
operative Patient
TRACE ELEMENTS
VITAMINS
CONCLUSION
REFERENCES
SECTION 5: CONSOLIDATE YOUR LEARNING
CHATPER 23: Test Yourself
INDEX
END USER LICENSE AGREEMENT

List of Tables
Chapter 2
TABLE 2.1 Body composition compartments.
TABLE 2.2 Nutrition‐related syndromes.
TABLE 2.3 Summary of commonly used nutrition screening
tools.
TABLE 2.4 Summary of nutritional and functional
markers/indices.
Chapter 3
TABLE 3.1 Aetiology of malnutrition in surgical patients.
Chapter 5
TABLE 5.1 Core elements of enhanced recovery after
surgery (ERAS) care, with...
Chapter 7
TABLE 7.1 Causes of anaemia.
TABLE 7.2 Interpretation of serum ferritin levels.
 TABLE 7.3 Causes of electrolyte abnormalities.
TABLE 7.4 Risk factors for refeeding syndrome.
Chapter 8
TABLE 8.1 Summary of European Society of Intensive Care
Medicine (ESICM) gui...
TABLE 8.2 Common predictive equations used in critical
care.
TABLE 8.3 Factors influencing resting energy expenditure
(REE).
TABLE 8.4 Protein recommendations for various clinical
conditions in critica...
Chapter 9
TABLE 9.1 Nutritional management of post‐operative
surgical complications.
Chapter 10
TABLE 10.1 Healthy diet characteristics.
Chapter 11
TABLE 11.1 Summary of enhanced recovery after surgery
nutritional recommenda...
Chapter 13
TABLE 13.1 Considerations for nutritional screening in
patients with pancrea...
Chapter 17
TABLE 17.1 Colorectal and small bowel operations.
Chapter 18
TABLE 18.1 Dietary contributions to gynaecological
malignancies.
TABLE 18.2 Factors contributing to pre‐operative
malnutrition in gynaecologi...
Chapter 19
 TABLE 19.1 Nutritional composition of fluid losses.
Chapter 20
TABLE 20.1 Royal Surrey four‐step bowel obstruction diet.
Chapter 21
TABLE 21.1 Clinical monitoring requirements of patients
with intestinal fail...
TABLE 21.2 Recommendations on fluid and electrolyte
requirements for patient...
TABLE 21.3 Dietary management of short bowel intestinal
failure.
Chapter 22
TABLE 22.1 Causes of abnormal trace element levels.
TABLE 22.2 Interpreting serum Fe profile results.
TABLE 22.3 Causes of abnormal vitamin levels.

List of Illustrations
Chapter 6
FIGURE 6.1 Anatomical terminology.
FIGURE 6.2 Rockwood score. IADL, instrumental activities
of daily living....
Chapter 9
FIGURE 9.1 Anatomy of the head and neck.
Chapter 11
FIGURE 11.1 Anatomy of an Ivor Lewis oesophagectomy
with gastric conduit and...
Chapter 12
FIGURE 12.1 Coronal view computed tomography scan
showing dilated stomach an...
 FIGURE 12.2 Endoscopic ultrasound image showing cyst.
FIGURE 12.3 Computed tomography image demonstrating
position of lumen‐apposi...
Chapter 13
FIGURE 13.1 Computed tomographic image of extensive
pancreatic collection.
Chapter 14
FIGURE 14.1 Summary of common factors related to
malnutrition and pancreatic...
Chapter 15
FIGURE 15.1 Anatomy of the liver.
FIGURE 15.2 Computed tomographic image of bile leak
following liver resectio...
Chapter 18
FIGURE 18.1 Ovarian mass occupying most of the abdomen
and pelvis and compre...
Chapter 21
FIGURE 21.1 Diagram of ongoing losses.
Nutritional Managementof the
Surgical Patient

