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Application of the A.S.P.E.N. Clinical Guideline for Nutrition Support of Hospitalized Adult Patients With Obesity
Author(s) -
Schiavone Phyllis Ann,
Piccolo Korinne,
Compher Charlene
Publication year - 2014
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0884533613510183
Subject(s) - medicine , guideline , parenteral nutrition , weight loss , obesity , enteral administration , obesity surgery , general surgery , sleeve gastrectomy , complication , intensive care medicine , surgery , pediatrics , gastric bypass , pathology
An A.S.P.E.N. clinical guideline addressing the nutrition support of hospitalized adult patients with obesity was recently published in the Journal of Parenteral and Enteral Nutrition . Among the patient presentations for which this guideline might be used is those who have a gastrointestinal complication after bariatric surgery. A case study is discussed of a 43‐year‐old woman with a long history of severe obesity who had a bowel obstruction approximately 2 weeks after her laparoscopic sleeve gastrectomy surgery. The patient's treatment plan for bowel rest and home parenteral nutrition was based on the A.S.P.E.N. clinical guideline for patients with obesity. She tolerated the course well and resumed the expected diet advancement and weight loss patterns expected of her weight‐loss surgery.