Nutritional treatment a various clinical setting--practical considerations.

Currently parenteral nutrition is a recognized supplement of surgical treatment. Often this therapy enables a surgical procedure to be conducted without putting the patient at risk of unnecessary complications related to malnutrition (1). Administration of proper nutritive facilitates quicker recovery in the postoperative period and in cases of radical intestinal resection, nutritional treatment not only enables survival, but also recovery to preoperative fitness level which also implicates return to work (2). The most important aim of nutritional treatment is to suppress destruction of body proteins. This can be achieved through administration of exogenous amino acids, but also through administration of adequate amount of energy. Starting this type of therapy, one must consider patient’s current clinical situation, his nutritional status, co-morbidities and mainly his metabolic ability (3). Except for obvious benefits of nutritional treatment, it must be emphasized that this therapy is not without risks. It not only requires administration of neutral intravenous fluids that can be detrimental, but in reality a big interference with human metabolism. Is there a gold standard, one formula that can be used in anyone or at least in majority of patients? Of course, not. Formulations used in the parenteral nutritional treatment are drugs and obviously drugs require to be sued at proper dosages to provide proper therapeutic effect. As we know, these dosages need to be adjusted in individual patients. However, there is a “stanr e v i e w p A p e r s