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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Prof. Dr. Arved Weimann
Klinik für Allgemein- und Visceralchirurgie, Klinikum St. Georg gGmbH
Delitzscher Str. 141
04129 Leipzig
Telefon: 0341/909-2200
Fax: 0341/909-2234
eMail: Arved.Weimann@sanktgeorg.de
