炎症性肠病患者围手术期营养治疗策略  

Perioperative nutritional strategies in patients with inflammatory bowel disease

作　　者：杨俊[1] 秦环龙[2] Yang Jun Qin Huanlong(Shanghai Sixth People＇s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China Shanghai Tenth People＇s Hospital Affiliated to Tong Ji University, Shanghai 200072, China)

机构地区：[1]上海交通大学附属第六人民医院普外科,200233 [2]同济大学附属第十人民医院外科,上海200072

出　　处：《中华结直肠疾病电子杂志》2017年第4期290-293,共4页Chinese Journal of Colorectal Diseases(Electronic Edition)

摘　　要：炎性肠病(IBD),包括克罗恩病和溃疡性结肠炎,是以肠道炎症为特征的一组疾病。IBD患者常需要外科手术干预,但疾病伴随的营养不良可能带来不良预后。多数研究显示围手术期营养治疗可以减少IBD患者手术风险和术后并发症,但如何实施最佳的围手术期营养仍须进一步研究。Inflammatory bowel diseases（IBD）, including Crohn′s disease and ulcerative colitis are chronic, life-long, and relapsing diseases of the gastrointestinal tract. Surgical interventions are often necessary in the treatment of IBD. Malnutrition which is common may increase the likelihood of poor surgical outcomes. Although enteral nutrition（EN） is considered the preferred nutrition support modality when the gastrointestinal tract is accessible and functional, parenteral nutrition（PN） may provide a suitable alternative when the use of EN is not feasible. Although results appear promising, additional, larger studies are necessary to improve our understanding of the benefits of perioperative nutritional support in patients with IBD.

关 键 词：克罗恩病 溃疡性结肠炎 围手术期 营养 

分 类 号：R656[医药卫生—外科学]