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PATHOPHYSIOLOGY OF POSTOPERATIVE STRESS REACTION AND MODERN APPROACHES TO NUTRITIVE SUPPORT FOR CHILDREN IN POSTOPERATIVE PERIOD

Abstract

Enteral nutrition is a method best adjusted to human physiology for correcting disorders of homeostasis in the postoperative period. Untimely and inadequate correction of these disorders may fatally affect a child’s health and rates of the child’s further development. Understanding the laws of stress response generation is important in selecting an optimal nutritive support in the postoperative period. It is necessary to take account of neuro-endocrine-immune response, changing metabolism and an impaired function of the gastrointestinal tract. Modern methods of diagnostics and treatment make it possible to resolve most of the arising issues, but it requires physicians to take a comprehensive approach and have knowledge in many areas of theoretical and practical medicine.
Key words: stress, metabolism, children, enteral nutrition.

(Pediatric Pharmacology. – 2010; 7(3):36-45)

About the Authors

P.V. Shumilov
Russian State Medical University, Moscow
Russian Federation


L.E. Tsypin
Russian State Medical University, Moscow
Russian Federation


Yu.G. Mukhina
Russian State Medical University, Moscow
Russian Federation


Review

For citations:


Shumilov P., Tsypin L., Mukhina Yu. PATHOPHYSIOLOGY OF POSTOPERATIVE STRESS REACTION AND MODERN APPROACHES TO NUTRITIVE SUPPORT FOR CHILDREN IN POSTOPERATIVE PERIOD. Pediatric pharmacology. 2010;7(3):36-45.

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ISSN 1727-5776 (Print)
ISSN 2500-3089 (Online)