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Preoperative Nutritional Optimization and Gastroenterological Challenges for Children with Severe Neurologic
Gina Rempel1, Tejas Desai2, Sarah Vermilyea3
1Pediatric Nutrition Support, Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba; Neurodevelopmental Pediatrician in Nutrition Support and Complex Care, Children's Hospital Health Sciences Centre, AE 303-820 Sherbrook Street, Winnipeg, Manitoba, R3A 1R9, Canada.
Abstract:
Optimizing nutrition in children with medical complexity is a crucial preoperative task for clinicians. A comprehensive nutrition assessment should include the evaluation of coexisting gastrointestinal conditions that affect nutritional status, as well as detailed physical, anthropometric, and laboratory assessments. Using this comprehensive evaluation and assessment, personalized nutrition plans that include oral and enteral nutrition support can be developed. Since nutrition interventions take time, clear communication between the nutrition and surgical teams is vital to ensure the appropriate timing of surgery.
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