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Disorders of Nutrition and Metabolism in Clinical Surgery: Understanding and Management

Disorders of Nutrition and Metabolism in Clinical Surgery: Understanding and Management

This guidebook for the general surgeon and his or her team is focused on patient care and is based on an understanding of the fundamentals of nutrition and metabolism within the context of high standards of surgical care. The text also examines advances in molecular biology.

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Quick Reference

ISBN 9780443044571
Published 1 August 1992 by Elsevier Health Sciences
Format Hardback
Author(s) By Hill, Graham L.
Foreword by Goligher, J. C.

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Full details for this title

ISBN-13 9780443044571
ISBN-10 0443044570
Stock Out of stock
Status Out of print
Publisher Elsevier Health Sciences
Imprint Churchill Livingstone
Publication Date 1 August 1992
Publication Country United Kingdom United Kingdom
Format Hardback
Author(s) By Hill, Graham L.
Foreword by Goligher, J. C.
Category Personal & Public Health: Dietetics & Nutrition
Metabolism
Surgery
Interest Age All ages
Reading Age All ages
NBS Text Medical Nursing & Ancillary Services
ONIX Text Professional and scholarly
Number of Pages xvi,324
Dimensions Width: 298mm
Height: 27mm
Weight 899g
Dewey Code 617.919
Catalogue Code Not specified

Description of this Book

This text is based mainly on studies of patients from surgical wards studied in the University Department of Surgery at Auckland Hospital. More than 600 surgical patients covering most of the commonly encountered metabolic problems have been entered in various protocols and studies over the past 10 years. Not discussed here are those problems and diseases of which the authors have no personal experience. In particular, burns have not been covered, nor have the special nutritional and metabolic problems of children. The book is organized into four parts and covers those areas which are everyday occurrences in busy surgical clinics. The first part of the book deals with fundamental principles underlying metabolic care, the compositional and physiological changes that occur in normal convalescence after major surgery and then some of the more difficult problems encountered in metabolic care in the perioperative period. A fairly formal account of water and salt and acid base therapy is then given. The second part of the book is a comprehensive account of nutritional care. Modern ideas of the classification of adult protein energy malnutrition and new discoveries of the effect of nutritional therapy in treating it are then covered. Practical aspects of nutritional assessment are explained as are the therapeutic modes of enteral and partenteral feeding. This section finishes with four case management problems, a learning technique used most successfully by Dr. George Blackburn of Boston. The next section of the book, Part three, covers the particular nutritional and metabolic problems encountered in the practice of the surgeon who deals with complex problems of the alimentary tract. Finally the book finishes with an insight for the general surgeon into serious surgical illness, including in particular those patients with organ failure. This is not meant to be a comprehensive account of intensive care. It is specifically designed for those members of general surgical teams who find this area somewhat confusing and baffling and this section is aimed to introduce them to the terminology used in critical care, the type of treatments given and the role that they may be expected to play if they are working in a team situation with critical care specialists alongside. This section is not designed for those who are experts in critical care and manage this side of patient care entirely themselves. There has been no attempt to cover the extensive literature on the subject but an up-to-date and representative bibliography is provided which will enable the reader to explore certain topics in more depth.

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