Role of immunonutrition in major elective abdominal surgery

Jeyalakshmi, K (2016) Role of immunonutrition in major elective abdominal surgery. Masters thesis, Stanley Medical College, Chennai.

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Abstract

INTRODUCTION: Surgery, infection, injury and stress all these factors pose a catabolic state by the presence of an inflammation and thereby depletion of conditionally essential nutrients leading to increase in the risk of postoperative complications and eventually delay the recovery and enhance the overall morbidity of the surgical patients. AIM: The study aims to investigate the effect of Immunonutrients on patients undergoing Elective Major Gastrointestinal surgery by assessment of changes in the clinical outcome in terms of postoperative complications compared to a normal diet. MATERIALS AND METHODOLOGY: A prospective non randomnized study which included 50 patients who underwent major elective GI surgery for both benign and malignant diseases with IMN supplementation. The study group n=50 where administered 30 gms of IMN formula three times a day for 5 days preoperatively by oral route. The control group were given a normal diet during the study period. The preoperative variables measured were weight, BMI. The post operative variables are the primary outcomes of infectious complications such as SSI, UTI, pneumonia ,wound abscess and anastomotic leaks were recorded in the prescribed proforma. CONCLUSION: The study outcome has proved a beneficial reduction of infectious complications and substantial improvement with the immunonutrient formula and it emphazies the subset of malnourised patients are markedly benefitted.

Item Type: Thesis (Masters)
Uncontrolled Keywords: immunonutrition ; major elective ; abdominal surgery.
Subjects: MEDICAL > General Surgery
Depositing User: Subramani R
Date Deposited: 27 Sep 2017 02:21
Last Modified: 27 Sep 2017 02:21
URI: http://repository-tnmgrmu.ac.in/id/eprint/3379

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