The patient with cancer has multiple metabolic and nutritional abnormalities. The indications and methods of nutritional support required may therefore vary considerably from patient to patient. Currently many techniques are available for the administration of nutritional support. Rather than review each of these in detail it is considered more appropriate to pose specific questions in relation...

· To learn the anatomy of the gastro-intestinal tract; · To learn the physiology of the gastro-intestinal tract especially with regard to nutrition; · To learn the consequences of critical illness on the function of the gastro-intestinal tract; · To learn the causes of disturbances in the balance between intestinal bacteria spp and their effects on the function of the bowel; · To learn the cons...

The limiting factor in nutritional support of the vast majority of patients is the attainment and maintenance of safe access, whether it be to the venous system for total parenteral nutrition (TPN) or to the gut for enteral nutrition. Indeed, the mainstay of nutritional support therapy is deciding the appropriate route for nutritional support and obtaining access to provide that support. Centra...

The limiting factor in nutritional support of the vast majority of patients is the attainment and maintenance of safe access, whether it be to the venous system for total parenteral nutrition (TPN) or to the gut for enteral nutrition. Indeed, the mainstay of nutritional support therapy is deciding the appropriate route for nutritional support and obtaining access to provide that support. Centra...

• To get a global understanding of the pathophysiology of irritable bowel syndrome, idiopathic chronic constipation, and diverticular disease for a more rational use of dietary tools in these conditions; • To learn about the true impact of “food intolerance” on symptoms of irritable bowel, thereby gaining insight into the role of excluding selected food from the diet of these patients; • To kno...

Introduction: Glutaric academia type I is a metabolic disorder that is caused due to deficiency of glutaryl-CoA dehydrogenase. Macrocephaly is a common sign in GA1, although many infants usually appear healthy at birth.   Case Report A 5.5 year old boy with GA1was admitted to NICU. Chief compliance of patient for hospitalization was pneumonia and sepsis and he was intubated and mechanically ven...

Critically ill patients, almost by definition, are catabolic and often hypermetabolic. Although it is generally accepted that such patients would benefit from nutritional support, there are remarkably little data to support this premise. Several experts believe that prospective, randomized, controlled studies to document the efficacy of nutrition support in improving outcome in critically ill p...

Healing of wounds, whether from accidental injury or surgical intervention, involves the activity of an intricate network of blood cells, tissue types, cytokines, and growth factors. This results in increased cellular activity, which causes an intensified metabolic demand for nutrients. Nutritional deficiencies can impede wound healing, and several nutritional factors required for wound repair ...