Major gastrointestinal surgery can lead to nutritional issues due to stress, hypermetabolism, and bacterial translocation. The document discusses starting oral feeding post-operatively, providing adequate vitamins, minerals and calories, and monitoring patients' nutritional status through assessment to address these issues and support recovery.

1. Nutritional issues after
Major GI Surgery
Dr Saurabh Debnath

2. Objectives
• Implications
• When to start
• What to give
• How to monitor

3. Stress  Hypermetabolism

4. Bacterial translocation

5. Post-op Oral feeding

8. Vitamins & Trace elements

9. When to start

10. When to start

11. What is modern

13. Assessment & Monitoring

17. Summarize
• Importance of Nutrition
• When to start
• What route
• How much
• Monitoring