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The feeding practices of post - operative gastrointestinal patients in Hanoi medical university hospital, Vietnam

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This study aimed to describe the feeding practices and evaluate the dietary intake during the first 7 post-operative GI days of patients. Subjects (n = 82) were post-operative GI patients undergoing care by the Surgery department and Oncology and Palliative Care Department in Hanoi Medical Uninversity Hospital, from 2015 to 2016. The nutritional intake during the first 7 post-operative GI days, types, and routes of nutritional regimens, were assessed. | JOURNAL OF MEDICAL RESEARCH THE FEEDING PRACTICES OF POST - OPERATIVE GASTROINTESTINAL PATIENTS IN HANOI MEDICAL UNIVERSITY HOSPITAL, VIETNAM Linh Nguyen Thuy, Thao Tran Phuong, Phuong Duong Thi Hanoi Medical University In recent years, the feeding practices of post-operative gastrointestinal (GI) patients have begun to be examined more in-depth. This study aimed to describe the feeding practices and evaluate the dietary intake during the first 7 post-operative GI days of patients. Subjects (n = 82) were post-operative GI patients undergoing care by the Surgery department and Oncology and Palliative Care Department in Hanoi Medical Uninversity Hospital, from 2015 to 2016. The nutritional intake during the first 7 post-operative GI days, types, and routes of nutritional regimens, were assessed. The average time of total parenteral nutrition was 83 hours (about 3.46 days). In which, minimum time was 24 hours (1 day) and maximum one was 168 hours (7 days). The mean calories and protein of TPN were 17.5 kcal/kg Ideal Body Weight/day and 0.5 g/kg IBW/ day, respectively. The ratio of calories from carbohydrates, lipid and protein of TPN were 48.8; 39.3; 11.9%, respectively. The energy consumption (kcal/kg IBW) had tended to rise in the following days. They were 13.8 kcal/kg IBW (the 1st post-operative day), 20.3 kcal/kg IBW (the 3rd post-operative day) and 23.7 kcal/kg IBW (the 7th post-operative day). On the 7th post-operative day, the calories ratio of carbohydrates, lipid and protein were about 57; 30; 13, respectively. Total calories and protein intake of post-operative GI patients were lower than the recommendation . The calories ratio of protein, lipid and carbohydrates intake were suboptimal. EN was used late for post-operative GI patients, TPN was quite popular and was held for a long time. Keywords: Feeding practices, Post-operative gastrointestinal, Hanoi Medical University Hospital, Vietnam Abbreviations: OPCD = Oncology and Palliative Care Department, HMUH

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