Edited by

Mary E. Phillips OStJ BSc (Hons) RD DipADP

Advanced Clinical Practitioner and Senior Specialist Dietitian
(Hepato‐Pancreatico‐Biliary Surgery)
Royal Surrey NHS Foundation Trust
Guildford, UK
This edition first published 2023
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Library of Congress Cataloging‐in‐Publication Data
Names: Phillips, Mary E. (Mary Elizabeth), editor.
Title: Nutritional management of the surgical patient / [edited by] Mary E. Phillips.
Description: Hoboken, NJ : Wiley‐Blackwell, 2023. | Includes index. | Summary: “Nutrition
in the surgical patient explains the role of clinical nutrition in patients undergoing surgery
to their gastro‐intestinal tract and within the thoracic and abdominal cavities. This book will
provide an overview of assessment, current practice and considerations in the management
of the surgical patient for clinicians working in clinical nutrition”– Provided by publisher.
Identifiers: LCCN 2023003632 (print) | LCCN 2023003633 (ebook) | ISBN 9781119809098
(paperback) | ISBN 9781119809104 (adobe pdf) | ISBN 9781119809111 (epub) | ISBN
9781119809128 (obook)
Subjects: MESH: Nutrition Therapy | Perioperative Care | Nutrition Assessment |
Nutritional Status
Classification: LCC RM217 (print) | LCC RM217 (ebook) | NLM WB 400 | DDC 615.8/54–
dc23/eng/20230317
LC record available at https://lccn.loc.gov/2023003632
LC ebook record available at https://lccn.loc.gov/2023003633
Cover Design: Wiley
Cover Images: © David Malan/Getty Images; DIGICOMPHOTO/Getty Images
Contributors
Lindsey Allan
Department of Nutrition and Dietetics
Royal Surrey NHS Foundation Trust
Guildford, UK
Maria Ashworth
Academic Department of Gynae‐oncology
Royal Surrey NHS Foundation Trust
Guildford, UK
Neil Bibby
Department of Nutrition and Dietetics
Manchester University Hospitals NHS Foundation Trust
Manchester, UK
Jayanta Chatterjee
Academic Department of Gynae‐oncology
Royal Surrey NHS Foundation Trust
Guildford, UK
Wissam Abou Chedid
Department of Urology
Royal Surrey NHS Foundation Trust
Guildford, UK
Alison Culkin
Department of Nutrition and Dietetics
St Mark’s Hospital
London Northwest Healthcare University Trust
London, UK
Nárbhla Donnelly
Department of Nutrition and Dietetics
Guy’s and St Thomas’ NHS Foundation Trust;
Department of Nutrition and Dietetics
The Royal London Hospital
Barts Health NHS Trust
London, UK
Adam Frampton
Department of HPB Surgery
Royal Surrey NHS Foundation Trust
Guildford, UK
Oonagh Griffin
Department of Nutrition and Dietetics
St Vincent’s University Hospital;
School of Physiotherapy, Public Health and Sports Science
University College Dublin
Dublin, Ireland
Fiona Huddy
Department of Nutrition and Dietetics
Royal Surrey NHS Foundation Trust
Guildford, UK
Jeremy R. Huddy
Department of Surgery
Frimley Health NHS Trust
Camberley, UK
Chris Jones
Department of Anaesthetics
Royal Surrey NHS Foundation Trust
Guildford, UK
Rajiv Lahiri
Department of HPB Surgery
Royal Surrey NHS Foundation Trust
Guildford, UK
Anne Langan
Department of Nutrition and Dietetics
Guy’s and St Thomas’ NHS Foundation Trust;
Department of Nutrition and Dietetics
The Royal London Hospital
Barts Health NHS Trust
London, UK
Evanna Leavy
Intestinal Failure & Gastrointestinal Surgery
St George’s University Hospitals NHS Foundation Trust
London, UK
John S. Leeds
HPB Unit
Freeman Hospital;
Population Health Sciences Institute
Newcastle University
Newcastle upon Tyne, UK
Callum Livingstone
Clinical Biochemistry Department
Royal Surrey NHS Foundation Trust
Guildford, UK
Rebekah Lord
Department of Nutrition and Dietetics
Manchester University Hospitals NHS Foundation Trust
Manchester, UK
Thanuya Mahendran
Academic Department of Gynae‐oncology
Royal Surrey NHS Foundation Trust
Guildford, UK
Ashleigh Maske
Department of Nutrition and Dietetics
Manchester University Hospitals NHS Foundation Trust
Manchester, UK
Helen McNamara
Department of Occupational Therapy
Royal Surrey NHS Foundation Trust
Guildford, UK
Nabeel Merali
Department of HPB Surgery
Royal Surrey NHS Foundation Trust
Guildford, UK
Gregory J Nason
Department of Urology
Royal Surrey NHS Foundation Trust
Guildford, UK
Ann‐Marie Nixon
Department of Nutrition and Dietetics
Wythenshawe Hospital
Manchester University NHS Foundation Trust
Manchester, UK
Katy O’Rourke
Department of Anaesthetics
Royal Surrey NHS Foundation Trust
Guildford, UK
Alessandro Parente
Department of Hepatopancreatobiliary
Surgery and Liver Transplantation
University Hospitals Birmingham
NHS Foundation Trust
Birmingham, UK;
Institute of Immunology and Immunotherapy
University of Birmingham
Birmingham, UK
Rupal Patel
Department of Nutrition and Dietetics
Royal Brompton and Harefield Hospitals
Guy’s and St Thomas’ NHS Foundation Trust
London, UK
Krishna Patil
Department of Urology
Royal Surrey NHS Foundation Trust
Guildford, UK
Matthew J.A. Perry
Department of Urology
Royal Surrey NHS Foundation Trust
Guildford, UK
Mary E. Phillips
Department of Nutrition and Dietetics
Royal Surrey NHS Foundation Trust
Guildford, UK
Sarah Powell‐Brett
Department of Hepatopancreatobiliary Surgery and Liver
Transplantation
University Hospitals Birmingham NHS Foundation Trust
Birmingham, UK
Charles Rayner
Department of Surgery
Royal Surrey NHS Foundation Trust
Guildford, UK
Keith J. Roberts
Department of Hepatopancreatobiliary Surgery and Liver
Transplantation, University Hospitals Birmingham NHS Foundation
Trust Birmingham, UK;
Institute of Immunology and Immunotherapy University of
Birmingham
Birmingham, UK
Cathy Skea
Clinical Lead Dietitian
Department of Nutrition and Dietetics
Royal Victoria Hospital, Belfast
Belfast Health and Social Care Trust
Belfast, Northern Ireland
Sara Smith
School of Health Sciences
Queen Margaret University
Edinburgh, UK
Naomi Westran
Department of Nutrition and Dietetics
Royal Surrey NHS Foundation Trust
Guildford, UK
Jennifer Wetherden
Major Trauma & Critical Care
St George’s University Hospitals NHS Foundation Trust
London, UK
SECTION 1
INTRODUCTION