PDF(Pubmed)
Abstract：
UNASSIGNED: Caustic injuries remain a major public health concern. Nutritional status plays a pivotal role in determining the outcome. Unfortunately, nutritional care guidelines are not widely implemented in clinical practice, and decisions are often based on prior experience and local policies.
UNASSIGNED: We present the case of an 83-year-old man who accidentally ingested alkali, resulting in severe caustic injury and subsequent complications that further deteriorated his nutritional status. The management of esophageal strictures necessitated constant adjustments to the nutritional strategies employed. The clinical evaluation revealed protein and energy malnutrition, accompanied by type 2 intestinal failure. However, with individually tailored parenteral nutritional therapy, a significant improvement in the patient\'s nutritional status was observed.
UNASSIGNED: Recognizing that caustic injuries increase metabolic demands, a comprehensive and active nutritional assessment is crucial, focusing on the need for adequate energy, high protein intake, and an appropriate feeding route. In cases of acute or prolonged type 2 intestinal failure with insufficient oral or enteral nutrition, parenteral feeding should be the primary therapy. Effective management of caustic injuries requires a multidisciplinary and multicenter approach, integrating nutritional evaluation, including body composition measurements, into the clinical algorithm. Early initiation of nutritional therapy is vital to prevent chronic intestinal failure.
UNASSIGNED: We present the case of an 83-year-old man who accidentally ingested alkali, resulting in severe caustic injury and subsequent complications that further deteriorated his nutritional status. The management of esophageal strictures necessitated constant adjustments to the nutritional strategies employed. The clinical evaluation revealed protein and energy malnutrition, accompanied by type 2 intestinal failure. However, with individually tailored parenteral nutritional therapy, a significant improvement in the patient\'s nutritional status was observed.
UNASSIGNED: Recognizing that caustic injuries increase metabolic demands, a comprehensive and active nutritional assessment is crucial, focusing on the need for adequate energy, high protein intake, and an appropriate feeding route. In cases of acute or prolonged type 2 intestinal failure with insufficient oral or enteral nutrition, parenteral feeding should be the primary therapy. Effective management of caustic injuries requires a multidisciplinary and multicenter approach, integrating nutritional evaluation, including body composition measurements, into the clinical algorithm. Early initiation of nutritional therapy is vital to prevent chronic intestinal failure.
摘要：
■苛性伤害仍然是主要的公共卫生问题。营养状况在决定结局方面起着关键作用。不幸的是,营养护理指南在临床实践中没有广泛实施，和决策通常基于先前的经验和当地政策。
■我们介绍了一个83岁男子意外摄入碱的案例，导致严重的苛性损伤和随后的并发症，进一步恶化了他的营养状况。食道狭窄的管理需要不断调整所采用的营养策略。临床评估显示蛋白质和能量营养不良，伴有2型肠衰竭。然而,通过个性化的肠外营养治疗，观察到患者的营养状况有显著改善。
■认识到腐蚀性损伤会增加代谢需求，全面和积极的营养评估至关重要，专注于对充足能源的需求，高蛋白摄入量，和适当的喂养路线。在口服或肠内营养不足的急性或长期2型肠衰竭的情况下，肠胃外喂养应该是主要的治疗方法。苛性损伤的有效管理需要多学科和多中心的方法，整合营养评估，包括身体成分测量，进入临床算法。早期开始营养治疗对于预防慢性肠衰竭至关重要。
■我们介绍了一个83岁男子意外摄入碱的案例，导致严重的苛性损伤和随后的并发症，进一步恶化了他的营养状况。食道狭窄的管理需要不断调整所采用的营养策略。临床评估显示蛋白质和能量营养不良，伴有2型肠衰竭。然而,通过个性化的肠外营养治疗，观察到患者的营养状况有显著改善。
■认识到腐蚀性损伤会增加代谢需求，全面和积极的营养评估至关重要，专注于对充足能源的需求，高蛋白摄入量，和适当的喂养路线。在口服或肠内营养不足的急性或长期2型肠衰竭的情况下，肠胃外喂养应该是主要的治疗方法。苛性损伤的有效管理需要多学科和多中心的方法，整合营养评估，包括身体成分测量，进入临床算法。早期开始营养治疗对于预防慢性肠衰竭至关重要。
