İstanbul Tabip Odası - Klinik Gelişim Dergisi - Klinik Nütrisyon Özel Sayısı
Cilt 9 / No: 4 / Nisan 1996

PREFACE
Faik Çelik

KLİNİK NÜTRİSYONUN TARİHÇESİ VE TÜRKİYE’DEKİ GELİŞMELER
Ali Reşat Moral

KLİNİK NÜTRİSYONDA TEMEL PRENSİPLER
Mois Bahar

KLİNİK NÜTRİSYONDA UYGULAMA YÖNTEMLERİ
Emin Gürleyik

TOTAL PARENTERAL NÜTRİSYON (TPN): ENDİKASYON VE KOMPLİKASYONLAR
Yavuz Bozfakioğlu

ENTERAL NÜTRİSYON
Melek Çelik

PERİOPERATİF NÜTRİSYON DESTEĞİNİN ÖNEMİ
Mustafa Tireli

YOĞUN BAKIM KLİNİKLERİNDE KLİNİK NÜTRİSYON
Lütfi Telci

KLİNİK NÜTRİSYONDA VİTAMİN VE ESER ELEMENTLER
Sadık Kılıçturgay

PEDİATRİDE KLİNİK NÜTRİSYON
Ender Pehlivanoğlu

KLİNİK NÜTRİSYONDA KULLANILAN PREPARATLAR VE BAZI PRATİK TPN FORMÜLLERİ
Faik Çelik



PREFACE
Faik Çelik

This special issue is prepared to evaluate certain basic supports of clinical nutrition and to give practial information related to this treatment performed under hospital conditions. Many rapid and unexpected progressions in the field of protein-energy malnutrition concept have occurred since its first description 60 years ago. In this subject, medicine and technology together make very important steps. With the progression of clinical nutrition which is handled as enteral and parenteral nutrition, many important results are obtained such as decreased tendency to infections, positive effects on would healing, decrease in morbidity and mortality, shortening in hospitalisation and convalescence periods. Now with nutritional support it's easy to deal with short intestine syndrome, to control postoperative gastrointestinal fistula and to supply energy need perioperatively and postoperatively.
Each chapter of this issue is reviewed by professional authors. Specific nutritional deficiencies are not evaluated. Basic practical points in minimizing the effects of nutritional deficiencies due to starvation have been evaluated. Response to treatment is better if the problem is starvation; but nutrition must be organized according to changed metabolism associated with tissue destruction. Energy, glucose, fat, protein, electrolyte, vitamin and trace elements needs, the way of administrations and doses of these entities and possible complications are evaluated. Enteral and parenteral nutrition, especially TPN, is from technical and clinical-metabolic point of view; special performance in children and in intensive care units; importance of perioperative nutritional support recommended in recent years and extended evaluations on vitamins and trace elements are handled. Lastly, enteral and parenteral preparations used clinically are presented and practical TPN formulations are proposed.
As Van Way CWmentioned "Nutritional evaluation is an art rather than a science". Only with effective use of this art, an optimum treatment can be planned.