Fast-Track-Chirurgie und Probleme beim frühen postoperativen Kostaufbau

Zusammenfassung

Mit dem Ziel, die postoperative Erholung des chirurgischen Patienten zu verbessern, hat das sogenannte ERAS- oder Fast-Track-Konzept eine Revolution in der Chirurgie eingeleitet. Das Konzept wird aus der ernährungsmedizinischen Sicht dargestellt, Probleme des postoperativen Kostaufbaus und die medikamentösen Optionen zur Behandlung der gastrointestinalen Dysmotilität werden diskutiert.

Abstract

In order to enhance recovery after surgery a multidisciplinary approach, the so-called ERAS- or Fast-Track-concept can be considered a surgical revolution. From a nutritional point of view this concept is presented and discussed with regard to special problems of early postoperative oral nutritional food uptake and medical treatment options to overcome gastrointestinal dysmotility.

Schlüsselwörter

Fast-Track-Chirurgie - postoperative Darmatonie - postoperativer Kostaufbau

Key words

Fast-Track-surgery - postoperative ileus - postoperative oral food intake

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